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 108 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.

#	Hospital	Medicare rate
1	Virginia Mason Medical Center Seattle, WA	$5 – $1,072
2	Maimonides Medical Center Brooklyn, NY	$50 – $200
3	Cleveland Clinic Cleveland, OH	$84 – $956
4	Vanderbilt University Medical Center Nashville, TN	$94 – $1,014
5	MLK Community Hospital Los Angeles, CA	$104
6	Henry Ford Hospital Detroit, MI	$118 – $1,236
7	Henry Ford West Bloomfield Hospital West Bloomfield, MI	$118 – $1,010
8	Allegheny General Hospital Pittsburgh, PA	$119 – $974
9	Forbes Hospital Monroeville, PA	$119 – $974
10	Jefferson Regional Medical Center Jefferson Hills, PA	$119 – $974
11	M Health Fairview University of Minnesota Medical Center Minneapolis, MN	$125 – $989
12	Atrium Health Carolinas Medical Center Charlotte, NC	$126 – $132
13	Montefiore Medical Center Bronx, NY	$129 – $1,245
14	UT Southwestern Medical Center Dallas, TX	$133 – $1,059
15	QUEENS HOSPITAL CENTER Jamaica, NY	$140 – $2,772
16	Bellevue Hospital Center New York, NY	$141 – $2,772
17	Kings County Hospital Center Brooklyn, NY	$145 – $2,772
18	WOODHULL MEDICAL & MENTAL HEALTH CENTER Brooklyn, NY	$145 – $2,772
19	Jefferson Abington Hospital Philadelphia, PA	$145 – $676
20	Memorial Sloan Kettering Cancer Center New York, NY	$151 – $1,261
21	Elmhurst Hospital Center Queens, NY	$163 – $2,349
22	HARLEM HOSPITAL CENTER New York, NY	$164 – $2,349
23	Jacobi Medical Center Bronx, NY	$168 – $2,772
24	METROPOLITAN HOSPITAL CENTER New York, NY	$168 – $2,349
25	Yale New Haven Hospital New Haven, CT	$270 – $409
26	Monterey Park Hospital Monterey Park, CA	$336 – $1,550
27	OHSU Hospital Portland, OR	$407 – $2,037
28	St. Mary Medical Center Long Beach, CA	$424 – $1,906
29	California Hospital Medical Center Los Angeles, CA	$424 – $1,310
30	MERCY GENERAL HOSPITAL Sacramento, CA	$425 – $1,269
31	METHODIST HOSPITAL OF SACRAMENTO Sacramento, CA	$425 – $1,269
32	SEQUOIA HOSPITAL Redwood City, CA	$504 – $1,375
33	Ann & Robert H. Lurie Children's Hospital Chicago, IL	$551
34	UPMC Presbyterian Shadyside Pittsburgh, PA	$737 – $5,414
35	UPMC Magee-Womens Hospital Pittsburgh, PA	$737 – $983
36	MemorialCare Long Beach Medical Center Long Beach, CA	$758 – $1,458
37	MemorialCare Miller Children's & Women's Hospital Long Beach, CA	$758 – $1,458
38	UC San Diego Health San Diego, CA	$762 – $9,389
39	Corewell Health Troy Troy, MI	$840 – $1,220
40	Corewell Health Farmington Hills Farmington Hills, MI	$840 – $1,220
41	Corewell Health Dearborn Dearborn, MI	$840 – $1,220
42	Corewell Health Royal Oak Royal Oak, MI	$841 – $1,221
43	UPMC Children's Hospital of Pittsburgh Pittsburgh, PA	$894 – $2,874
44	Emory Decatur Hospital Atlanta, GA	$910 – $5,346
45	Emory University Hospital Atlanta, GA	$910 – $5,346
46	Houston Methodist Hospital Houston, TX	$911 – $1,777
47	Memorial Hermann-Texas Medical Center Houston, TX	$911 – $1,048
48	Memorial Hermann Southwest Hospital Houston, TX	$911 – $1,048
49	Memorial Hermann Memorial City Medical Center Houston, TX	$911 – $1,048
50	Memorial Hermann Sugar Land Hospital Sugar Land, TX	$911 – $1,048

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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.