Cost of a EGD with Biopsy Visit
in Mississippi
Reviewed by Momentary Medical Group West PC
Mississippi ranks among the lowest states for healthcare spending per capita, yet EGD with Biopsy procedures remain essential for diagnosing digestive conditions affecting many residents. Patients typically pay between $113 and $621 for an EGD with Biopsy visit, with a median cost of $286 based on negotiated insurance rates. Mississippi has 1,314 active providers offering EGD with Biopsy services, giving patients options across the state's rural and urban areas.
Average
$340
Median
$286
Lowest
$114
Highest
$621
Providers
1,314
37% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Mississippi?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $151 | $273 | $719 | 1,309 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $162 | $349 | $850 | 1,310 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $209 | $368 | $963 | 1,304 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $101 | $229 | $544 | 1,295 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $13 | $16 | $58 | 1,380 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $57 | $141 | $377 | 1,318 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $38 | $80 | $189 | 1,314 |
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 Mississippi
Mississippi's healthcare costs run approximately 14% below the national average, reflecting lower provider overhead and regional economic factors. The state's predominantly rural geography creates significant disparities in both access and pricing for specialized services like EGD with Biopsy procedures.
Urban vs. Rural Provider Availability
The Jackson metropolitan area and Gulf Coast region have concentrated gastroenterology practices, while northern and eastern Mississippi counties often lack local specialists. Rural patients frequently travel 50+ miles for EGD with Biopsy services, with some providers offering satellite clinics in underserved areas. Limited rural competition can lead to higher prices despite lower overhead costs.
Facility Type and Overhead Costs
Independent ambulatory surgery centers typically offer lower EGD with Biopsy costs than hospital outpatient departments due to reduced administrative overhead. Major health systems like University of Mississippi Medical Center and Merit Health dominate urban markets, while rural hospitals often partner with visiting gastroenterologists. Facility fees vary significantly between hospital-owned and physician-owned endoscopy centers.
Insurance Market Competition in Mississippi
Blue Cross Blue Shield of Mississippi holds the largest market share, followed by UnitedHealthcare and Magnolia Health Plan serving Medicaid managed care. Limited insurer competition reduces pressure on negotiated rates, contributing to price stability but fewer discount opportunities. Rural areas often have only one or two insurance options, limiting patient leverage in cost negotiations.
Physician Supply and Demand in Mississippi
Mississippi has 1,314 providers offering EGD with Biopsy services, indicating adequate supply in urban areas but shortages in rural regions. The state's physician-to-population ratio for gastroenterology falls below the national average, creating longer wait times that may drive patients to higher-cost emergency alternatives. Limited competition among specialists can maintain higher pricing in markets with few providers.
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 Mississippi
What is the average cost of a EGD with Biopsy visit in Mississippi without insurance?
Does Mississippi Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Mississippi?
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 Mississippi?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Mississippi?
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 |