Logo
Arkansas

Cost of a EGD with Biopsy Visit
in Arkansas

Reviewed by Momentary Medical Group West PC

Arkansas patients benefit from EGD with Biopsy costs that run approximately 29% below national averages, reflecting the state's lower healthcare overhead and limited urban competition. For an EGD with Biopsy procedure, patients typically pay between $85 and $712, with a median negotiated rate of $286 across Arkansas's 140 active providers. Whether you're in Little Rock's medical district or rural counties served by regional hospitals, Arkansas offers multiple EGD with Biopsy specialists to serve patients throughout the Natural State.

Average

$361

Median

$286

Lowest

$85

Highest

$712

Providers

140

National avg: $538Arkansas: $361

33% below national average

Compare Similar Procedures

How does upper endoscopy with biopsy compare to related procedures in Arkansas?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$316$634131
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$349$815134
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$85$455$853116
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$90$272$535119
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$23$358223
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$72$163$369159
OB Ultrasound

Obstetric ultrasound, complete

76805$49$96$188131

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 43239EGD with biopsy). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 43239 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 43239 (EGD with biopsy), as mandated by the CMS Price Transparency Rule.

What CPT 43239 covers: the provider's professional fee for upper endoscopy with biopsy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why EGD with Biopsy Visit Costs Vary Across Arkansas

Arkansas gastroenterology costs run 29% below national averages, reflecting the state's rural character and lower practice overhead compared to major metropolitan markets. The concentration of specialists in Little Rock and Fayetteville creates competitive pricing in urban areas while leaving some rural counties dependent on traveling providers.

Urban vs. Rural Provider Availability

Central Arkansas around Little Rock hosts the majority of the state's gastroenterologists, while rural regions often rely on visiting specialists or require travel to regional medical centers. This geographic concentration means rural patients may face higher travel costs but can sometimes access lower base procedure fees at community hospitals.

Facility Type and Overhead Costs

Arkansas gastroenterology practices range from independent endoscopy centers with lower overhead to hospital-owned clinics that typically charge facility fees on top of physician charges. Major health systems like CHI St. Vincent and Baptist Health dominate urban markets, while rural areas often depend on critical access hospitals with different cost structures.

Insurance Market Competition in Arkansas

Blue Cross Blue Shield of Arkansas controls a dominant market share, particularly in rural areas where it may be the only ACA marketplace option. Limited insurer competition reduces pressure for aggressive rate negotiations but also creates more predictable pricing across providers statewide.

Physician Supply and Demand in Arkansas

With 140 providers performing EGD with Biopsy procedures, Arkansas maintains adequate specialist coverage for its population size, though geographic distribution favors urban areas. This reasonable supply helps keep costs moderate compared to physician-shortage states, though rural access remains challenging.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — EGD with Biopsy Costs in Arkansas

What is the average cost of a EGD with Biopsy visit in Arkansas without insurance?

Uninsured patients in Arkansas typically pay between $85 and $712 for an EGD with Biopsy procedure, with a median cost of $286. These rates reflect negotiated prices between insurers and providers, though cash-pay patients may receive additional discounts. Many Arkansas gastroenterology practices offer payment plans or reduced self-pay rates for uninsured patients.

Does Arkansas Medicaid cover EGD with Biopsy visits?

Arkansas traditional Medicaid covers medically necessary EGD with Biopsy procedures for eligible recipients, though the state chose not to expand Medicaid coverage. This means adults earning above 17% of federal poverty level typically don't qualify unless they meet specific categories like disability. Arkansas Works, the state's Medicaid expansion alternative, ended in 2021.

How do I find an affordable EGD with Biopsy near me in Arkansas?

Compare prices between independent endoscopy centers and hospital-based facilities, as independent centers often charge less due to lower overhead costs. Many Arkansas providers offer cash-pay discounts of 20-40%, and community health centers in Little Rock and other cities may provide sliding-scale fees based on income. Consider traveling to areas with higher provider competition for potentially better pricing.

What is the difference in cost between an initial consultation and a follow-up visit?

Based on Arkansas pricing data, initial gastroenterology consultations typically cost more than follow-up visits due to the comprehensive evaluation required for new patients. The actual EGD with Biopsy procedure cost of $85-$712 remains consistent regardless of whether it's your first visit or follow-up care. Consultation fees are separate from the procedure cost.

Can I use an HSA or FSA to pay for a EGD with Biopsy visit in Arkansas?

Yes, EGD with Biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these pre-tax dollars for the procedure cost, related consultations, and necessary follow-up care. Keep receipts and documentation from your Arkansas provider for tax purposes and account reimbursement.

How does telemedicine affect the cost of seeing a EGD with Biopsy in Arkansas?

While the actual EGD with Biopsy procedure requires in-person care, initial consultations and follow-up appointments can often be conducted via telemedicine at reduced cost. Arkansas expanded telehealth coverage during the pandemic, and many gastroenterology practices now offer virtual consultations for $100-200 less than in-person visits. However, the diagnostic procedure itself must be performed at an endoscopy facility.

Click a state to compare costs

Average Visit Cost

$228
$2,029

Office visit (CPT 43239)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $116$5,357
$2,029
2North Dakota
Range: $181$2,396
$1,658
3Minnesota
Range: $90$2,396
$1,627
4South Dakota
Range: $85$2,396
$938
5Massachusetts
Range: $80$1,654
$747
6New York
Range: $166$1,647
$743
7New Hampshire
Range: $341$1,085
$715
8Rhode Island
Range: $80$1,647
$715
9Connecticut
Range: $85$1,647
$711
10Delaware
Range: $80$1,647
$684
11West Virginia
Range: $80$1,647
$675
12Pennsylvania
Range: $80$1,647
$666
13Maine
Range: $404$783
$631
14Nebraska
Range: $195$902
$629
15Oregon
Range: $80$1,352
$553
16Vermont
Range: $273$907
$552
17Wyoming
Range: $173$1,151
$549
18California
Range: $80$1,352
$542
19Georgia
Range: $85$1,084
$522
20Iowa
Range: $85$902
$516
21New Jersey
Range: $83$1,165
$508
22District of Columbia
Range: $86$995
$504
23North Carolina
Range: $80$1,088
$495
24Missouri
Range: $130$712
$436
25Utah
Range: $80$820
$428
26New Mexico
Range: $90$834
$424
27Washington
Range: $80$954
$423
28Hawaii
Range: $80$903
$411
29Maryland
Range: $121$810
$401
30Indiana
Range: $80$810
$399
31Colorado
Range: $85$829
$383
32Kentucky
Range: $60$830
$370
33Illinois
Range: $70$696
$368
34Arkansas
Range: $85$712
$361
35Virginia
Range: $90$728
$358
36Idaho
Range: $80$802
$356
37Michigan
Range: $80$685
$341
38Mississippi
Range: $114$621
$340
39Kansas
Range: $130$526
$333
40Louisiana
Range: $85$634
$331
41Texas
Range: $80$649
$320
42Ohio
Range: $85$621
$309
43South Carolina
Range: $80$627
$306
44Alabama
Range: $80$566
$305
45Nevada
Range: $85$571
$304
46Tennessee
Range: $85$604
$296
47Oklahoma
Range: $85$569
$264
48Alaska
Range: $80$606
$255
49Florida
Range: $35$659
$250
50Arizona
Range: $81$493
$245
51Montana
Range: $80$523
$228
Upper Endoscopy with Biopsy in Other States