Price spread for CPT 43239: Hospital pricing ranges from $567 to $3,707. Compared with Medicare ($250), this is roughly 2x-15x.
What Is a Upper Endoscopy (EGD) with Biopsy?
An upper endoscopy with biopsy evaluates the esophagus, stomach, and duodenum and collects tissue for testing.
When Is It Ordered?
Doctors commonly order this for reflux, swallowing difficulty, abdominal pain, anemia, and celiac evaluation.
How Long Does It Take?
15-30 minutes plus recovery.
How to Prepare
No food for 6-8 hours before the procedure.
How to Save on a EGD w/ Biopsy
Potential savings: 20-50% by comparing facilities before scheduling.
- Request the CPT-specific cash rate and negotiated estimate.
- Ask whether any part can be done in a lower-cost outpatient setting.
- Verify in-network status and pre-authorization requirements.
Hospital Prices for CPT 43239
Table below shows a sample of hospitals with reported prices for this procedure.
| Hospital | City | State | Cash Price | Negotiated | Gross Charge |
|---|---|---|---|---|---|
| VIBRA HOSPITAL OF AMARILLO, LLC | AMARILLO | TX | N/A | $5 | N/A |
| VIBRA HOSPITAL OF CENTRAL DAKOTAS LLC | MANDAN | ND | N/A | $5 | N/A |
| 4499 ACUSHNET AVENUE OPERATING COMPANY, LLC | NEW BEDFORD | MA | N/A | $10 | N/A |
| BRISTOL HOSPITAL INCORPORATED | BRISTOL | CT | $21 | N/A | $179 |
| VIBRA HOSPITAL OF FARGO LLC | FARGO | ND | N/A | $27 | N/A |
| ST LUKES METHODIST HOSPITAL | CEDAR RAPIDS | IA | N/A | N/A | $40 |
| VIBRA HOSPITAL OF DENVER LLC | THORNTON | CO | N/A | $41 | N/A |
| VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC | ROCHDALE | MA | N/A | $46 | N/A |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | $56 | $71 | $112 |
| CROUSE HEALTH HOSPITAL INC | SYRACUSE | NY | $68 | $61 | $68 |
| MOUNTAIN RIVER BIRTHING AND SURGERY CENTER LLC | BLACKFOOT | ID | $72 | $840 | $103 |
| PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON | ANACORTES | WA | N/A | $80 | $333 |
| TRI-CITY HOSPITAL | OCEANSIDE | CA | N/A | $129 | $300 |
| MOBILE INFIRMARY ASSOCIATION | MOBILE | AL | N/A | $147 | N/A |
| FAYETTE MEDICAL CENTER | FAYETTE | AL | $160 | $255 | $266 |
| PROFESSIONAL RESOURCES MANAGEMENT PSYCHIATRIC SERVICES, LLC | LUVERNE | AL | $160 | $255 | $266 |
| AUBURN COMMUNITY HOSPITAL | AUBURN | NY | $174 | N/A | N/A |
| SWEDISHAMERICAN HOSPITAL | ROCKFORD | IL | $182 | $782 | $1,072 |
| ADVENTIST HEALTH SYSTEM-SUNBELT INC | WAUCHULA | FL | N/A | $183 | N/A |
| AGH LAVEEN LLC | LAVEEN | AZ | N/A | $234 | $2,492 |
| MEMORIAL HOSPITAL, INC. | MANCHESTER | KY | N/A | $264 | N/A |
| REID HOSPITAL & HEALTH CARE SERVICES INC | RICHMOND | IN | N/A | $264 | N/A |
| UNIVERSITY MEDICAL CENTER, INC | LOUISVILLE | KY | N/A | $264 | N/A |
| DOCTORS MEMORIAL HOSPITAL INC | PERRY | FL | $265 | $259 | $442 |
| SOUTH BROWARD HOSPITAL DISTRICT | PEMBROKE PINES | FL | $265 | $259 | $442 |
| THE PAVILION AT HEALTHPARK LLC | FORT MYERS | FL | $265 | $259 | $442 |
| HENDRICKS COUNTY HOSPITAL | DANVILLE | IN | N/A | $275 | N/A |
| MINIMALLY INVASIVE SURGERY HOSPITAL | LENEXA | KS | N/A | $275 | N/A |
| HOLLAND COMMUNITY HOSPITAL | HOLLAND | MI | $284 | $265 | $473 |
| READING HOSPITAL | WEST READING | PA | $286 | $101 | $408 |
| APOLLO BEHAVIORAL HEALTH HOSPITAL LLC | BATON ROUGE | LA | N/A | $288 | N/A |
| APPALACHIAN REGIONAL HEALTHCARE INC | HARLAN | KY | N/A | $288 | N/A |
| DEACONESS WOMENS HOSPITAL OF SOUTHERN INDIANA LLC | NEWBURGH | IN | N/A | $288 | N/A |
| STONEBRIDGE HEALTH SYSTEMS LLC | CAMERON | LA | N/A | $288 | N/A |
| PROCTOR COMMUNITY HOSPITAL | PEORIA | IL | $295 | N/A | $2,399 |
| EAST CARROLL PARISH HOSPITAL | LAKE PROVIDENCE | LA | $296 | $316 | $395 |
| MORRIS HOSPITAL | MORRIS | IL | $299 | $884 | $1,105 |
| BAYHEALTH MEDICAL CENTER, INC | DOVER | DE | $321 | $377 | N/A |
| BAYHEALTH MEDICAL CENTER, INC | MILFORD | DE | $321 | $377 | $2,535 |
| GALENCARE, INC. | SAINT PETERSBURG | FL | N/A | $329 | N/A |
| NORTHSIDE HOSPITAL INC | LAWRENCEVILLE | GA | N/A | $329 | N/A |
| PAULDING MEDICAL CENTER, INC. | HIRAM | GA | N/A | $329 | N/A |
| SARASOTA DOCTORS HOSPITAL INC | SARASOTA | FL | N/A | $329 | N/A |
| MARIN GENERAL HOSPITAL | GREENBRAE | CA | $332 | N/A | $233 |
| BAXTER COUNTY REGIONAL HOSPITAL INC | MOUNTAIN HOME | AR | N/A | $338 | N/A |
| COMMUNITY HOSPITAL INC | TALLASSEE | AL | N/A | $338 | N/A |
| CONWAY REGIONAL MEDICAL CENTER INC | CONWAY | AR | N/A | $338 | N/A |
| FORREST CITY ARKANSAS HOSPITAL COMPANY, LLC | FORREST CITY | AR | N/A | $338 | N/A |
| ELADH LP | LOS ANGELES | CA | $344 | $82 | $1,810 |
| VICTOR VALLEY HOSPITAL ACQUISITION INC | VICTORVILLE | CA | N/A | N/A | $370 |
| UNIVERSITY OF KENTUCKY | LEXINGTON | KY | $372 | N/A | $152 |
| ADVANCED CARE HOSPITAL OF WHITE COUNTY | SEARCY | AR | N/A | $386 | N/A |
| BAPTIST HEALTH | LITTLE ROCK | AR | N/A | $386 | N/A |
| MIAMI JEWISH HEALTH SYSTEMS INC | MIAMI | FL | $407 | $241 | $323 |
| AURORA BEHAVIORAL HEALTHCARE - TEMPE, LLC | TEMPE | AZ | N/A | $413 | N/A |
| UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC | MAUMELLE | AR | N/A | $413 | N/A |
| BANNER BAYWOOD MEDICAL CENTER | MESA | AZ | N/A | $424 | N/A |
| BANNER IRONWOOD MEDICAL CENTER | QUEEN CREEK | AZ | N/A | $424 | N/A |
| BAPTIST HEALTH | LITTLE ROCK | AR | N/A | $424 | N/A |
| GUIDANCE CENTER, INC. | FLAGSTAFF | AZ | N/A | $424 | N/A |
| HONORHEALTH | PHOENIX | AZ | N/A | $424 | N/A |
| HONORHEALTH | SCOTTSDALE | AZ | N/A | $424 | N/A |
| MCSA LLC | EL DORADO | AR | N/A | $424 | N/A |
| SMSJ TUCSON HOLDINGS LLC | TUCSON | AZ | N/A | $424 | N/A |
| STATE OF ARKANSAS | LITTLE ROCK | AR | N/A | $424 | N/A |
| UHS OF BENTON LLC | BENTON | AR | N/A | $424 | N/A |
| WOODRIDGE OF WEST MEMPHIS, LLC | WEST MEMPHIS | AR | N/A | $424 | N/A |
| YAVAPAI COMMUNITY HOSPITAL ASSOCIATION | PRESCOTT | AZ | N/A | $424 | N/A |
| BBH BMC LLC | BIRMINGHAM | AL | $433 | $82 | $2,276 |
| HC PARTNERSHIP | BIRMINGHAM | AL | $433 | $82 | $2,276 |
| POUDRE VALLEY HEALTH CARE INC | FORT COLLINS | CO | $438 | $201 | $876 |
| HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY | BAINBRIDGE | GA | $466 | $88 | $665 |
| DIGNITY HEALTH | PHOENIX | AZ | N/A | $467 | N/A |
| HHC ST. SIMONS INC | ST SIMONS ISLAND | GA | $482 | $178 | $963 |
| RIVERVIEW BEHAVIORAL HEALTH LLC | TEXARKANA | AR | N/A | $501 | N/A |
State-by-State Pricing for EGD w/ Biopsy
Explore where hospitals in each state report prices for CPT 43239.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Frequently Asked Questions
How much does a EGD w/ Biopsy cost without insurance?
Based on published hospital data, EGD w/ Biopsy prices typically range from $567 to $3,707. Always ask for the self-pay or cash rate before scheduling.
Why do EGD w/ Biopsy prices vary so much by hospital?
Hospitals negotiate different payer contracts, apply different facility fees, and use different chargemaster pricing strategies. That creates large price gaps for the same CPT code.
What does Medicare pay for CPT 43239?
In this dataset, the Medicare facility reference is $250 for CPT 43239.
How can I lower my EGD w/ Biopsy bill?
Compare multiple facilities, ask for the cash price up front, and request a written estimate with all facility and professional fees.
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