Upper endoscopy with biopsy cost in Washington
In Washington, 35 hospitals publish a cash price for upper endoscopy (EGD) with biopsy: from $350.70 to $5,382.40, with a median of $1,935.05. The lowest price is at Providence Mount Carmel Hospital (Colville) and 1 other hospital. The highest price is 15.3× the lowest.
- The median here, $1,935.05, is 17% above the US median of $1,656.60.
- That is 2.1× Medicare's 2026 national rate for the same service ($926.63).
- Washington ranks 34th of 49 states by median, cheapest first.
- 2 of 35 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 43239. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Providence Mount Carmel Hospital lowest Colville · Spokane-Spokane Valley, WA HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE | $350.70 | $501.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital lowest Chewelah · Spokane-Spokane Valley, WA HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE | $350.70 | $501.00 | Apr 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $637.50 | $750.00 | Oct 7, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 43239 Esophagogastroduodenoscopy, flexible, transo | $776.10 | $1,194.00 | Apr 1, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $868.40 | $1,336.00 | Mar 21, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC EGD - BIOPSY | $1,088.80 | $1,361.00 | Mar 26, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,547.00 | $2,210.00 | Feb 24, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,610.00 | $2,300.00 | Apr 1, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,631.24 | $3,137.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,631.24 | $3,137.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,828.80 | $3,810.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,828.80 | $3,810.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,828.80 | $3,810.00 | Apr 1, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,852.50 | $2,850.00 | Mar 20, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA GASTROSCOPY W/BX | $1,892.40 | $3,320.00 | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc 43239 Egd Biopsy | $1,915.00 | $3,830.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA ED - EGD BIOPSY, SINGLE OR MULTIPLE | $1,928.31 | $3,781.00 | Jan 1, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,935.05 | $2,977.00 | Mar 21, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA EGD BIOPSY SINGLE/MULTIPLE | $1,970.80 | $3,032.00 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA EGD BIOPSY SINGLE/MULTIPLE | $1,970.80 | $3,032.00 | Mar 21, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC 43239 EGD BIOPSY | $1,984.79 | $3,422.06 | Apr 14, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA EGD BIOPSY SINGLE/MULTIPLE | $2,013.53 | $5,033.83 | Jul 10, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA EGD diag w/biopsy | $2,040.80 | $2,551.00 | May 15, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $2,046.10 | $2,923.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $2,046.10 | $2,923.00 | Apr 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $2,057.30 | $2,939.00 | Apr 1, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA EGD W Bx OR | $2,560.00 | $3,200.00 | Dec 2, 2024 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $2,673.25 | $3,145.00 | Jun 9, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Egd Transoral Biopsy Single/Multiple | $2,738.40 | $3,912.00 | Mar 12, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC EGD - BIOPSY | $3,160.00 | $3,950.00 | Mar 26, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Endoscopy - Biopsy of the esophagus, stomach and/or upper small bowel using an endoscope | $3,200.00 | $4,000.00 | Jun 24, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA EGD W/BIOPSY SINGLE/MULT | $3,596.42 | $4,231.08 | Sep 14, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $3,885.60 | $4,857.00 | Oct 27, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $4,341.47 | $4,341.47 | Sep 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Upper GI Endoscopy Biopsy | $5,382.40 | $5,382.40 | Mar 31, 2026 source file |
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 | 9 | $1,088.80 | $1,915.00 |
| Spokane-Spokane Valley, WA | 4 | $350.70 | $980.35 |
| Kennewick-Richland, WA | 3 | $1,892.40 | $2,013.53 |
| Mount Vernon-Anacortes, WA | 2 | $868.40 | $2,014.20 |
| Wenatchee-East Wenatchee, WA | 2 | $2,040.80 | $3,191.14 |
| Bellingham, WA | 1 | $1,935.05 | $1,935.05 |
| Centralia, WA | 1 | $1,631.24 | $1,631.24 |
| Ellensburg, WA | 1 | $637.50 | $637.50 |
| Friday Harbor, WA | 1 | $1,852.50 | $1,852.50 |
| Goldendale, WA | 1 | $2,560.00 | $2,560.00 |
| Longview-Kelso, WA | 1 | $1,970.80 | $1,970.80 |
| Olympia-Lacey-Tumwater, WA | 1 | $1,631.24 | $1,631.24 |
| Port Angeles, WA | 1 | $3,200.00 | $3,200.00 |
| Port Townsend, WA | 1 | $3,885.60 | $3,885.60 |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $1,970.80 | $1,970.80 |
| Pullman, WA | 1 | $2,673.25 | $2,673.25 |
| Republic, WA | 1 | $3,596.42 | $3,596.42 |
| South Bend, WA | 1 | $1,547.00 | $1,547.00 |
| Walla Walla, WA | 1 | $2,046.10 | $2,046.10 |
| Yakima, WA | 1 | $776.10 | $776.10 |
What upper endoscopy with biopsy is, what the price covers and why prices differ: Upper endoscopy with biopsy explained.
Upper endoscopy (EGD) with biopsy in other states
- Alabama$1,978.42
- Alaska$1,523.00
- Arizona$2,407.00
- Arkansas$1,169.91
- California$1,768.00
- Colorado$1,904.60
- Connecticut$3,288.29
- Delaware$2,236.08
- District of Columbia$1,772.11, 2 hospitals
- Florida$3,113.34
- Georgia$1,405.56
- Hawaii$1,871.80
- Idaho$2,339.58
- Illinois$2,257.50
- Indiana$3,018.93
- Iowa$1,815.88
- Kansas$1,314.17
- Kentucky$1,609.20
- Louisiana$753.11
- Maine$1,179.13
- Maryland$2,099.19, 1 hospital
- Massachusetts$1,880.45
- Michigan$1,247.13
- Minnesota$1,404.35
- Mississippi$1,162.29
- Missouri$1,376.25
- Montana$1,546.69
- Nebraska$2,047.93
- Nevada$1,784.00
- New Hampshire$1,368.64
- New Jersey$1,386.82
- New Mexico$1,900.23
- New York$1,669.31
- North Carolina$1,584.76
- North Dakota$1,559.50
- Ohio$2,803.45
- Oklahoma$1,068.85
- Oregon$1,525.21
- Pennsylvania$2,173.20
- Puerto Rico$324.72
- Rhode Island$3,101.40
- South Carolina$2,738.40
- South Dakota$1,472.59
- Tennessee$987.80
- Texas$1,397.24
- Utah$1,853.29, 4 hospitals
- Vermont$3,165.00
- Virginia$1,484.00
- West Virginia$1,084.00
- Wisconsin$1,580.80
- Wyoming$2,027.85
Median cash price across the state's hospitals.