Itemized  ·  Procedures  ·  Upper endoscopy (EGD) with biopsy  ·  with Medicare

Upper endoscopy (EGD) with biopsy with Medicare.

Negotiated rates Medicare pays for upper endoscopy (egd) with biopsy at 79 US hospitals. Range: $5 to $3,215. 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 Medicare rate.

#HospitalMedicare rate
1
Seattle, WA
$5 – $1,072
2
Brooklyn, NY
$50 – $200
3
Cleveland, OH
$84 – $956
4
Nashville, TN
$94 – $1,014
5
Los Angeles, CA
$104
6
Detroit, MI
$118 – $1,236
7
West Bloomfield, MI
$118 – $1,010
8
Pittsburgh, PA
$119 – $974
9
Jefferson Hills, PA
$119 – $974
10
Bronx, NY
$129 – $1,245
11
Dallas, TX
$133 – $1,059
12
New York, NY
$141 – $2,772
13
Brooklyn, NY
$145 – $2,772
14
Philadelphia, PA
$145 – $676
15
New York, NY
$151 – $1,261
16
Queens, NY
$163 – $2,349
17
Bronx, NY
$168 – $2,772
18
Monterey Park, CA
$336 – $1,550
19
Long Beach, CA
$424 – $1,906
20
Los Angeles, CA
$424 – $1,310
21
Chicago, IL
$551
22
Pittsburgh, PA
$737 – $5,414
23
Pittsburgh, PA
$737 – $983
24
Long Beach, CA
$758 – $1,458
25
Long Beach, CA
$758 – $1,458
26
San Diego, CA
$762 – $9,389
27
Troy, MI
$840 – $1,220
28
Farmington Hills, MI
$840 – $1,220
29
Dearborn, MI
$840 – $1,220
30
Royal Oak, MI
$841 – $1,221
31
Pittsburgh, PA
$894 – $2,874
32
Atlanta, GA
$910 – $5,346
33
Atlanta, GA
$910 – $5,346
34
Houston, TX
$911 – $1,777
35
Houston, TX
$911 – $1,048
36
Houston, TX
$911 – $1,048
37
Houston, TX
$911 – $1,048
38
Sugar Land, TX
$911 – $1,048
39
Marietta, GA
$921 – $986
40
Colorado Springs, CO
$942
41
Tampa, FL
$947 – $1,705
42
Philadelphia, PA
$949 – $1,006
43
Philadelphia, PA
$953 – $1,011
44
Phoenix, AZ
$968 – $978
45
Phoenix, AZ
$968 – $978
46
Chicago, IL
$972
47
Evanston, IL
$972
48
Maywood, IL
$977 – $1,026
49
Phoenix, AZ
$999 – $1,099
50
Seattle, WA
$1,050 – $1,260

Estimate what you'd actually pay with Medicare.

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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 Medicare plans, pulled directly from each hospital's machine-readable file.

The range column reflects different Medicare 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.