Itemized  ·  Procedures  ·  Upper endoscopy (EGD) with biopsy  ·  with Medicaid / Medi-Cal

Upper endoscopy (EGD) with biopsy with Medicaid / Medi-Cal.

Negotiated rates Medicaid / Medi-Cal pays for upper endoscopy (egd) with biopsy at 75 US hospitals. Range: $1 to $2,333. Your specific cost depends on your plan tier, deductible status, and coinsurance — see the comparison tool to model your exact out-of-pocket.

Top hospitals by Medicaid / Medi-Cal rate.

#HospitalMedicaid / Medi-Cal rate
1
La Mesa, CA
$1 – $3,296
2
San Diego, CA
$35 – $840
3
Brooklyn, NY
$69 – $209
4
Detroit, MI
$74 – $543
5
West Bloomfield, MI
$74 – $543
6
Jamaica, NY
$75 – $151
7
New York, NY
$76 – $151
8
Brooklyn, NY
$78 – $155
9
Brooklyn, NY
$78 – $155
10
Seattle, WA
$79 – $1,356
11
Minneapolis, MN
$92 – $874
12
Bronx, NY
$101 – $1,132
13
Dallas, TX
$110 – $1,872
14
Queens, NY
$121 – $507
15
New York, NY
$121
16
Bronx, NY
$124
17
New York, NY
$124
18
Cleveland, OH
$133 – $154
19
Charlotte, NC
$134
20
Pittsburgh, PA
$140 – $1,116
21
Phoenix, AZ
$144 – $999
22
Philadelphia, PA
$163 – $483
23
Pittsburgh, PA
$163 – $337
24
Pittsburgh, PA
$163 – $253
25
Nashville, TN
$168 – $1,581
26
Jefferson Hills, PA
$171 – $464
27
Pittsburgh, PA
$196 – $464
28
Monroeville, PA
$196 – $3,091
29
La Jolla, CA
$208
30
San Diego, CA
$208
31
La Jolla, CA
$208
32
Encinitas, CA
$208
33
Los Angeles, CA
$234 – $1,365
34
Whittier, CA
$234 – $336
35
Monterey Park, CA
$234 – $12,500
36
Norwalk, CA
$239
37
Long Beach, CA
$269 – $2,118
38
Los Angeles, CA
$269 – $2,118
39
Northridge, CA
$269 – $2,118
40
San Luis Obispo, CA
$269 – $424
41
Redwood City, CA
$269 – $521
42
Santa Cruz, CA
$269 – $424
43
Sacramento, CA
$269 – $1,444
44
Carmichael, CA
$269 – $1,444
45
Sacramento, CA
$269 – $1,444
46
Woodland, CA
$269 – $1,444
47
Philadelphia, PA
$281 – $715
48
Philadelphia, PA
$281 – $711
49
Dallas, TX
$305 – $2,526
50
Dallas, TX
$335 – $362

Estimate what you'd actually pay with Medicaid / Medi-Cal.

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About these rates.

Hospitals are required by federal law (45 CFR 180.50) to publish the rates they negotiated with each insurer for each procedure. These numbers are the rates the hospital published for Medicaid / Medi-Cal plans, pulled directly from each hospital's machine-readable file.

The range column reflects different Medicaid / Medi-Cal plan tiers (HMO, PPO, EPO, etc.). Your plan picks one number out of that range. Your actual out-of-pocket depends on your deductible status, copay, and coinsurance, which the comparison tool can model when you fill them in.

Cash-pay rates are often cheaper than the negotiated rate, especially for high-deductible plans. Worth comparing both — the Upper endoscopy (EGD) with biopsy overview shows the cash-pay column alongside.