cleartau
PackagesOutpatient

EGD (upper endoscopy)

Upper GI endoscopy (esophagogastroduodenoscopy).

A scope examination of the esophagus, stomach, and first part of the small intestine. Outpatient procedure with sedation. Pathology fees only apply if tissue is taken for biopsy, which arrives as a separate bill.

What's included

Each component is a category of charge that contributes to the total bill. Items marked “billed separately” are still part of the episode, but you'll receive that bill from a different provider.

  • Upper endoscopy

    Base procedure

    CPT 43235 · CPT 43239

  • Anesthesia

    AnesthesiaBilled separately

    Typically billed separately by the anesthesia group.

    CPT 00731

  • Endoscopy suite

    Facility

    REVENUE 0750

  • Pathology lab fee

    PathologyOptionalBilled separately

    Only applies if tissue is biopsied.

    CPT 88305

Provider prices — cash

Median cash-pay price across components that hospitals have published for this package. Completeness reflects how many of the package's expected components had matching data.

HospitalMedianRangeCompleteness
KINGMAN HEALTHCARE CENTERKINGMAN, KS$128—67%
STRAUB CLINIC AND HOSPITALHONOLULU, HI$199—67%
BRECKINRIDGE MEMORIAL HOSPITALHARDINSBURG, KY$204—67%
ADVENTIST HEALTH TEHACHAPI VALLEYTEHACHAPI, CA$227—67%
PROVIDENCE SAINT JOSEPH MEDICAL CTRBURBANK, CA$250—67%
PROVIDENCE ST JOSEPH MEDICAL CENTERPOLSON, MT$250—67%
DAVIESS COMMUNITY HOSPITALWASHINGTON, IN$272—67%
ADVENTIST HEALTH HOWARD MEMORIALWILLITS, CA$274—67%
FRESNO SURGICAL HOSPITALFRESNO, CA$294—67%
TETON VALLEY HOSPITALDRIGGS, ID$305—67%
ADVENTIST HEALTH TILLAMOOKTILLAMOOK, OR$312—67%
KNOX COMMUNITY HOSPITALMOUNT VERNON, OH$325—67%
DECATUR COUNTY HOSPITALLEON, IA$347—67%
WILCOX MEMORIAL HOSPITALLIHUE, HI$373—67%
PALI MOMI MEDICAL CENTERAIEA, HI$373—67%
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMSBELOIT, KS$398—67%
CASS REGIONAL MEDICAL CENTERHARRISONVILLE, MO$482—67%
VANDERBILT BEDFORD HOSPITALSHELBYVILLE, TN$485—67%
VANDERBILT WILSON COUNTY HOSPITALLEBANON, TN$485—67%
ADVENTIST HEALTH MENDOCINO COASTFORT BRAGG, CA$527—67%
JEFFERSON HOSPITALLOUISVILLE, GA$546—67%
LEGACY MOUNT HOOD MEDICAL CENTERGRESHAM, OR$584—67%
LEGACY SILVERTON MEDICAL CENTERSILVERTON, OR$584—67%
LEGACY MERIDIAN PARK MEDICAL CENTERTUALATIN, OR$584—67%
COLUMBIA MEMORIAL HOSPITALASTORIA, OR$604—67%
SHENANDOAH MEDICAL CENTERSHENANDOAH, IA$605—67%
CHRISTUS SOUTHEAST TEXAS- ST ELIZABETHBEAUMONT, TX$605—67%
SIDNEY HEALTH CENTERSIDNEY, MT$606—67%
WASHINGTON COUNTY HOSPITAL AND CLINICSWASHINGTON, IA$608—67%
CHI ST ALEXIUS HEALTH DICKINSONDICKINSON, ND$643—67%
LARKIN COMMUNITY HOSPITALSOUTH MIAMI, FL$651—67%
LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVSHOLLYWOOD, FL$651—67%
HERMANN AREA DISTRICT HOSPITALHERMANN, MO$653—67%
CHI ST ALEXIUS HEALTH WILLISTONWILLISTON, ND$665—67%
PHELPS MEMORIAL HEALTH CENTERHOLDREGE, NE$689—67%
CLAY COUNTY MEDICAL CENTERCLAY CENTER, KS$695—67%
NOR-LEA HOSPITAL DISTRICTLOVINGTON, NM$707—67%
HENRY COUNTY MEMORIAL HOSPITALNEW CASTLE, IN$713—67%
CHAMBERS MEMORIAL HOSPITALDANVILLE, AR$731—67%
MAHASKA HEALTH PARTNERSHIPOSKALOOSA, IA$796—67%
UNITED HOSPITAL DISTRICTBLUE EARTH, MN$798—67%
PERHAM HEALTHPERHAM, MN$829—67%
ORANGE CITY AREA HEALTH SYSTEMORANGE CITY, IA$857—67%
IOWA SPECIALTY HOSPITAL - BELMONDBELMOND, IA$865—67%
IOWA SPECIALTY HOSPITAL - CLARIONCLARION, IA$865—67%
KENMORE MERCY HOSPITALKENMORE, NY$873—67%
MOUNT ST. MARY'S HOSPITALLEWISTON, NY$873—67%
MERCY HOSPITAL OF BUFFALOBUFFALO, NY$873—67%
KENMORE MERCY HOSPITALKENMORE, NY$873—67%
MOUNT ST. MARY'S HOSPITAL & HEALTH CENTERLEWISTON, NY$873—67%
MERCY HOSPITAL OF BUFFALOBUFFALO, NY$873—67%
VANDERBILT UNIVERSITY MEDICAL CENTERNASHVILLE, TN$873—67%
RAINY LAKE MEDICAL CENTERINTERNATIONAL FALLS, MN$908—67%
UW HEALTHROCKFORD, IL$923—67%
GLACIAL RIDGE HOSPITALGLENWOOD, MN$942—67%
ROCKCASTLE COUNTY HOSPITAL, INC.MOUNT VERNON, KY$942—67%
MINNEOLA DISTRICT HOSPITALMINNEOLA, KS$985—67%
MAMMOTH HOSPITALMAMMOTH LAKES, CA$1,003—67%
CHRISTUS SURGICAL HOSPITAL$1,005—67%
CRAWFORD COUNTY MEMORIAL HOSPITALDENISON, IA$1,070—67%
JEFFERSON ABINGTON HOSPITALABINGTON, PA$1,071—67%
BENEWAH COMMUNITY HOSPITALSAINT MARIES, ID$1,103—67%
CARIBOU MEDICAL CENTERSODA SPRINGS, ID$1,108—67%
WICHITA COUNTY HEALTH CENTERLEOTI, KS$1,109—67%
HENDERSON COUNTY COMMUNITY HOSPITALLEXINGTON, TN$1,111—67%
HOUSTON COUNTY COMMUNITY HOSPITALERIN, TN$1,111—67%
ST LUKES HOSPITALDULUTH, MN$1,113—67%
MARSHALL BROWNING HOSPITALDU QUOIN, IL$1,124—67%
REPUBLIC COUNTY HOSPITALBELLEVILLE, KS$1,131—67%
MT SAN RAFAEL HOSPITALTRINIDAD, CO$1,136—67%
CRAWFORD MEMORIAL HOSPITALROBINSON, IL$1,152—67%
TOPS SURGICAL SPECIALTY HOSPITALHOUSTON, TX$1,153—67%
HENRY FORD ALLEGIANCE HEALTHJACKSON, MI$1,163—67%
HENRY FORD HEALTH HOSPITALDETROIT, MI$1,165—67%
WYANDOTTE HOSPITAL AND MEDICAL CENTERWYANDOTTE, MI$1,165—67%
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITALW BLOOMFIELD, MI$1,165—67%
FIELD HEALTH SYSTEMCENTREVILLE, MS$1,167—67%
ELLINWOOD DISTRICT HOSPITALELLINWOOD, KS$1,177—67%
GRAND RIVER HOSPITAL DISTRICTRIFLE, CO$1,192—67%
SUNRISE HOSPITAL AND MEDICAL CENTERLAS VEGAS, NV$1,201—67%
MERCYONE CENTERVILLE MEDICAL CENTERCENTERVILLE, IA$1,202—67%
BLACK HILLS SURGICAL HOSPITAL LLCRAPID CITY, SD$1,215—67%
USA HEALTH UNIVERSITY HOSPITALMOBILE, AL$1,216—67%
USA HEALTH CHILDREN'S & WOMEN'S HOSPITALMOBILE, AL$1,216—67%
OCHILTREE GENERAL HOSPITALPERRYTON, TX$1,245—67%
MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOODKINGWOOD, TX$1,260—67%
KIRBY MEDICAL CENTERMONTICELLO, IL$1,290—67%
Greenwich HospitalGreenwich, CT$1,326—67%
GREENWICH HOSPITALGREENWICH, CT$1,326—67%
GREENWICH HOSPITAL ASSOCIATION -GREENWICH, CT$1,326—67%
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INCIRON RIVER, MI$1,330—67%
ASPIRUS KEWEENAW HOSPITAL AND CLINICSLAURIUM, MI$1,330—67%
ASPIRUS IRONWOOD HOSPITALIRONWOOD, MI$1,330—67%
TREGO COUNTY LEMKE MEMORIAL HOSPITALWAKEENEY, KS$1,348—67%
GREAT PLAINS OF SABETHASABETHA, KS$1,364—67%
HODGEMAN COUNTY HEALTH CENTERJETMORE, KS$1,364—67%
COVENANT HOSPITAL LEVELLANDLEVELLAND, TX$1,396—67%
FAIRBANKS MEMORIAL HOSPITALFAIRBANKS, AK$1,403—67%
GLENCOE REGIONAL HEALTHGLENCOE, MN$1,408—67%
STANTON COUNTY HOSPITALJOHNSON, KS$1,412—67%
BATES COUNTY MEMORIAL HOSPITALBUTLER, MO$1,417—67%
MEDICINE LODGE MEMORIAL HOSPITALMEDICINE LODGE, KS$1,420—67%
DUNES SURGICAL HOSPITALDAKOTA DUNES, SD$1,421—67%
LAKEWOOD HEALTH SYSTEMSTAPLES, MN$1,473—67%
WARNER HOSPITAL AND HEALTH SERVICESCLINTON, IL$1,485—67%
SOUTH CENTRAL HEALTHWISHEK, ND$1,487—67%
SUGAR LAND SURGICAL HOSPITAL LLPSUGAR LAND, TX$1,515—67%
CHRISTUS MOTHER FRANCES HOSPITAL- WINNSBOROWINNSBORO, TX$1,515—67%
CAROLINA EAST MEDICAL CENTERNEW BERN, NC$1,521—67%
WILSON MEDICAL CENTERNEODESHA, KS$1,529—67%
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITALMUNCIE, IN$1,537—67%
SATANTA DISTRICT HOSPITAL, CLINICS, & LTCUSATANTA, KS$1,557—67%
ST FRANCIS MEMORIAL HOSPITALWEST POINT, NE$1,583—67%
CHRISTUS GOOD SHEPHERD MEDICAL CENTERLONGVIEW, TX$1,641—67%
SOUTHWESTERN MEDICAL CENTERLAWTON, OK$1,650—67%
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITALELIZABETHTOWN, NC$1,681—67%
SMITH COUNTY MEMORIAL HOSPITALSMITH CENTER, KS$1,707—67%
FREDONIA REGIONAL HOSPITALFREDONIA, KS$1,720—67%
BURGESS HEALTH CENTERONAWA, IA$1,746—67%
BRADLEY COUNTY MEDICAL CENTERWARREN, AR$1,747—67%
INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITALBLOOMINGTON, IN$1,795—67%
MIDDLE PARK MEDICAL CENTER-GRANBY$1,802—67%
HUTCHINSON REGIONAL MEDICAL CENTER INCHUTCHINSON, KS$1,827—67%
INDIANA UNIVERSITY HEALTH ARNETT HOSPITALLAFAYETTE, IN$1,827—67%
BLUE MOUNTAIN HOSPITALJOHN DAY, OR$1,858—67%
CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGSSULPHUR SPRINGS, TX$1,969—67%
HAMMOND HENRY HOSPITALGENESEO, IL$1,996—67%
PROVIDENCE NEWBERG MEDICAL CENTERNEWBERG, OR$2,000—67%
LOWER UMPQUA HOSPITAL DISTRICTREEDSPORT, OR$2,026—67%
ATLANTIC GENERAL HOSPITALBERLIN, MD$2,037—67%
PROVIDENCE HOOD RIVER MEMORIAL HOSPITALHOOD RIVER, OR$2,047—67%
RANGELY DISTRICT HOSPITALRANGELY, CO$2,057—67%
INDIANA UNIVERSITY HEALTHINDIANAPOLIS, IN$2,084—67%
RILEY HOSPITAL FOR CHILDREN$2,084—67%
INDIANA UNIVERSITY HEALTH BEDFORD HOSPITALBEDFORD, IN$2,120—67%
PHELPS COUNTY REGIONAL MEDICAL CENTERROLLA, MO$2,138—67%
BOUNDARY COMMUNITY HOSPITALBONNERS FERRY, ID$2,158—67%
SIMPSON GENERAL HOSPITAL CAHMENDENHALL, MS$2,176—67%
COMANCHE COUNTY MEDICAL CENTERCOMANCHE, TX$2,180—67%
INDIANA UNIVERSITY HEALTH NORTH HOSPITALCARMEL, IN$2,193—67%
MIDDLE PARK MEDICAL CENTERKREMMLING, CO$2,253—67%
WEEKS MEDICAL CENTERLANCASTER, NH$2,262—67%
MANNING REGIONAL HEALTHCARE CENTERMANNING, IA$2,298—67%
GRAHAM COUNTY HOSPITALHILL CITY, KS$2,312—67%
CENTRASTATE MEDICAL CENTERFREEHOLD, NJ$2,315—67%
CENTRASTATE MEDICAL CENTERFREEHOLD, NJ$2,315—67%
ALICE HYDE MEDICAL CENTERMALONE, NY$2,339—67%
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HYMALONE, NY$2,339—67%
INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITALMONTICELLO, IN$2,349—67%
SOUTH PENINSULA HOSPITALHOMER, AK$2,353—67%
ONSLOW MEMORIAL HOSPITALJACKSONVILLE, NC$2,363—67%
CHILTON MEDICAL CENTERPOMPTON PLAINS, NJ$2,384—67%
CHILTON MEDICAL CENTERPOMPTON PLAINS, NJ$2,384—67%
WINNER REGIONAL HEALTHCARE CENTER - CAHWINNER, SD$2,497—67%
PROVIDENCE SEASIDE HOSPITALSEASIDE, OR$2,537—67%
BERTRAND CHAFFEE HOSPITALSPRINGVILLE, NY$2,595—67%
BERTRAND CHAFFEE HOSPITALSPRINGVILLE, NY$2,595—67%
MELISSA MEMORIAL HOSPITALHOLYOKE, CO$2,614—67%
ESTES PARK MEDICAL CENTERESTES PARK, CO$2,639—67%
INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INCTIPTON, IN$2,755—67%
PROVIDENCE VALDEZ MEDICAL CENTERVALDEZ, AK$2,873—67%
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATIONLANGDON, ND$2,874—67%
OSMOND GENERAL HOSPITALOSMOND, NE$2,960—67%
INDIANA UNIVERSITY HEALTH FRANKFORT INCFRANKFORT, IN$2,961—67%
HAYS MEDICAL CENTERHAYS, KS$3,095—67%
GEORGE C GRAPE COMMUNITY HOSPITALHAMBURG, IA$3,211—67%
CLAXTON-HEPBURN MEDICAL CENTEROGDENSBURG, NY$3,318—67%
CLAXTON-HEPBURN MEDICAL CENTER$3,318—67%
INDIANA UNIVERSITY HEALTH JAY, INC.PORTLAND, IN$3,406—67%
BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTHFORT WORTH, TX$3,447—67%
PINCKNEYVILLE COMMUNITY HOSPITALPINCKNEYVILLE, IL$3,488—67%
PROVIDENCE KODIAK ISLAND MEDICAL CTRKODIAK, AK$3,556—67%
PETERSBURG MEDICAL CENTERPETERSBURG, AK$3,588—67%
HACKETTSTOWN MEDICAL CENTERHACKETTSTOWN, NJ$3,703—67%
AHS HOSPITAL CORPHACKETTSTOWN, NJ$3,703—67%
ADAIR COUNTY MEMORIAL HOSPITALGREENFIELD, IA$3,713—67%
BAYLOR SURGICAL HOSPITAL AT LAS COLINASIRVING, TX$3,734—67%
COQUILLE VALLEY HOSPITALCOQUILLE, OR$3,736—67%
BAYLOR MEDICAL CENTER AT TROPHY CLUBTROPHY CLUB, TX$3,802—67%
PINEVILLE COMMUNITY HEALTH CENTER, INCPINEVILLE, KY$3,833—67%
LITTLE COLORADO MEDICAL CENTERWINSLOW, AZ$3,840—67%
BAYLOR SCOTT AND WHITE MEDICAL CENTER UPTOWNDALLAS, TX$3,876—67%
NORTH CENTRAL SURGICAL CENTER LLPDALLAS, TX$4,585—67%
NEWTON MEDICAL CENTERNEWTON, NJ$4,641—67%
NEWTON MEDICAL CENTERNEWTON, NJ$4,641—67%
CARSON TAHOE REGIONAL MEDICAL CENTERCARSON CITY, NV$4,766—67%
CARSON TAHOE SIERRA SURGERY$4,766—67%
CARSON TAHOE SPECIALTY MEDICAL CENTER$4,766—67%
MORRISTOWN MEDICAL CENTERMORRISTOWN, NJ$4,869—67%
MORRISTOWN MEDICAL CENTERMORRISTOWN, NJ$4,869—67%
BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPIARLINGTON, TX$5,768—67%
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALESUNNYVALE, TX$5,867—67%
OVERLOOK MEDICAL CENTERSUMMIT, NJ$6,229—67%
OVERLOOK MEDICAL CENTERSUMMIT, NJ$6,229—67%
MERCYONE NEWTON MEDICAL CENTERNEWTON, IA$7,403—67%
ST ELIZABETH YOUNGSTOWN HOSPITALYOUNGSTOWN, OH$7,764—67%
MOFFITT CANCER CENTER$7,906—67%
MERCY HEALTH - LOURDES HOSPITALPADUCAH, KY$7,946—67%
HMHP ST ELIZABETH BOARDMAN HEALTH CENTERBOARDMAN, OH$7,951—67%
MERCYONE WATERLOO MEDICAL CENTERWATERLOO, IA$8,006—67%

Provider prices — negotiated

Lowest negotiated rate hospitals have published for this package. Use the insurer selector to switch between the cross-payer rollup and per-insurer rates (from Transparency in Coverage files). Rows from TiC files older than 3 months are dimmed.

HospitalMin negotiatedPayer typesCompleteness
NYU Langone Health - SuffolkPatchogue, NY
Partial: 1 of 3PartialThin evidenceSingle source
——33%
NYU LANGONE HOSPITAL BROOKLYNBrooklyn, NY
Partial: 1 of 3PartialThin evidenceSingle source
——33%
NYU LANGONE HOSPITAL LONG ISLANDMineola, NY
Partial: 1 of 3PartialThin evidenceSingle source
——33%
NYU Langone Orthopedic HospitalNew York, NY
Partial: 1 of 3PartialThin evidenceSingle source
——33%
NYU Langone HealthNew York, NY
Partial: 1 of 3PartialThin evidenceSingle source
——33%

Common questions

What's included in the egd (upper endoscopy) package?
A scope examination of the esophagus, stomach, and first part of the small intestine. Outpatient procedure with sedation. Pathology fees only apply if tissue is taken for biopsy, which arrives as a separate bill.
What's typically billed separately for egd (upper endoscopy)?
These components are usually billed by a different provider on a separate invoice: anesthesia, pathology lab fee. They're still part of the episode of care.
How does the egd (upper endoscopy) package price get calculated?
Cleartau sums per-component representative prices across the procedure, facility, anesthesia, and (where applicable) implant lines. The package median equals the sum of per-component medians; min and max work the same way. When a hospital publishes a formula (e.g. "150% of Medicare") instead of a dollar amount, the formula is resolved against the matching CMS fee schedule before aggregation.

Also known as

egd package · upper endoscopy package · upper gi endoscopy package