Cost of a EGD with Biopsy Visit
in Florida
Reviewed by Momentary Medical Group West PC
Florida's massive ambulatory surgery center network, the largest in the United States, creates significant cost variations for EGD with Biopsy procedures across the state. Patients typically pay between $35 and $659, with a median out-of-pocket cost of $55 based on negotiated insurance rates from over 5,570 active providers. Browse all EGD with Biopsy specialists throughout Florida to find the most affordable option for your needs.
Average
$250
Median
$55
Lowest
$35
Highest
$659
Providers
5,570
54% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Florida?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $35 | $55 | $604 | 5,123 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $35 | $55 | $770 | 5,449 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $35 | $55 | $815 | 4,958 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $35 | $55 | $496 | 4,488 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $16 | $40 | $80 | 5,759 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $161 | $460 | 4,125 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $35 | $60 | $192 | 5,349 |
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 43239 — EGD 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 Florida
Florida's EGD with Biopsy costs run approximately 2% above the national average, reflecting the state's large healthcare market and significant ambulatory surgery center presence. The state's unique geography, stretching from rural northern counties to dense urban corridors, creates substantial cost variations even within the same insurance network.
Urban vs. Rural Provider Availability
Florida's population concentrates heavily in metropolitan areas like Miami-Dade, Broward, Tampa Bay, and Orlando, where gastroenterology practices cluster and create more competitive pricing. Rural counties in North Florida and the Panhandle often have limited specialist access, requiring patients to travel to larger cities and potentially pay higher costs due to reduced provider competition.
Facility Type and Overhead Costs
Florida's extensive ambulatory surgery center network offers an alternative to traditional hospital outpatient departments, often at lower costs due to reduced overhead. Major health systems like AdventHealth, Baptist Health, and HCA Healthcare operate numerous locations throughout the state, but their hospital-based facilities typically charge more than independent gastroenterology surgery centers.
Insurance Market Competition in Florida
The presence of multiple major insurers including UnitedHealthcare, Blue Cross Blue Shield of Florida, and Aetna creates moderate competition for provider contracts, though market concentration varies by region. South Florida tends to have more insurer options and competitive rates, while rural areas may see less competition and potentially higher negotiated prices for specialty procedures.
Physician Supply and Demand in Florida
With over 5,570 providers performing EGD with Biopsy procedures, Florida has relatively strong gastroenterology access compared to many states, though distribution favors urban areas. This robust provider supply helps moderate costs in metropolitan regions, while rural areas may experience longer wait times and higher prices due to limited specialist availability relative to population needs.
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.
Frequently Asked Questions — EGD with Biopsy Costs in Florida
What is the average cost of a EGD with Biopsy visit in Florida without insurance?
Does Florida Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Florida?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a EGD with Biopsy visit in Florida?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Florida?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 43239)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $116 – $5,357 | $2,029 |
| 2 | North Dakota Range: $181 – $2,396 | $1,658 |
| 3 | Minnesota Range: $90 – $2,396 | $1,627 |
| 4 | South Dakota Range: $85 – $2,396 | $938 |
| 5 | Massachusetts Range: $80 – $1,654 | $747 |
| 6 | New York Range: $166 – $1,647 | $743 |
| 7 | New Hampshire Range: $341 – $1,085 | $715 |
| 8 | Rhode Island Range: $80 – $1,647 | $715 |
| 9 | Connecticut Range: $85 – $1,647 | $711 |
| 10 | Delaware Range: $80 – $1,647 | $684 |
| 11 | West Virginia Range: $80 – $1,647 | $675 |
| 12 | Pennsylvania Range: $80 – $1,647 | $666 |
| 13 | Maine Range: $404 – $783 | $631 |
| 14 | Nebraska Range: $195 – $902 | $629 |
| 15 | Oregon Range: $80 – $1,352 | $553 |
| 16 | Vermont Range: $273 – $907 | $552 |
| 17 | Wyoming Range: $173 – $1,151 | $549 |
| 18 | California Range: $80 – $1,352 | $542 |
| 19 | Georgia Range: $85 – $1,084 | $522 |
| 20 | Iowa Range: $85 – $902 | $516 |
| 21 | New Jersey Range: $83 – $1,165 | $508 |
| 22 | District of Columbia Range: $86 – $995 | $504 |
| 23 | North Carolina Range: $80 – $1,088 | $495 |
| 24 | Missouri Range: $130 – $712 | $436 |
| 25 | Utah Range: $80 – $820 | $428 |
| 26 | New Mexico Range: $90 – $834 | $424 |
| 27 | Washington Range: $80 – $954 | $423 |
| 28 | Hawaii Range: $80 – $903 | $411 |
| 29 | Maryland Range: $121 – $810 | $401 |
| 30 | Indiana Range: $80 – $810 | $399 |
| 31 | Colorado Range: $85 – $829 | $383 |
| 32 | Kentucky Range: $60 – $830 | $370 |
| 33 | Illinois Range: $70 – $696 | $368 |
| 34 | Arkansas Range: $85 – $712 | $361 |
| 35 | Virginia Range: $90 – $728 | $358 |
| 36 | Idaho Range: $80 – $802 | $356 |
| 37 | Michigan Range: $80 – $685 | $341 |
| 38 | Mississippi Range: $114 – $621 | $340 |
| 39 | Kansas Range: $130 – $526 | $333 |
| 40 | Louisiana Range: $85 – $634 | $331 |
| 41 | Texas Range: $80 – $649 | $320 |
| 42 | Ohio Range: $85 – $621 | $309 |
| 43 | South Carolina Range: $80 – $627 | $306 |
| 44 | Alabama Range: $80 – $566 | $305 |
| 45 | Nevada Range: $85 – $571 | $304 |
| 46 | Tennessee Range: $85 – $604 | $296 |
| 47 | Oklahoma Range: $85 – $569 | $264 |
| 48 | Alaska Range: $80 – $606 | $255 |
| 49 | Florida Range: $35 – $659 | $250 |
| 50 | Arizona Range: $81 – $493 | $245 |
| 51 | Montana Range: $80 – $523 | $228 |