Upper endoscopy cost in Washington
In Washington, 43 hospitals publish a cash price for upper endoscopy (EGD), diagnostic: from $253.50 to $5,517.00, with a median of $1,631.24. The lowest price is at Astria Toppenish Hospital (Toppenish). The highest price is 21.8× the lowest.
- The median here, $1,631.24, is 5% above the US median of $1,548.75.
- That is 1.8× Medicare's 2026 national rate for the same service ($926.63).
- Washington ranks 26th of 49 states by median, cheapest first.
- 2 of 43 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 43235. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map
Lowest$253.50Astria Toppenish Hospital
Median$1,631.24half of hospitals charge less
Highest$5,517.00in Washington
Lowest saves$1,377.74vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Astria Toppenish Hospital lowest Toppenish · Yakima, WA 43235 Esophagogastroduodenoscopy, flexible, transo | $253.50 | $390.00 | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC PR 43235 EGD DIAGNOSTIC BRUSH WASH | $297.50 | $425.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC PR 43235 EGD DIAGNOSTIC BRUSH WASH | $297.50 | $425.00 | Apr 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $544.00 | $640.00 | Oct 7, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $579.70 | $935.00 | May 18, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC UPPR GI ENDOSCPY/BRUSH-WASH | $584.43 | $2,027.55 | Feb 28, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC UPPR GI ENDOSCPY/BRUSH-WASH | $616.68 | $2,027.55 | Feb 28, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC UPPR GI ENDOSCPY/BRUSH-WASH | $619.13 | $2,027.55 | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC UPPR GI ENDOSCPY/BRUSH-WASH | $636.30 | $2,027.55 | Feb 28, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC UPPR GI ENDOSCPY/BRUSH-WASH | $671.52 | $2,027.55 | Feb 28, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC UPPR GI ENDOSCPY/BRUSH-WASH | $716.47 | $2,027.55 | Feb 28, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $856.00 | $1,070.00 | Jun 29, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC UPPR GI ENDOSCPY/BRUSH-WASH | $894.86 | $2,027.55 | Feb 28, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC DIAGNOSTIC GASTROSCOPE | $997.44 | $2,078.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC DIAGNOSTIC GASTROSCOPE | $997.44 | $2,078.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC DIAGNOSTIC GASTROSCOPE | $997.44 | $2,078.00 | Apr 1, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC UPPER GI ENDOSCOPY/DIAGNOSTIC | $1,048.80 | $1,311.00 | Mar 26, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,314.95 | $2,023.00 | Mar 21, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,578.63 | $2,428.66 | Mar 21, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,583.40 | $2,262.00 | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,610.00 | $2,300.00 | Apr 1, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,631.24 | $3,137.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,631.24 | $3,137.00 | Apr 1, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,715.14 | $2,638.67 | Mar 20, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA EGD DIAGNOSTIC, W/ COLL OF SPECIMEN/S, SEP PROC | $1,735.53 | $3,403.00 | Jan 1, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA EGD DIAGNOSTIC BRUSH WASH | $1,797.44 | $4,493.61 | Jul 10, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc 43235 Egd Diag/Brushing | $1,826.00 | $3,652.00 | Apr 1, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA GASTROSCOPY DIAGNOSTIC W/WO BRUSHING SURG SU | $1,892.40 | $3,320.00 | Apr 1, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC 43235 EGD DIAG/BRUSHING | $1,907.94 | $3,289.56 | Apr 14, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,983.80 | $2,834.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,983.80 | $2,834.00 | Apr 1, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA EGD diag w/spec collection | $2,040.80 | $2,551.00 | May 15, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA EGD Diagnostic OR | $2,472.00 | $3,090.00 | Dec 2, 2024 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA EGD DIAGNOSTIC BRUSH WASH | $2,618.20 | $4,028.00 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA EGD DIAGNOSTIC BRUSH WASH | $2,618.20 | $4,028.00 | Mar 21, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Esophagogastroduodenoscopy Transoral Diagnostic | $2,797.90 | $3,997.00 | Mar 12, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Endoscopy - Diagnostic examination of esohpagus, stomach and/or upper small bowel using an endoscope (EGD) | $2,840.00 | $3,550.00 | Jun 24, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $2,988.60 | $3,516.00 | Jun 9, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA EGD-DIAG FLEX W/SPEC COLLECT | $3,128.88 | $3,681.03 | Sep 14, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC EGD COMPLEX | $3,237.60 | $4,047.00 | Mar 26, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $3,308.80 | $4,136.00 | Oct 27, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $3,850.93 | $3,850.93 | Sep 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA EGD Flexible, Transoral; Diagnostic | $5,517.00 | $5,517.00 | Mar 31, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 15 | $584.43 | $997.44 |
| Spokane-Spokane Valley, WA | 4 | $297.50 | $940.45 |
| Kennewick-Richland, WA | 3 | $1,797.44 | $1,892.40 |
| Centralia, WA | 2 | $579.70 | $1,105.47 |
| Mount Vernon-Anacortes, WA | 2 | $1,314.95 | $2,276.28 |
| Pullman, WA | 2 | $856.00 | $1,922.30 |
| Wenatchee-East Wenatchee, WA | 2 | $2,040.80 | $2,945.86 |
| Bellingham, WA | 1 | $1,578.63 | $1,578.63 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $894.86 | $894.86 |
| Ellensburg, WA | 1 | $544.00 | $544.00 |
| Friday Harbor, WA | 1 | $1,715.14 | $1,715.14 |
| Goldendale, WA | 1 | $2,472.00 | $2,472.00 |
| Longview-Kelso, WA | 1 | $2,618.20 | $2,618.20 |
| Olympia-Lacey-Tumwater, WA | 1 | $1,631.24 | $1,631.24 |
| Port Angeles, WA | 1 | $2,840.00 | $2,840.00 |
| Port Townsend, WA | 1 | $3,308.80 | $3,308.80 |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $2,618.20 | $2,618.20 |
| Republic, WA | 1 | $3,128.88 | $3,128.88 |
| Walla Walla, WA | 1 | $1,983.80 | $1,983.80 |
| Yakima, WA | 1 | $253.50 | $253.50 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What upper endoscopy is, what the price covers and why prices differ: Upper endoscopy explained.
Upper endoscopy (EGD), diagnostic in other states
- Alabama$1,775.19
- Alaska$1,365.50
- Arizona$2,139.15
- Arkansas$1,500.00
- California$1,872.00
- Colorado$1,937.06
- Connecticut$3,288.29
- Delaware$2,236.08
- District of Columbia$1,280.80, 2 hospitals
- Florida$2,294.00
- Georgia$1,542.28
- Hawaii$1,843.80
- Idaho$2,145.60
- Illinois$2,019.50
- Indiana$2,373.60
- Iowa$1,625.46
- Kansas$1,280.40
- Kentucky$1,341.00
- Louisiana$791.37
- Maine$1,017.79
- Maryland$1,962.00, 1 hospital
- Massachusetts$1,802.81
- Michigan$791.40
- Minnesota$1,210.94
- Mississippi$972.66
- Missouri$1,504.18
- Montana$1,054.30
- Nebraska$1,664.43
- Nevada$1,088.10
- New Hampshire$1,443.00
- New Jersey$2,156.55
- New Mexico$1,780.50
- New York$1,645.00
- North Carolina$1,510.34
- North Dakota$1,546.60
- Ohio$2,598.70
- Oklahoma$1,141.40
- Oregon$1,738.53
- Pennsylvania$1,895.40
- Puerto Rico$275.42
- Rhode Island$3,101.40
- South Carolina$1,951.89
- South Dakota$1,244.09
- Tennessee$964.15
- Texas$1,455.68
- Utah$1,542.16, 4 hospitals
- Vermont$2,880.00
- Virginia$1,484.00
- West Virginia$829.00
- Wisconsin$1,467.98
- Wyoming$1,918.62
Median cash price across the state's hospitals.