Cost of a EGD with Biopsy Visit
in Louisiana
Reviewed by Momentary Medical Group West PC
Louisiana's healthcare system, anchored by major academic medical centers in New Orleans and Shreveport, serves patients across diverse urban and rural communities throughout the Bayou State. EGD with Biopsy patients typically pay between $85 and $634, with a median out-of-pocket cost of $274, depending on facility type and insurance coverage. With 954 active EGD with Biopsy providers across Louisiana's parishes, patients have multiple options for accessing care in both metropolitan areas and smaller communities.
Average
$331
Median
$274
Lowest
$85
Highest
$634
Providers
954
39% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Louisiana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $116 | $314 | $670 | 946 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $376 | $804 | 943 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $197 | $429 | $918 | 894 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $96 | $229 | $484 | 879 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $16 | $90 | 3,354 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $57 | $148 | $342 | 961 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $38 | $68 | $159 | 1,206 |
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 Louisiana
Louisiana's healthcare costs run approximately 1% above the national average, influenced by the state's unique geography spanning from the Mississippi Delta to rural parishes and the concentration of medical resources in New Orleans, Baton Rouge, and Shreveport. The state's decision not to expand Medicaid creates additional cost pressures on both patients and providers across Louisiana's diverse communities.
Urban vs. Rural Provider Availability
Louisiana's EGD with Biopsy providers are heavily concentrated in the New Orleans metro area and along the I-10 corridor, with significantly fewer options in rural parishes across northern and western Louisiana. Patients in areas like the Florida Parishes or Acadiana region may need to travel considerable distances for specialized gastroenterology care. This geographic disparity often forces rural patients toward urban facilities with higher overhead costs.
Facility Type and Overhead Costs
Major health systems like Ochsner Health and LCMC Health operate numerous hospital-based outpatient clinics throughout Louisiana that typically charge facility fees on top of physician services. Independent gastroenterology practices, more common in mid-sized cities like Lake Charles and Monroe, often offer more transparent pricing without additional facility charges. Academic medical centers like LSU Health Sciences Center and Tulane carry research and teaching costs that influence their pricing structures.
Insurance Market Competition in Louisiana
Blue Cross Blue Shield of Louisiana holds significant market share across the state, with UnitedHealthcare and Aetna providing additional options primarily in urban markets. This moderate level of insurer competition affects negotiated rates, with some rural parishes having limited insurer choices. The concentration of market power allows insurers to negotiate more aggressively with providers, though this doesn't always translate to lower patient costs.
Physician Supply and Demand in Louisiana
With 954 active EGD with Biopsy providers serving Louisiana's 4.6 million residents, the state maintains adequate specialist availability in urban areas but faces shortages in rural parishes. This supply concentration drives up wait times and costs in underserved regions, while urban markets like New Orleans maintain competitive pricing due to provider density. The ongoing physician shortage in rural Louisiana particularly affects access to specialized gastroenterology services.
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 Louisiana
What is the average cost of a EGD with Biopsy visit in Louisiana without insurance?
Does Louisiana Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Louisiana?
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 Louisiana?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Louisiana?
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 |
