Surgery and procedures CPT 43248 Virginia Outpatient

Upper endoscopy with wire-guided dilation cost in Virginia

In Virginia, 18 hospitals publish a cash price for upper endoscopy (EGD) with widening of the esophagus over a guide wire: from $1,163.05 to $4,940.79, with a median of $1,397.46. The lowest price is at Carilion Franklin Memorial Hospital (Rocky Mt) and 6 other hospitals. The highest price is 4.2× the lowest.

  • The median here, $1,397.46, is 18% below the US median of $1,698.96.
  • That is 1.5× Medicare's 2026 national rate for the same service ($926.63).
  • Virginia ranks 14th of 39 states by median, cheapest first.
  • Every hospital here lists a cash price below its full list price.

Outpatient cash prices, one line per hospital — its lowest listed price for code 43248. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 29, 2026. See them on a map

Lowest$1,163.05Carilion Franklin Memorial Hospital + 6 more
Median$1,397.46half of hospitals charge less
Highest$4,940.79in Virginia
Lowest saves$234.41vs the median

Hospitals in Virginia, cheapest first

HospitalCash priceList priceFile date
Carilion Franklin Memorial Hospital lowest Rocky Mt · Roanoke, VA HB EGD W/ESOPH DILATION OVER GUID $1,163.05 $3,323.00 Dec 15, 2025
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Carilion Giles Community Hospital lowest Roanoke · Roanoke, VA HB EGD W/ESOPH DILATION OVER GUID $1,163.05 $3,323.00 Dec 15, 2025
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Carilion New River Valley Medical Center lowest Christiansburg · Blacksburg-Christiansburg-Radford, VA HB EGD W/ESOPH DILATION OVER GUID $1,163.05 $3,323.00 Dec 15, 2025
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Carilion Roanoke Community Hospital lowest Roanoke · Roanoke, VA HB EGD W/ESOPH DILATION OVER GUID $1,163.05 $3,323.00 Dec 15, 2025
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Carilion Roanoke Memorial Hospital lowest Roanoke · Roanoke, VA HB EGD W/ESOPH DILATION OVER GUID $1,163.05 $3,323.00 Apr 17, 2026
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Carilion Rockbridge Community Hospital lowest Lexington · Lexington, VA HB EGD W/ESOPH DILATION OVER GUID $1,163.05 $3,323.00 Dec 15, 2025
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Carilion Tazewell Community Hospital lowest Tazewell · Bluefield, WV-VA HB EGD W/ESOPH DILATION OVER GUID $1,163.05 $3,323.00 Dec 15, 2025
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Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Egd guide wire insertion $1,372.50 $2,745.00 Dec 30, 2024
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Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Egd guide wire insertion $1,372.50 $2,745.00 Dec 30, 2024
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Twin County Regional Healthcare Galax · Galax, VA Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire $1,422.41 $3,556.03 Jul 10, 2026
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Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Egd Flex Transo W Gd Wire Dilat $1,972.50 $3,945.00 Mar 11, 2026
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Clinch Valley Health Richlands · Bluefield, WV-VA Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire $2,572.25 $6,430.62 Jul 14, 2026
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Wythe County Community Hospital Wytheville · Wytheville, VA Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire $2,774.92 $6,937.31 Jul 10, 2026
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Sovah Health - Martinsville Martinsville · Martinsville, VA Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire $3,536.00 $8,840.00 Jul 10, 2026
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Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC Egd Insert Guide Wire Dilator Passage Esophagus $3,661.57 $6,102.62 Apr 1, 2026
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Bon Secours St Francis Medical Center Midlothian · Richmond, VA Egd Insert Guide Wire Dilator Passage Esophagus $4,544.48 $7,574.13 Apr 1, 2026
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Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA Egd Insert Guide Wire Dilator Passage Esophagus $4,759.31 $7,932.18 Apr 1, 2026
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Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA Egd Insert Guide Wire Dilator Passage Esophagus $4,940.79 $8,234.65 Apr 1, 2026
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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.
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Roanoke, VA 4 $1,163.05 $1,163.05
Richmond, VA 3 $4,544.48 $4,759.31
Bluefield, WV-VA 2 $1,163.05 $1,867.65
Virginia Beach-Chesapeake-Norfolk, VA-NC 2 $1,972.50 $2,817.04
Washington-Arlington-Alexandria, DC-VA-MD-WV 2 $1,372.50 $1,372.50
Blacksburg-Christiansburg-Radford, VA 1 $1,163.05 $1,163.05
Galax, VA 1 $1,422.41 $1,422.41
Lexington, VA 1 $1,163.05 $1,163.05
Martinsville, VA 1 $3,536.00 $3,536.00
Wytheville, VA 1 $2,774.92 $2,774.92
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 with wire-guided dilation is, what the price covers and why prices differ: Upper endoscopy with wire-guided dilation explained.

Upper endoscopy (EGD) with widening of the esophagus over a guide wire in other states

Median cash price across the state's hospitals.