Cost of a EGD with Biopsy Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's isolated island healthcare system creates unique cost dynamics for medical procedures, with EGD with Biopsy visits ranging from $80 to $903 across the state's 92 active providers. Patients typically pay between these amounts depending on their insurance coverage and facility type, with a median cost of $250 for this diagnostic procedure. Hawaii residents have access to numerous qualified specialists across the major islands, allowing patients to compare options and find the most suitable provider for their needs.
Average
$411
Median
$250
Lowest
$80
Highest
$903
Providers
92
24% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $312 | $757 | 64 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $351 | $969 | 87 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $453 | $1,785 | 67 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $82 | $276 | $636 | 52 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $25 | $85 | 162 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $75 | $153 | $438 | 97 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $54 | $126 | $230 | 111 |
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 Hawaii
Healthcare costs in Hawaii run approximately 16% above national averages, driven by the state's isolated geography, high cost of living, and complex inter-island logistics for medical equipment and supplies. The island market creates unique pricing dynamics where competition is limited and overhead costs are elevated compared to mainland markets.
Urban vs. Rural Provider Availability
Most EGD with Biopsy specialists concentrate on Oahu, particularly in the Honolulu metro area, while neighbor island residents often face longer wait times and may need to travel for certain procedures. Rural areas on the Big Island and outer islands have limited gastroenterology services, sometimes requiring patients to fly to Oahu for specialized endoscopic procedures.
Facility Type and Overhead Costs
Hospital-based outpatient endoscopy centers in Hawaii typically charge higher facility fees than independent ambulatory surgery centers due to elevated overhead costs for medical equipment shipping and maintenance. Major health systems like Kaiser Permanente Hawaii and Hawaii Pacific Health operate most hospital-based facilities, while several independent gastroenterology groups provide lower-cost alternatives.
Insurance Market Competition in Hawaii
Hawaii's insurance market is relatively concentrated with HMSA holding the largest market share, followed by UnitedHealthcare and Kaiser Permanente, creating moderate competition for negotiated rates. The limited number of major insurers can result in less aggressive rate negotiations compared to more competitive mainland markets, contributing to higher overall medical costs.
Physician Supply and Demand in Hawaii
With 92 active EGD with Biopsy providers serving Hawaii's population of 1.4 million, the state maintains adequate specialist coverage primarily concentrated on Oahu, though neighbor islands experience periodic shortages. This geographic maldistribution can create longer wait times and potentially higher costs for patients on outer islands who may need to travel for care.
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 Hawaii
What is the average cost of a EGD with Biopsy visit in Hawaii without insurance?
Does Hawaii Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Hawaii?
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 Hawaii?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Hawaii?
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 |