Cost of a EGD with Biopsy Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's healthcare market operates approximately 5% below national cost averages, creating opportunities for patients seeking affordable specialist care. EGD with Biopsy patients typically pay between $130 and $712, with a median out-of-pocket cost of $467 based on negotiated insurance rates. With over 5,400 active providers across the state, Missouri offers extensive options for upper endoscopy services, allowing patients to browse all providers and compare costs before scheduling their procedure.
Average
$436
Median
$467
Lowest
$130
Highest
$712
Providers
5,404
19% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $174 | $444 | $634 | 5,324 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $188 | $534 | $815 | 5,395 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $239 | $600 | $853 | 5,306 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $115 | $411 | $535 | 5,368 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $16 | $24 | $358 | 6,421 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $79 | $222 | $449 | 5,452 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $46 | $101 | $165 | 5,390 |
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 Missouri
Missouri's healthcare costs run approximately 5% below national averages, reflecting the state's moderate cost of living and competitive insurance market. The state's mix of urban medical centers and rural providers creates distinct pricing tiers across different regions.
Urban vs. Rural Provider Availability
St. Louis and Kansas City metro areas concentrate most gastroenterology specialists, creating competitive pricing in urban markets. Rural Missouri counties often require patients to travel 50+ miles for EGD with Biopsy procedures, but may offer lower facility fees when providers are available. Mid-sized cities like Springfield and Columbia provide middle-ground options with reasonable access and pricing.
Facility Type and Overhead Costs
Large health systems like BJC HealthCare and Saint Luke's Health System operate hospital-based outpatient departments with higher overhead costs than independent practices. Free-standing endoscopy centers have gained popularity across Missouri, typically offering 20-30% lower costs than hospital facilities. Academic medical centers at Washington University and University of Missouri may charge premium rates but offer specialized expertise.
Insurance Market Competition in Missouri
Anthem Blue Cross Blue Shield holds the largest market share, followed by UHC and Cigna, creating moderate competition that benefits consumers. Rural areas often have limited insurer options, reducing negotiating power for lower rates. The state's decision not to expand Medicaid limits market competition in the individual insurance sector.
Physician Supply and Demand in Missouri
With over 5,400 active EGD with Biopsy providers, Missouri maintains adequate specialist supply in urban areas but faces shortages in rural regions. This geographic imbalance creates longer wait times and potentially higher costs in underserved areas. The state's medical schools help maintain steady physician supply, but recruitment to rural areas remains challenging.
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 Missouri
What is the average cost of a EGD with Biopsy visit in Missouri without insurance?
Does Missouri Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Missouri?
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 |