Ambulatory surgical center (ASC)
A standalone outpatient surgery facility.
What to check: Anesthesia and pathology are still billed separately.
What each route pays, from the published files
Upper Endoscopy (EGD) Cost in the USA: Hospital Cash Price, Insurance and Medicare
What US hospitals publish as their cash price for an upper endoscopy, the spread of rates they negotiated with insurers, and what Medicare pays a surgical center and a physician, each per billing code and with the file it was read from.
Peter Langdon · TreatCompare editor — healthcare price research
Important information for US visitors
This page is general consumer information about published US hospital charges and Medicare fee schedules. It is not insurance advice, billing advice, legal advice, tax advice, or medical advice. The calculator does arithmetic on numbers you enter; an actual bill depends on your plan, network status, prior authorization, separate professional and facility fees, and the code billed. Check any quoted price and your share with your provider and your insurer before booking care.
Could paying cash for an upper endoscopy cost less than using insurance?
It can. Compare the provider’s written cash quote with your own share under your plan (deductible left, coinsurance, copay, out-of-pocket limit), not with the hospital’s gross charge. For code 43235, the median hospital cash price in the files read is $1,610 across 55 hospitals.
How each route pays for an Upper endoscopy
One billing code, 43235 (EGD diagnostic), so every figure prices the same service. Other codes are in the tables below. Waiting times are not published by any official US source.
| Route | What it covers | Wait | Price | Source |
|---|---|---|---|---|
| Original Medicare (Part B)Code 43235: EGD diagnostic | After the Part B deductible, the patient usually pays 20% of the Medicare-approved amount.Where the provider accepts the Medicare-approved amount as full payment. The deductible is in the Medicare table below. | Not publishedNo official US source publishes waiting times for this procedure. | $497.85What Medicare pays. National rate paid to an ambulatory surgical center for the facility. The physician is paid separately (see the Medicare table). |
|
| MedicaidSet by each state | Not trackedEach state sets what its Medicaid program covers and pays. State Medicaid fee schedules have not been read. | Not publishedNo official US source publishes waiting times for this procedure. | Not tracked | None for this row |
| Employer or Marketplace health planCode 43235: EGD diagnostic. Hospital negotiated rates, no payer named | A Marketplace plan caps in-network out-of-pocket costs at $10,600 for an individual (plan year 2026).Premiums, services the plan does not cover and out-of-network care do not count toward it. | Not publishedNo official US source publishes waiting times for this procedure. | $1,558Median of 83 hospitals' middle negotiated rates, facility charge only, across 1,512 payer contracts; no payer is named. |
|
| Self-pay at a hospitalCode 43235: EGD diagnostic. Discounted cash price | Uninsured and self-pay patients are entitled to a Good Faith Estimate of expected charges when they schedule or ask. | Not publishedNo official US source publishes waiting times for this procedure. | $1,610Median of 55 hospitals' discounted cash prices, facility charge only. |
|
| Self-pay at a surgical center or clinicPrices on the provider’s own site | Not tracked | Not publishedNo official US source publishes waiting times for this procedure. | Not trackedNo surgical center’s or clinic’s own price page has been read. | None for this row |
Hospital figures are facility charges from each hospital’s own file; the physician’s bill is separate. Medicare amounts are national, before geographic adjustment.
First question
Which code?
A diagnostic EGD, an EGD with biopsy and an EGD with dilation are different codes.
Separate bills
Anesthesia
Anesthesia is usually a separate bill from the gastroenterologist and the facility.
Samples taken
Pathology
A biopsy generates a separate pathology bill.
What hospitals publish for an Upper endoscopy, by billing code
Read from each hospital’s standard-charge file, which federal rules (45 CFR 180.50) require it to publish. One figure per hospital and code, the hospital’s facility charge. A median is given only where at least 4 hospitals publish; below that each hospital is named with its own figure. Cash prices and negotiated rates are never combined, and no insurer is named.
109 of 238 hospitals in our source registry for the US publish a figure for these codes in the files read.
Across all procedures: 183 of 238 hospitals, 51 of 51 states.
| Code | Hospital cash price | Hospital negotiated rates | What Medicare pays (national) |
|---|---|---|---|
| 43235EGD diagnostic | Median $1,61055 hospitals; lowest $191, highest $14,673 | Median $1,55883 hospitals; lowest $616, highest $13,697 | $497.85Surgical center facility rate |
| 43239EGD with biopsy | Median $2,05759 hospitals; lowest $320, highest $14,424 | Median $1,47688 hospitals; lowest $616, highest $14,262 | $497.85Surgical center facility rate |
| 43249EGD with dilation | Median $2,60156 hospitals; lowest $325, highest $17,729 | Median $2,37389 hospitals; lowest $959, highest $14,262 | $894.33Surgical center facility rate |
The negotiated figure for each hospital is the middle of the rates it lists across its payers. It is what an insurer pays the hospital, not what a patient on that plan pays. The lowest and highest figures are single hospitals’ and are shown so they can be checked against the file.
Code 43235: every hospital and its file
| Hospital | Cash price | Negotiated (middle; no payer named) | File, read |
|---|---|---|---|
| AdventHealth OrlandoOrlando, FL | $3,055 | $1,0046 payers | urldefense.comread 2026-11-06; file dated 2026-04-01 |
| Advocate Christ Medical CenterOak Lawn, IL | Not counted | $1,8668 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-03 |
| Aurora St. Luke's Medical CenterMilwaukee, WI | Not counted | $3,02715 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-05 |
| Banner - University Medical Center PhoenixPhoenix, AZ | Not counted | $96823 payers | images.pricetransparency.healthcareread 2026-11-06; file dated 2026-09-25 |
| Baptist Memorial Hospital-DeSotoSouthaven, MS | $191 | $1,54584 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Bayhealth Medical Center Kent CampusDover, DE | $2,236 | $1,0324 payers | bayhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Beaumont Hospital Royal OakRoyal Oak, MI | Not counted | $9048 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Central Vermont Medical CenterBerlin, VT | $3,303 | $2,13012 payers | uvmhealth.orgread 2026-11-06; file dated 2026-10-01 |
| Cheyenne Regional Medical CenterCheyenne, WY | $2,205 | $2,62010 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-25 |
| Christiana HospitalNewark, DE | Not counted | $1,0596 payers | documents.christianacare.orgread 2026-11-06; file dated 2026-04-01 |
| Cleveland Clinic FloridaWeston, FL | $3,504 | $1,62322 payers | clevelandclinic.pt.panaceainc.comread 2026-11-06; file dated 2026-06-15 |
| Cleveland Clinic Main CampusCleveland, OH | $2,803 | $2,09646 payers | clevelandclinic.pt.panaceainc.comread 2026-10-26; file dated 2026-06-16 |
| Corewell Health Butterworth HospitalGrand Rapids, MI | Not counted | $1,7654 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Covenant Health Hobbs HospitalHobbs, NM | $957 | $9456 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| DCH Regional Medical CenterTuscaloosa, AL | $679 | $90415 payers | dch.pt.panaceainc.comread 2026-10-26; file dated 2026-03-26 |
| Denver Health Medical CenterDenver, CO | $565 | $1,5588 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-04-30 |
| Duke University HospitalDurham, NC | $813 | $91115 payers | rca.elevatepfs.comread 2026-11-06; file dated 2026-04-01 |
| Elliot HospitalManchester, NH | $1,228 | $1,0705 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Endeavor Health Evanston HospitalEvanston, IL | Not counted | $9723 payers | endeavorhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Essentia Health-FargoFargo, ND | $1,762 | $1,00743 payers | essentiahealth.orgread 2026-11-06; file dated 2026-01-01 |
| Froedtert HospitalMilwaukee, WI | $1,554 | $1,75233 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2025-12-31 |
| Grady Memorial HospitalAtlanta, GA | $3,678 | $1,63718 payers | gradyhealth.orgread 2026-11-06; file dated 2026-01-01 |
| Hackensack University Medical CenterHackensack, NJ | $1,104 | $3,80522 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| Hennepin HealthcareMinneapolis, MN | Not counted | $1,0058 payers | hennepinhealthcare.pt.panaceainc.comread 2026-10-26; file dated 2025-12-17 |
| Henry Ford HospitalDetroit, MI | $1,247 | $90424 payers | henryford.comread 2026-10-26; file dated 2026-06-28 |
| HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ | Not counted | $1,4198 payers | honorhealth.comread 2026-11-06; file dated 2026-04-01 |
| Hospital of the University of PennsylvaniaPhiladelphia, PA | $938 | $75081 payers | tupa-q-001.sitecorecontenthub.cloudread 2026-11-06; file dated 2026-10-20 |
| Houston Methodist HospitalHouston, TX | $426 | $1,79712 payers | houstonmethodist.orgread 2026-11-06; file dated 2026-04-01 |
| INTEGRIS Baptist Medical CenterOklahoma City, OK | Not counted | $4,0647 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Jersey Shore University Medical CenterNeptune, NJ | $1,038 | $3,47820 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| Legacy Emanuel Medical CenterPortland, OR | Not counted | $2,21511 payers | legacyhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Lovelace Medical CenterAlbuquerque, NM | $1,220 | $2,0335 payers | cdn.ardenthealthservices.comread 2026-11-06; file dated 2026-03-31 |
| Maine Medical CenterPortland, ME | Not counted | $9075 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2025-09-09 |
| MD Anderson Cancer CenterHouston, TX | Not counted | $2,17425 payers | mdanderson.orgread 2026-11-06; file dated 2026-10-01 |
| MedStar Georgetown University HospitalWashington, DC | $1,463 | $1,59920 payers | medstarhealth.orgread 2026-11-06; file dated 2026-04-01 |
| MedStar Washington Hospital CenterWashington, DC | $1,098 | $1,12521 payers | medstarhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Hermann-Texas Medical CenterHouston, TX | $1,456 | $1,3674 payers | memorialhermann.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Medical Center Las CrucesLas Cruces, NM | $7,325 | $4,0681 payers | mmclc.orgread 2026-11-06; file dated 2026-07-10 |
| MercyOne Des Moines Medical CenterDes Moines, IA | $14,673 | $92781 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Mississippi Baptist Medical CenterJackson, MS | Not counted | $1,53262 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-25 |
| MUSC Health University Medical CenterCharleston, SC | Not counted | $8445 payers | d3crna64wemw02.cloudfront.netread 2026-11-06; file dated 2026-04-01 |
| Nashville General HospitalNashville, TN | $1,774 | $1,21810 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-09-01 |
| NEA Baptist Memorial HospitalJonesboro, AR | Not counted | $1,29668 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Newport HospitalNewport, RI | $3,153also The Miriam Hospital (same file host, counted once) | $1,8466 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| North Memorial Health HospitalRobbinsdale, MN | $1,384 | $98410 payers | northmemorial.comread 2026-11-06; file dated 2026-09-25 |
| North Mississippi Medical CenterTupelo, MS | $973 | $1,4208 payers | apps.nmhs.netread 2026-11-06; file dated 2026-04-01 |
| Northern Light Eastern Maine Medical CenterBangor, ME | $971 | $3,0048 payers | northernlighthealth.orgread 2026-11-06; file dated 2026-02-03 |
| Norton Children's HospitalLouisville, KY | Not counted | $8794 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-02-11 |
| Novant Health Forsyth Medical CenterWinston-Salem, NC | Not counted | $8808 payers | www2.novanthealth.orgread 2026-10-26; file dated 2026-03-30 |
| Phoenix Children's HospitalPhoenix, AZ | Not counted | $61619 payers | phoenixchildrens.pt.panaceainc.comread 2026-10-26; file dated 2026-01-01 |
| Porter Medical CenterMiddlebury, VT | $2,880 | $1,58417 payers | uvmhealth.orgread 2026-11-06; file dated 2026-04-28 |
| Providence Alaska Medical CenterAnchorage, AK | Not counted | $4,4732 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Regional Medical Center EverettEverett, WA | Not counted | $1,90511 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Sacred Heart Medical CenterSpokane, WA | $1,583 | $1,82111 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $5,741 | $4,09410 payers | mrfs.hyvehealthcare.comread 2026-11-06; file dated 2026-03-04 |
| Saint Alphonsus Regional Medical CenterBoise, ID | $2,785 | $97920 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital and Medical CenterHartford, CT | $6,671 | $3,77989 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital TulsaTulsa, OK | Not counted | $1,6884 payers | saintfrancis.comread 2026-11-06; file dated 2026-04-01 |
| Sanford Aberdeen Medical CenterAberdeen, SD | Not counted | $9668 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-04 |
| Sanford USD Medical CenterSioux Falls, SD | $2,539 | $98414 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-03-04 |
| Sentara Norfolk General HospitalNorfolk, VA | Not counted | $2,8115 payers | sentara.comread 2026-11-06; file dated 2026-04-01 |
| South County HospitalWakefield, RI | $3,101 | $9245 payers | stdidsouthcountyhealprod.blob.core.windows.netread 2026-11-06; file dated 2026-07-24 |
| St. Patrick HospitalMissoula, MT | $990 | $9545 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Stanford HospitalStanford, CA | $3,788 | $13,6975 payers | stanfordhealthcare.orgread 2026-11-06; file dated 2026-04-01 |
| Tampa General HospitalTampa, FL | $502 | $1,20420 payers | tgh.orgread 2026-11-06; file dated 2026-04-01 |
| The Miriam HospitalProvidence, RI | Not counted | $1,8647 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| The Mount Sinai HospitalNew York, NY | $2,187 | $3,3677 payers | mountsinai.orgread 2026-11-06; file dated 2026-04-01 |
| Trinity HospitalsMinot, ND | $1,465 | $9271 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| UCHealth University of Colorado HospitalAurora, CO | $1,425 | $1,63226 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2025-11-01 |
| UCSF Medical CenterSan Francisco, CA | $869 | $2,6545 payers | app.box.comread 2026-11-06; file dated 2026-04-01 |
| UnityPoint Health - MeriterMadison, WI | $3,541 | $1,38114 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-01-28 |
| UnityPoint Health Iowa Lutheran HospitalDes Moines, IA | $1,659 | $97315 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-04 |
| UnityPoint Health Iowa Methodist Medical CenterDes Moines, IA | $1,610 | $95610 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-01-28 |
| University Medical Center of Southern NevadaLas Vegas, NV | $1,088 | $1,72988 payers | mrfs.hyvehealthcare.comread 2026-10-26; file dated 2026-07-01 |
| University of Iowa Hospitals & ClinicsIowa City, IA | $2,383 | $2,21323 payers | healthcare.uiowa.eduread 2026-10-26; file dated 2026-02-27 |
| University of Michigan Health SystemAnn Arbor, MI | $1,618 | $2,83224 payers | uofmhealth.orgread 2026-11-06; file dated 2026-03-31 |
| University of Vermont Medical CenterBurlington, VT | $3,174 | $1,58717 payers | uvmhealth.orgread 2026-11-06; file dated 2026-10-12 |
| UofL Health Jewish HospitalLouisville, KY | Not counted | $92314 payers | uoflhealth.orgread 2026-11-06; file dated 2026-01-01 |
| UPMC PresbyterianPittsburgh, PA | $3,236 | $96523 payers | dam.upmc.comread 2026-10-26; file dated 2026-03-06 |
| UT Southwestern University HospitalsDallas, TX | $1,526 | $1,63122 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-10 |
| Vanderbilt University Medical CenterNashville, TN | Not counted | $1,96413 payers | finance.vumc.orgread 2026-11-06; file dated 2026-10-01 |
| Virginia Mason Medical CenterSeattle, WA | $1,736 | $2,33612 payers | vmfh.orgread 2026-11-06; file dated 2026-01-01 |
| Wellstar Kennestone Regional Medical CenterMarietta, GA | Not counted | $1,7048 payers | wellstar.orgread 2026-11-06; file dated 2026-04-01 |
Not counted, because the file lists several different charge lines for this code: Baptist Health Princeton Hospital (AL, 2 lines); Beebe Medical Center (DE, 2 lines); Emory University Hospital (GA, 3 lines); Eskenazi Health (IN, 2 lines); M Health Fairview University of Minnesota Medical Center (MN, 4 lines); Mercy Hospital Fort Smith (AR, 2 lines); Mercy Hospital Oklahoma City (OK, 2 lines); Mercy Hospital Springfield (MO, 2 lines); Mercy Hospital St. Louis (MO, 4 lines); MetroHealth Medical Center (OH, 2 lines); Nebraska Methodist Hospital (NE, 2 lines); Northern Light Mercy Hospital (ME, 2 lines); OU Health University of Oklahoma Medical Center (OK, 5 lines); Providence Portland Medical Center (OR, 2 lines); Providence St. Vincent Medical Center (OR, 2 lines); Rhode Island Hospital (RI, 2 lines); Southwestern Vermont Medical Center (VT, 2 lines); Swedish Medical Center First Hill (WA, 2 lines); The Queen's Medical Center (HI, 3 lines); Thomas Jefferson University Hospital (PA, 2 lines); UAMS Medical Center (AR, 2 lines); UConn Health, Waterbury Hospital (CT, 2 lines); University of Chicago Medical Center (IL, 4 lines); West Virginia University Hospitals (WV, 2 lines).
Code 43239: every hospital and its file
| Hospital | Cash price | Negotiated (middle; no payer named) | File, read |
|---|---|---|---|
| AdventHealth OrlandoOrlando, FL | $3,055 | $1,0046 payers | urldefense.comread 2026-11-06; file dated 2026-04-01 |
| Advocate Christ Medical CenterOak Lawn, IL | Not counted | $1,8668 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-03 |
| Aurora St. Luke's Medical CenterMilwaukee, WI | Not counted | $3,03515 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-05 |
| Banner - University Medical Center PhoenixPhoenix, AZ | Not counted | $96823 payers | images.pricetransparency.healthcareread 2026-11-06; file dated 2026-09-25 |
| Baptist Memorial Hospital-DeSotoSouthaven, MS | Not counted | $1,54576 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Bayhealth Medical Center Kent CampusDover, DE | $2,236 | $1,0324 payers | bayhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Beaumont Hospital Royal OakRoyal Oak, MI | Not counted | $9048 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Central Vermont Medical CenterBerlin, VT | $3,303 | $2,13012 payers | uvmhealth.orgread 2026-11-06; file dated 2026-10-01 |
| Cheyenne Regional Medical CenterCheyenne, WY | $2,702 | $3,21110 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-25 |
| Christiana HospitalNewark, DE | Not counted | $1,0596 payers | documents.christianacare.orgread 2026-11-06; file dated 2026-04-01 |
| Cleveland Clinic FloridaWeston, FL | $3,504 | $1,53622 payers | clevelandclinic.pt.panaceainc.comread 2026-11-06; file dated 2026-06-15 |
| Cleveland Clinic Main CampusCleveland, OH | $2,803 | $2,09646 payers | clevelandclinic.pt.panaceainc.comread 2026-10-26; file dated 2026-06-16 |
| Corewell Health Butterworth HospitalGrand Rapids, MI | Not counted | $1,7654 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Covenant Health Hobbs HospitalHobbs, NM | $957 | $9456 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| DCH Regional Medical CenterTuscaloosa, AL | $665 | $90415 payers | dch.pt.panaceainc.comread 2026-10-26; file dated 2026-03-26 |
| Denver Health Medical CenterDenver, CO | $565 | $1,5588 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-04-30 |
| Duke University HospitalDurham, NC | $813 | $90215 payers | rca.elevatepfs.comread 2026-11-06; file dated 2026-04-01 |
| Elliot HospitalManchester, NH | $1,517 | $1,0705 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Endeavor Health Evanston HospitalEvanston, IL | Not counted | $9723 payers | endeavorhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Erlanger Baroness HospitalChattanooga, TN | Not counted | $86020 payers | erlanger.pt.panaceainc.comread 2026-10-26; file dated 2026-01-25 |
| Essentia Health-FargoFargo, ND | $2,322 | $1,32843 payers | essentiahealth.orgread 2026-11-06; file dated 2026-01-01 |
| Froedtert HospitalMilwaukee, WI | Not counted | $95317 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2025-12-31 |
| Grady Memorial HospitalAtlanta, GA | Not counted | $1,22016 payers | gradyhealth.orgread 2026-11-06; file dated 2026-01-01 |
| Hackensack University Medical CenterHackensack, NJ | $1,104 | $3,49022 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| Hennepin HealthcareMinneapolis, MN | $770 | $9808 payers | hennepinhealthcare.pt.panaceainc.comread 2026-10-26; file dated 2025-12-17 |
| Henry Ford HospitalDetroit, MI | $1,247 | $90424 payers | henryford.comread 2026-10-26; file dated 2026-06-28 |
| HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ | $2,407 | $1,4198 payers | honorhealth.comread 2026-11-06; file dated 2026-04-01 |
| Houston Methodist HospitalHouston, TX | $405 | $1,96812 payers | houstonmethodist.orgread 2026-11-06; file dated 2026-04-01 |
| INTEGRIS Baptist Medical CenterOklahoma City, OK | Not counted | $4,3937 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Jersey Shore University Medical CenterNeptune, NJ | $1,038 | $3,21520 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| Legacy Emanuel Medical CenterPortland, OR | Not counted | $2,21511 payers | legacyhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Lovelace Medical CenterAlbuquerque, NM | $1,341 | $2,2355 payers | cdn.ardenthealthservices.comread 2026-11-06; file dated 2026-03-31 |
| Maine Medical CenterPortland, ME | Not counted | $9075 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2025-09-09 |
| MD Anderson Cancer CenterHouston, TX | Not counted | $2,54025 payers | mdanderson.orgread 2026-11-06; file dated 2026-10-01 |
| MedStar Georgetown University HospitalWashington, DC | $1,636 | $1,62619 payers | medstarhealth.orgread 2026-11-06; file dated 2026-04-01 |
| MedStar Washington Hospital CenterWashington, DC | $1,908 | $1,75321 payers | medstarhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Hermann-Texas Medical CenterHouston, TX | $1,541 | $1,3674 payers | memorialhermann.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Medical Center Las CrucesLas Cruces, NM | $10,679 | $4,0681 payers | mmclc.orgread 2026-11-06; file dated 2026-07-10 |
| Mercy Hospital Fort SmithFort Smith, AR | $4,094 | $86277 payers | mercy.netread 2026-11-06; file dated 2026-06-08 |
| Mercy Hospital Oklahoma CityOklahoma City, OK | $3,663 | $83953 payers | mercy.netread 2026-11-06; file dated 2026-06-12 |
| Mercy Hospital SpringfieldSpringfield, MO | $4,107 | $89176 payers | mercy.netread 2026-11-06; file dated 2026-06-04 |
| MercyOne Des Moines Medical CenterDes Moines, IA | $14,424 | $92782 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Mississippi Baptist Medical CenterJackson, MS | Not counted | $1,53262 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-25 |
| MUSC Health University Medical CenterCharleston, SC | Not counted | $8565 payers | d3crna64wemw02.cloudfront.netread 2026-11-06; file dated 2026-04-01 |
| Nashville General HospitalNashville, TN | $1,824 | $1,21810 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-09-01 |
| NEA Baptist Memorial HospitalJonesboro, AR | Not counted | $1,29668 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Newport HospitalNewport, RI | $3,153also The Miriam Hospital (same file host, counted once) | $1,8466 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| North Memorial Health HospitalRobbinsdale, MN | $2,511 | $98410 payers | northmemorial.comread 2026-11-06; file dated 2026-09-25 |
| North Mississippi Medical CenterTupelo, MS | $1,162 | $1,4208 payers | apps.nmhs.netread 2026-11-06; file dated 2026-04-01 |
| Northern Light Mercy HospitalPortland, ME | $1,203 | $3,0078 payers | northernlighthealth.orgread 2026-11-06; file dated 2026-04-15 |
| Norton Children's HospitalLouisville, KY | Not counted | $8794 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-02-11 |
| Novant Health Forsyth Medical CenterWinston-Salem, NC | Not counted | $8808 payers | www2.novanthealth.orgread 2026-10-26; file dated 2026-03-30 |
| Phoenix Children's HospitalPhoenix, AZ | Not counted | $61619 payers | phoenixchildrens.pt.panaceainc.comread 2026-10-26; file dated 2026-01-01 |
| Porter Medical CenterMiddlebury, VT | $3,910 | $2,15117 payers | uvmhealth.orgread 2026-11-06; file dated 2026-04-28 |
| Providence Alaska Medical CenterAnchorage, AK | Not counted | $6,8262 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Portland Medical CenterPortland, OR | $1,548also Providence St. Vincent Medical Center (same file host, counted once) | $3,3309 payersalso Providence St. Vincent Medical Center (same file host, counted once) | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Regional Medical Center EverettEverett, WA | Not counted | $1,90511 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Sacred Heart Medical CenterSpokane, WA | $2,057 | $1,82111 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $5,741 | $4,09411 payers | mrfs.hyvehealthcare.comread 2026-11-06; file dated 2026-03-04 |
| Saint Alphonsus Regional Medical CenterBoise, ID | $4,779 | $97920 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital and Medical CenterHartford, CT | $8,891 | $3,77989 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital TulsaTulsa, OK | $320 | $1,6884 payers | saintfrancis.comread 2026-11-06; file dated 2026-04-01 |
| Sanford Aberdeen Medical CenterAberdeen, SD | Not counted | $9668 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-04 |
| Sanford USD Medical CenterSioux Falls, SD | $2,540 | $98414 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-03-04 |
| Sentara Norfolk General HospitalNorfolk, VA | Not counted | $2,8115 payers | sentara.comread 2026-11-06; file dated 2026-04-01 |
| South County HospitalWakefield, RI | $3,101 | $9595 payers | stdidsouthcountyhealprod.blob.core.windows.netread 2026-11-06; file dated 2026-07-24 |
| St. Patrick HospitalMissoula, MT | $990 | $9545 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Stanford HospitalStanford, CA | $4,007 | $14,2625 payers | stanfordhealthcare.orgread 2026-11-06; file dated 2026-04-01 |
| Swedish Medical Center First HillSeattle, WA | $1,829 | $2,41416 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Tampa General HospitalTampa, FL | $706 | $1,42120 payers | tgh.orgread 2026-11-06; file dated 2026-04-01 |
| The Miriam HospitalProvidence, RI | Not counted | $1,8647 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Trinity HospitalsMinot, ND | $1,604 | $9271 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| UCHealth University of Colorado HospitalAurora, CO | $1,601 | $1,69226 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2025-11-01 |
| UCSF Medical CenterSan Francisco, CA | Not counted | $2,6545 payers | app.box.comread 2026-11-06; file dated 2026-04-01 |
| United Hospital CenterBridgeport, WV | $1,347 | $98222 payers | wvumedicine.orgread 2026-11-06; file dated 2026-07-10 |
| UnityPoint Health - MeriterMadison, WI | $3,541 | $1,38114 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-01-28 |
| UnityPoint Health Iowa Lutheran HospitalDes Moines, IA | $4,116 | $99115 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-04 |
| UnityPoint Health Iowa Methodist Medical CenterDes Moines, IA | $3,997 | $1,21210 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-01-28 |
| University Medical Center of Southern NevadaLas Vegas, NV | $1,814 | $2,01588 payers | mrfs.hyvehealthcare.comread 2026-10-26; file dated 2026-07-01 |
| University of Iowa Hospitals & ClinicsIowa City, IA | $2,833 | $2,63123 payers | healthcare.uiowa.eduread 2026-10-26; file dated 2026-02-27 |
| University of Michigan Health SystemAnn Arbor, MI | $1,541 | $2,69724 payers | uofmhealth.orgread 2026-11-06; file dated 2026-03-31 |
| University of Vermont Medical CenterBurlington, VT | $3,165 | $1,58317 payers | uvmhealth.orgread 2026-11-06; file dated 2026-10-12 |
| UofL Health Jewish HospitalLouisville, KY | Not counted | $92314 payers | uoflhealth.orgread 2026-11-06; file dated 2026-01-01 |
| UPMC PresbyterianPittsburgh, PA | $4,331 | $96523 payers | dam.upmc.comread 2026-10-26; file dated 2026-03-06 |
| UT Southwestern University HospitalsDallas, TX | $2,594 | $2,51122 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-10 |
| Vanderbilt University Medical CenterNashville, TN | Not counted | $2,00313 payers | finance.vumc.orgread 2026-11-06; file dated 2026-10-01 |
| Virginia Mason Medical CenterSeattle, WA | $1,928 | $2,44512 payers | vmfh.orgread 2026-11-06; file dated 2026-01-01 |
| Wellstar Kennestone Regional Medical CenterMarietta, GA | $1,406 | $1,7048 payers | wellstar.orgread 2026-11-06; file dated 2026-04-01 |
Not counted, because the file lists several different charge lines for this code: Baptist Health Princeton Hospital (AL, 2 lines); Beebe Medical Center (DE, 3 lines); Emory University Hospital (GA, 2 lines); Eskenazi Health (IN, 2 lines); M Health Fairview University of Minnesota Medical Center (MN, 9 lines); Mercy Hospital St. Louis (MO, 3 lines); MetroHealth Medical Center (OH, 2 lines); Nebraska Methodist Hospital (NE, 2 lines); Northern Light Eastern Maine Medical Center (ME, 2 lines); OU Health University of Oklahoma Medical Center (OK, 5 lines); Rhode Island Hospital (RI, 2 lines); Southwestern Vermont Medical Center (VT, 2 lines); The Mount Sinai Hospital (NY, 2 lines); The Queen's Medical Center (HI, 2 lines); Thomas Jefferson University Hospital (PA, 2 lines); UAMS Medical Center (AR, 2 lines); UConn Health, Waterbury Hospital (CT, 2 lines); University of Chicago Medical Center (IL, 3 lines); West Virginia University Hospitals (WV, 2 lines).
Code 43249: every hospital and its file
| Hospital | Cash price | Negotiated (middle; no payer named) | File, read |
|---|---|---|---|
| AdventHealth OrlandoOrlando, FL | $6,131 | $2,1246 payers | urldefense.comread 2026-11-06; file dated 2026-04-01 |
| Advocate Christ Medical CenterOak Lawn, IL | Not counted | $3,3908 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-03 |
| Aurora St. Luke's Medical CenterMilwaukee, WI | Not counted | $3,03515 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-05 |
| Banner - University Medical Center PhoenixPhoenix, AZ | Not counted | $2,04823 payers | images.pricetransparency.healthcareread 2026-11-06; file dated 2026-09-25 |
| Baptist Health Princeton HospitalBirmingham, AL | $6,975 | $1,7785 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Baptist Memorial Hospital-DeSotoSouthaven, MS | Not counted | $3,12776 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Bayhealth Medical Center Kent CampusDover, DE | $2,236 | $2,1834 payers | bayhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Beaumont Hospital Royal OakRoyal Oak, MI | Not counted | $1,1318 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Central Vermont Medical CenterBerlin, VT | $4,325 | $3,11412 payers | uvmhealth.orgread 2026-11-06; file dated 2026-10-01 |
| Cheyenne Regional Medical CenterCheyenne, WY | $2,447 | $2,90810 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-25 |
| Christiana HospitalNewark, DE | Not counted | $2,2406 payers | documents.christianacare.orgread 2026-11-06; file dated 2026-04-01 |
| Cleveland Clinic FloridaWeston, FL | $7,090 | $2,93222 payers | clevelandclinic.pt.panaceainc.comread 2026-11-06; file dated 2026-06-15 |
| Cleveland Clinic Main CampusCleveland, OH | $5,672 | $4,24146 payers | clevelandclinic.pt.panaceainc.comread 2026-10-26; file dated 2026-06-16 |
| Corewell Health Butterworth HospitalGrand Rapids, MI | Not counted | $1,6334 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Covenant Health Hobbs HospitalHobbs, NM | $1,762 | $1,9996 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| DCH Regional Medical CenterTuscaloosa, AL | $2,167 | $1,95215 payers | dch.pt.panaceainc.comread 2026-10-26; file dated 2026-03-26 |
| Denver Health Medical CenterDenver, CO | $1,417 | $3,2008 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-04-30 |
| Duke University HospitalDurham, NC | $1,706 | $1,84415 payers | rca.elevatepfs.comread 2026-11-06; file dated 2026-04-01 |
| Elliot HospitalManchester, NH | $1,377 | $2,2645 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Endeavor Health Evanston HospitalEvanston, IL | Not counted | $2,0563 payers | endeavorhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Erlanger Baroness HospitalChattanooga, TN | Not counted | $1,79219 payers | erlanger.pt.panaceainc.comread 2026-10-26; file dated 2026-01-25 |
| Essentia Health-FargoFargo, ND | $2,780 | $1,89743 payers | essentiahealth.orgread 2026-11-06; file dated 2026-01-01 |
| Froedtert HospitalMilwaukee, WI | Not counted | $1,92817 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2025-12-31 |
| Grady Memorial HospitalAtlanta, GA | Not counted | $2,30415 payers | gradyhealth.orgread 2026-11-06; file dated 2026-01-01 |
| Hackensack University Medical CenterHackensack, NJ | $2,234 | $2,94522 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| Hennepin HealthcareMinneapolis, MN | Not counted | $1,9848 payers | hennepinhealthcare.pt.panaceainc.comread 2026-10-26; file dated 2025-12-17 |
| Henry Ford HospitalDetroit, MI | $2,639 | $1,87424 payers | henryford.comread 2026-10-26; file dated 2026-06-28 |
| HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ | Not counted | $2,4218 payers | honorhealth.comread 2026-11-06; file dated 2026-04-01 |
| Houston Methodist HospitalHouston, TX | $506 | $3,57812 payers | houstonmethodist.orgread 2026-11-06; file dated 2026-04-01 |
| INTEGRIS Baptist Medical CenterOklahoma City, OK | Not counted | $4,3937 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Jersey Shore University Medical CenterNeptune, NJ | $2,100 | $2,74920 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| Legacy Emanuel Medical CenterPortland, OR | Not counted | $4,27511 payers | legacyhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Lovelace Medical CenterAlbuquerque, NM | $1,645 | $2,7425 payers | cdn.ardenthealthservices.comread 2026-11-06; file dated 2026-03-31 |
| Maine Medical CenterPortland, ME | Not counted | $1,8365 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2025-09-09 |
| MD Anderson Cancer CenterHouston, TX | Not counted | $3,41725 payers | mdanderson.orgread 2026-11-06; file dated 2026-10-01 |
| Memorial Hermann-Texas Medical CenterHouston, TX | $1,541 | $2,8914 payers | memorialhermann.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Medical Center Las CrucesLas Cruces, NM | $11,807 | $4,0681 payers | mmclc.orgread 2026-11-06; file dated 2026-07-10 |
| Mercy Hospital Fort SmithFort Smith, AR | $3,450 | $1,82380 payers | mercy.netread 2026-11-06; file dated 2026-06-08 |
| Mercy Hospital Oklahoma CityOklahoma City, OK | $3,905 | $1,77456 payers | mercy.netread 2026-11-06; file dated 2026-06-12 |
| Mercy Hospital SpringfieldSpringfield, MO | $3,394 | $1,88579 payers | mercy.netread 2026-11-06; file dated 2026-06-04 |
| MercyOne Des Moines Medical CenterDes Moines, IA | $17,729 | $1,96082 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Mississippi Baptist Medical CenterJackson, MS | Not counted | $3,10062 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-25 |
| MUSC Health University Medical CenterCharleston, SC | Not counted | $1,1745 payers | d3crna64wemw02.cloudfront.netread 2026-11-06; file dated 2026-04-01 |
| Nashville General HospitalNashville, TN | $1,895 | $2,02510 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-09-01 |
| NEA Baptist Memorial HospitalJonesboro, AR | Not counted | $2,62268 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Newport HospitalNewport, RI | $4,327also The Miriam Hospital (same file host, counted once) | $2,2066 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| North Memorial Health HospitalRobbinsdale, MN | $2,605 | $1,97710 payers | northmemorial.comread 2026-11-06; file dated 2026-09-25 |
| North Mississippi Medical CenterTupelo, MS | $1,935 | $3,0048 payers | apps.nmhs.netread 2026-11-06; file dated 2026-04-01 |
| Northern Light Eastern Maine Medical CenterBangor, ME | $1,090 | $3,3748 payers | northernlighthealth.orgread 2026-11-06; file dated 2026-02-03 |
| Northern Light Mercy HospitalPortland, ME | $1,332 | $3,3308 payers | northernlighthealth.orgread 2026-11-06; file dated 2026-04-15 |
| Norton Children's HospitalLouisville, KY | Not counted | $1,7784 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-02-11 |
| Novant Health Forsyth Medical CenterWinston-Salem, NC | Not counted | $1,8618 payers | www2.novanthealth.orgread 2026-10-26; file dated 2026-03-30 |
| Phoenix Children's HospitalPhoenix, AZ | Not counted | $1,74119 payers | phoenixchildrens.pt.panaceainc.comread 2026-10-26; file dated 2026-01-01 |
| Porter Medical CenterMiddlebury, VT | $4,688 | $2,57817 payers | uvmhealth.orgread 2026-11-06; file dated 2026-04-28 |
| Providence Alaska Medical CenterAnchorage, AK | Not counted | $6,8262 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Portland Medical CenterPortland, OR | $3,668also Providence St. Vincent Medical Center (same file host, counted once) | $5,7269 payersalso Providence St. Vincent Medical Center (same file host, counted once) | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Regional Medical Center EverettEverett, WA | Not counted | $3,99911 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Sacred Heart Medical CenterSpokane, WA | $4,341 | $3,84911 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $5,741 | $4,32210 payers | mrfs.hyvehealthcare.comread 2026-11-06; file dated 2026-03-04 |
| Saint Alphonsus Regional Medical CenterBoise, ID | $4,200 | $2,07120 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital and Medical CenterHartford, CT | $13,093 | $7,99589 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital TulsaTulsa, OK | $325 | $3,3174 payers | saintfrancis.comread 2026-11-06; file dated 2026-04-01 |
| Sanford Aberdeen Medical CenterAberdeen, SD | Not counted | $1,9548 payersalso Sanford USD Medical Center (same file host, counted once) | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-04 |
| Sentara Norfolk General HospitalNorfolk, VA | Not counted | $4,5645 payers | sentara.comread 2026-11-06; file dated 2026-04-01 |
| South County HospitalWakefield, RI | $3,048 | $9595 payers | stdidsouthcountyhealprod.blob.core.windows.netread 2026-11-06; file dated 2026-07-24 |
| Southwestern Vermont Medical CenterBennington, VT | $392 | $1,46612 payers | svmc.orgread 2026-11-06; file dated 2026-10-15 |
| St. Patrick HospitalMissoula, MT | $2,090 | $2,0195 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Stanford HospitalStanford, CA | $5,226 | $14,2625 payers | stanfordhealthcare.orgread 2026-11-06; file dated 2026-04-01 |
| Swedish Medical Center First HillSeattle, WA | Not counted | $5,06816 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Tampa General HospitalTampa, FL | $706 | $2,12120 payers | tgh.orgread 2026-11-06; file dated 2026-04-01 |
| The Miriam HospitalProvidence, RI | Not counted | $3,6947 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| The Mount Sinai HospitalNew York, NY | Not counted | $4,9987 payers | mountsinai.orgread 2026-11-06; file dated 2026-04-01 |
| Trinity HospitalsMinot, ND | $3,199 | $1,9601 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| UCHealth University of Colorado HospitalAurora, CO | $1,776 | $1,96426 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2025-11-01 |
| UConn Health, Waterbury HospitalWaterbury, CT | $3,028 | $3,3626 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-05-13 |
| UCSF Medical CenterSan Francisco, CA | $1,297 | $5,6145 payers | app.box.comread 2026-11-06; file dated 2026-04-01 |
| UnityPoint Health - MeriterMadison, WI | $5,446 | $2,12414 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-01-28 |
| UnityPoint Health Iowa Lutheran HospitalDes Moines, IA | $2,243 | $2,05815 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-04 |
| UnityPoint Health Iowa Methodist Medical CenterDes Moines, IA | $2,178 | $1,93510 payers | sthpiprd.blob.core.windows.netread 2026-10-26; file dated 2026-01-28 |
| University Medical Center of Southern NevadaLas Vegas, NV | $2,201 | $2,44488 payers | mrfs.hyvehealthcare.comread 2026-10-26; file dated 2026-07-01 |
| University of Iowa Hospitals & ClinicsIowa City, IA | $2,868 | $2,66323 payers | healthcare.uiowa.eduread 2026-10-26; file dated 2026-02-27 |
| University of Michigan Health SystemAnn Arbor, MI | $1,688 | $2,95424 payers | uofmhealth.orgread 2026-11-06; file dated 2026-03-31 |
| University of Vermont Medical CenterBurlington, VT | $4,130 | $2,56817 payers | uvmhealth.orgread 2026-11-06; file dated 2026-10-12 |
| UofL Health Jewish HospitalLouisville, KY | Not counted | $1,86714 payers | uoflhealth.orgread 2026-11-06; file dated 2026-01-01 |
| UPMC PresbyterianPittsburgh, PA | $4,681 | $1,98922 payers | dam.upmc.comread 2026-10-26; file dated 2026-03-06 |
| UT Southwestern University HospitalsDallas, TX | $2,024 | $2,16422 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-10 |
| Vanderbilt University Medical CenterNashville, TN | Not counted | $2,37313 payers | finance.vumc.orgread 2026-11-06; file dated 2026-10-01 |
| Virginia Mason Medical CenterSeattle, WA | $2,596 | $3,56412 payers | vmfh.orgread 2026-11-06; file dated 2026-01-01 |
| Wellstar Kennestone Regional Medical CenterMarietta, GA | Not counted | $3,4378 payers | wellstar.orgread 2026-11-06; file dated 2026-04-01 |
Not counted, because the file lists several different charge lines for this code: Beebe Medical Center (DE, 2 lines); Emory University Hospital (GA, 2 lines); Eskenazi Health (IN, 2 lines); M Health Fairview University of Minnesota Medical Center (MN, 4 lines); Mercy Hospital St. Louis (MO, 3 lines); MetroHealth Medical Center (OH, 2 lines); Nebraska Methodist Hospital (NE, 2 lines); OU Health University of Oklahoma Medical Center (OK, 4 lines); Rhode Island Hospital (RI, 2 lines); The Queen's Medical Center (HI, 3 lines); Thomas Jefferson University Hospital (PA, 2 lines); UAMS Medical Center (AR, 2 lines); University of Chicago Medical Center (IL, 3 lines); West Virginia University Hospitals (WV, 3 lines).
What Medicare pays for an Upper endoscopy
This is what Medicare pays under its national fee schedule, before geographic adjustment. It is not a price charged to patients or to anyone without Medicare.
| Code | Surgical center facility rate | Physician, in a facility | Physician, in an office |
|---|---|---|---|
| 43235EGD diagnostic | $497.85 | $110.56 | $322.65 |
| 43239EGD with biopsy | $497.85 | $123.58 | $418.85 |
| 43249EGD with dilation | $894.33 | $136.28 | $1,180.39 |
Physician amounts: CMS Physician Fee Schedule, relative value file RVU26D, released August 26, 2026, read October 26, 2026. Computed by CMS’s formula with the file’s own conversion factor, before geographic adjustment.
Surgical center rates: CMS ambulatory surgical center rates, Addendum AA (October 2026), effective October 1, 2026, read October 26, 2026.
Not shown: what Medicare pays a hospital outpatient department. CMS publishes those rates (October 2026 Addendum B) only behind the AMA CPT licence agreement, which this site has not accepted; last checked November 6, 2026.
NOTE 3: The Medicare program payment is 80 percent of the total payment amount and beneficiary coinsurance is 20 percent of the total payment amount except for most preventive services. Sections 4104 and 10406 of the Affordable Care Act (ACA) waive coinsurance and the Part B deductible for most preventive services. These preventive services are identified with a double asterisk (**). (CMS, Addendum AA, quoted as published.)
The patient’s share under Original Medicare
Original Medicare Part B has an annual deductible, paid once a year before Medicare starts to pay. It is $283 (Calendar year 2026). CMS: 2026 Medicare Parts A & B Premiums and Deductibles, read October 26, 2026.
After the Part B deductible, the patient usually pays 20% of the Medicare-approved amount for each covered service, where the provider accepts that amount as full payment. Medicare.gov: Medicare costs, read October 26, 2026.
Arithmetic, not a bill: 20% of the national surgical center rate for code 43235 ($497.85) is $99.57, before geographic adjustment and the deductible, and excluding the physician’s separate bill.
Medicare Advantage plans set their own cost-sharing; this site does not name or price any plan. Plan choice is explained on Medicare.gov.
Paying yourself: the Good Faith Estimate
Providers and facilities must give uninsured and self-pay patients a Good Faith Estimate of expected charges when a service is scheduled or on request.
“This section sets forth requirements for health care providers and health care facilities related to the issuance of good faith estimates of expected charges for uninsured (or self-pay) individuals (or their authorized representatives), upon request or upon scheduling an item or service.”
Ask for the estimate in writing when you book, and ask whether it covers the separate physician, radiology, anesthesia and pathology bills.
eCFR: 45 CFR 149.610, In force (45 CFR 149.610, text as of 2026-10-01), read October 26, 2026.
Calculator
Cash quote or insurance share for an Upper endoscopy?
Enter the quote you were given and your own plan figures. Every field starts empty: the tool uses only what you type, or a sourced figure you choose to copy in.
- Median hospital cash price, code 43235 (US): $1,610.37 (55 hospitals, facility charge only). every hospital and its file, read October 26, 2026.
- Median hospital negotiated rate, code 43235 (US): $1,557.80 (83 hospitals, facility charge only; your plan's own rate may differ). every hospital and its file, read October 26, 2026.
Enter a cash quote and your plan’s allowed amount to see the comparison.
The insurance share is the deductible still to pay (up to the allowed amount), plus your coinsurance on the rest, plus any copay, capped at the out-of-pocket limit you entered. It does not check network status, prior authorization, separately billed physician, radiology, anesthesia or pathology fees, or whether a cash payment counts toward your deductible.
Help the dataset
A written quote or an explanation of benefits you have received helps other readers. Useful submissions include billing code, anesthesia fee, pathology fee, provider name, date quoted and whether the amount was a cash price, an allowed amount, your share on an explanation of benefits, or a billed charge.
Before booking, ask
Provider
- What billing code will be used for this Upper endoscopy?
- Is the cash quote complete, or are professional or facility fees separate?
- Is contrast, anesthesia, pathology or follow-up included if relevant?
- Can you provide the quote in writing before booking?
- Is anesthesia included, and is the anesthesia provider in network?
- Are biopsy and pathology fees included if samples are taken?
- Which billing code will be used (diagnostic, biopsy or another step)?
- Is anesthesia included in the quoted price and is the anesthesia provider in network?
Insurer
- Is the provider in-network for my exact plan?
- Will this billing code require prior authorization?
- What patient responsibility do you estimate after deductible, copay and coinsurance?
- If I pay cash, can I submit a claim afterwards, and would it count toward my deductible?
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Upper endoscopy by state
46 of 51 states and DC have a hospital file we read with a figure for these codes.
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKentuckyMaineMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAll state pages
What changes an Upper endoscopy bill?
The useful comparison is itemized. These are the fields to pin down before relying on any quote.
| Factor | Why it matters | What to ask |
|---|---|---|
| Anesthesia billing | Anesthesia is a separate bill from the gastroenterologist; its network status can differ. | Ask whether anesthesia is included in the quote and whether the anesthesia provider is in network. |
| Pathology fees | Biopsy samples generate a separate pathology bill. | Ask whether pathology charges are bundled or billed separately. |
| Facility setting | Medicare pays an ambulatory surgical center and a hospital outpatient department under different fee schedules. | Confirm whether the procedure is at an ambulatory surgical center or a hospital outpatient department. |
| Diagnostic or with added steps | Adding a biopsy, dilation or bleeding control changes the code. | Ask what else may be done during the same scope and how it would be billed. |
| Deductible and out-of-pocket limit | How much of your deductible is left decides how much of the allowed amount you pay yourself. | Ask your insurer for your estimated patient responsibility, not just the negotiated rate. |
Hospital outpatient department
EGD performed at a hospital outpatient facility.
What to check: Hospital files list a facility charge separately from the physician.
Endoscopy clinic
A gastroenterology clinic offering scope-based procedures.
What to check: Check the anesthesia provider’s network status.
Common Upper endoscopy billing codes
The code changes the comparison. Ask the ordering clinician or provider which code will be billed. Labels are our own plain-English descriptions.
| Code | What it is | When it is used |
|---|---|---|
| 43235 | EGD diagnostic | Reflux investigation, swallowing difficulty workup. |
| 43239 | EGD with biopsy | Tissue sampling, for example for celiac disease or H. pylori. |
| 43249 | EGD with dilation | Esophageal narrowing. |
Questions to ask before booking
- Which billing code will be used (diagnostic, biopsy or another step)?
- Is anesthesia included in the quoted price and is the anesthesia provider in network?
- Are pathology fees included in the quote or billed separately?
- Is the procedure at an ambulatory surgical center or a hospital outpatient department?
- What is the facility charge, if any?
- If I pay cash, will the payment count toward my deductible or out-of-pocket limit?
- What is my estimated patient responsibility if billed to my insurance?
What these figures are not
- A hospital’s discounted cash price is what that hospital charges a self-pay patient for the line it lists. It may not include the separately billed physician, radiologist, anesthesia or pathology fees.
- A negotiated rate is what one payer contracted with one hospital. It is not what a patient on that plan pays, which depends on the deductible, coinsurance, copay and network status.
- What Medicare pays is a national fee-schedule amount before geographic adjustment. It is not a price charged to anyone without Medicare.
Across 55 US hospital standard-charge files read between October 26, 2026 and November 6, 2026, the median discounted cash price for code 43235 (EGD diagnostic) was $1,610, as the hospital's facility charge. Each hospital's figure and file is listed on the TreatCompare page.
For the same code, the median of 83 hospitals' middle negotiated rates with insurers was $1,558. A negotiated rate is what the insurer pays the hospital, not what the patient pays.
Medicare's national payment amount for code 43235 is $497.85 (CMS ambulatory surgical center rates, Addendum AA (October 2026)), before geographic adjustment. It is not a price charged to anyone without Medicare.
Sources: hospital standard-charge files read between October 26, 2026 and November 6, 2026; CMS Physician Fee Schedule, relative value file RVU26D, read October 26, 2026.
Using this data?
Methodology, extracts and licensing
Main sources
- Hospital standard-charge files (109 hospitals, each file linked below)
- CMS Physician Fee Schedule, relative value file RVU26D
- CMS ambulatory surgical center rates, Addendum AA (October 2026)
- CMS: 2026 Medicare Parts A & B Premiums and Deductibles
- Medicare.gov: Medicare costs
- HealthCare.gov glossary: out-of-pocket maximum/limit
- eCFR: 45 CFR 149.610
Methodology: Hospital figures are read from each hospital's standard-charge file: one figure per hospital and billing code, facility charge only, with a median only at 4 or more hospitals, and cash and negotiated rates never combined. Medicare amounts are CMS's national fee-schedule amounts.
TreatCompare publishes healthcare, care-cost and treatment-pricing research for consumers, journalists, policymakers and commercial teams.
Contact TreatCompare about dataMethodology, source summaries and structured extracts: TreatCompare data team
Sources
- Hospital standard-charge files (109 hospitals, each file linked below), files read October 26, 2026 to November 6, 2026. Read 26 October 2026. Discounted cash prices and negotiated rates, published under 45 CFR 180.50.
- CMS Physician Fee Schedule, relative value file RVU26D, released August 26, 2026. Read 26 October 2026. What Medicare pays a clinician, national amount.
- CMS ambulatory surgical center rates, Addendum AA (October 2026), effective October 1, 2026. Read 26 October 2026. What Medicare pays an ambulatory surgical center, national rate.
- CMS: 2026 Medicare Parts A & B Premiums and Deductibles, Calendar year 2026. Read 26 October 2026. Medicare Part B annual deductible
- Medicare.gov: Medicare costs, In force (statutory share; not set annually). Read 26 October 2026. Medicare Part B coinsurance
- HealthCare.gov glossary: out-of-pocket maximum/limit, Plan year 2026. Read 26 October 2026. Marketplace out-of-pocket limit, individual
- eCFR: 45 CFR 149.610, In force (45 CFR 149.610, text as of 2026-10-01). Read 26 October 2026. Good Faith Estimate for uninsured or self-pay patients
Finding a facility or specialist for an Upper endoscopy
Facility finders run by accrediting and professional bodies. TreatCompare links to the source; booking, eligibility and pricing are handled by the destination organization.
TreatCompare is not affiliated with these organizations and does not take a fee for linking. Check any quoted price with your provider and insurer before booking care.
Help improve TreatCompare
TreatCompare is read by patients, prescribers, journalists and AI assistants. The dataset gets better when people who’ve been quoted, billed, or treated for US Upper endoscopy pricing send their information in. None of these take more than a minute.
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Methodology
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