Cost of a EGD with Biopsy Visit
in New Hampshire
Reviewed by Momentary Medical Group West PC
New Hampshire's healthcare costs run approximately 11% above the national average, reflecting the state's mix of rural access challenges and concentrated urban markets. For an EGD with Biopsy in New Hampshire, patients typically pay between $341 and $1,085, with a median cost of $720 based on negotiated insurance rates. The state maintains over 3,600 active providers performing this procedure, giving patients multiple options when browsing all EGD with Biopsy specialists throughout New Hampshire.
Average
$715
Median
$720
Lowest
$341
Highest
$1,085
Providers
3,694
33% above national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in New Hampshire?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $204 | $553 | $956 | 3,681 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $433 | $819 | $1,234 | 3,682 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $457 | $855 | $1,285 | 3,676 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $288 | $541 | $813 | 3,661 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $17 | $31 | $60 | 3,706 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $78 | $247 | $519 | 3,695 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $57 | $129 | $317 | 3,685 |
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 New Hampshire
New Hampshire's healthcare costs run about 11% above the national average, driven by the state's small population spread across both rural areas and concentrated urban centers like Manchester and Nashua. The state's proximity to high-cost Massachusetts markets also influences pricing, as many specialists practice across state lines.
Urban vs. Rural Provider Availability
Most EGD with Biopsy specialists concentrate in the Manchester-Nashua metropolitan area and around Dartmouth-Hitchcock Medical Center in Lebanon, leaving rural counties with limited local access. Patients in the North Country or western regions often travel significant distances for specialized gastroenterology care. This geographic disparity creates higher effective costs for rural patients when factoring in travel time and expenses.
Facility Type and Overhead Costs
Dartmouth-Hitchcock, Catholic Medical Center, and Elliot Health System operate many hospital-based gastroenterology practices throughout New Hampshire, typically charging higher facility fees than independent practices. Academic medical centers like those affiliated with Dartmouth tend to have the highest overhead costs. Independent gastroenterology groups, particularly in the Seacoast region, often offer more competitive pricing structures.
Insurance Market Competition in New Hampshire
The state's insurance market centers around three main players: Anthem Blue Cross Blue Shield, Harvard Pilgrim Health Care, and Cigna, creating moderate competition that helps control some cost increases. This relatively concentrated market means that negotiated rates for EGD with Biopsy procedures tend to be fairly standardized across the state. Smaller regional insurers and self-funded employer plans may negotiate different rates with local providers.
Physician Supply and Demand in New Hampshire
With over 3,600 active providers performing EGD with Biopsy procedures, New Hampshire maintains adequate gastroenterology capacity relative to its population of 1.4 million residents. This healthy provider-to-population ratio helps keep wait times reasonable and provides patients with multiple options for care. The concentration of specialists around major medical centers, however, can create scheduling bottlenecks in certain geographic areas during peak demand periods.
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 New Hampshire
What is the average cost of a EGD with Biopsy visit in New Hampshire without insurance?
Does New Hampshire Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in New Hampshire?
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 New Hampshire?
How does telemedicine affect the cost of seeing a EGD with Biopsy in New Hampshire?
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 |