Cost of a EGD with Biopsy Visit
in Iowa
Reviewed by Momentary Medical Group West PC
Iowa's healthcare system reflects the state's agricultural economy and scattered population centers, with EGD with Biopsy services concentrated in Des Moines, Iowa City, and Cedar Rapids. Patients typically pay between $85 and $902 for an EGD with Biopsy procedure, with a median cost of $560. With 293 active providers offering these services throughout Iowa, patients have access to both academic medical centers and community-based specialists across the state.
Average
$516
Median
$560
Lowest
$85
Highest
$902
Providers
293
4% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Iowa?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $466 | $944 | 458 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $720 | $1,373 | 385 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $95 | $885 | $1,197 | 288 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $135 | $594 | $691 | 254 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $28 | $93 | 780 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $85 | $245 | $477 | 454 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $58 | $135 | $329 | 397 |
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 Iowa
Iowa's EGD with Biopsy costs run approximately 9% below national averages, reflecting the state's lower overall healthcare costs and rural provider competition. The state's agricultural economy and scattered population create unique cost pressures across Iowa's 99 counties.
Urban vs. Rural Provider Availability
Des Moines, Iowa City, and Cedar Rapids concentrate most gastroenterology specialists, while rural Iowans may travel significant distances for EGD with Biopsy procedures. This geographic disparity often results in higher travel costs but potentially lower procedure fees at rural-serving facilities.
Facility Type and Overhead Costs
Hospital-based outpatient departments at UnityPoint Health and MercyOne systems typically charge higher facility fees than independent endoscopy centers throughout Iowa. Academic medical centers like the University of Iowa Hospitals may have premium pricing but offer specialized expertise for complex cases.
Insurance Market Competition in Iowa
Limited insurer competition with Wellmark Blue Cross Blue Shield holding significant market share affects negotiated rates for EGD with Biopsy procedures. The concentrated market gives insurers stronger negotiating power with providers, potentially benefiting patients through lower contracted rates.
Physician Supply and Demand in Iowa
With 293 active providers offering EGD with Biopsy services, Iowa maintains adequate specialist availability relative to its population of 3.2 million residents. This healthy provider supply helps maintain competitive pricing and reasonable wait times for non-urgent procedures.
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 Iowa
What is the average cost of a EGD with Biopsy visit in Iowa without insurance?
Does Iowa Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Iowa?
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 Iowa?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Iowa?
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 |