Cost of a EGD with Biopsy Visit
in North Dakota
Reviewed by Momentary Medical Group West PC
North Dakota's rural healthcare landscape creates unique cost patterns for specialized procedures, with EGD with Biopsy services concentrated primarily in urban centers like Fargo and Bismarck. Patients typically pay between $181 and $2,396 for an EGD with Biopsy procedure, with a median cost of $2,396 based on negotiated insurance rates. With 470 active providers offering EGD with Biopsy services across North Dakota, patients have options to browse all providers in the state to find the most affordable care.
Average
$1,658
Median
$2,396
Lowest
$181
Highest
$2,396
Providers
470
208% above national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in North Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $165 | $2,255 | $2,255 | 473 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $434 | $1,268 | 55 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $515 | $2,334 | 52 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $118 | $348 | $853 | 42 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $26 | $26 | $26 | 253 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $75 | $183 | $619 | 67 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $68 | $68 | $157 | 236 |
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 North Dakota
North Dakota's healthcare costs run approximately 4% above the national average, influenced by the state's rural geography and limited provider competition. The oil boom regions have created unique healthcare demand patterns, affecting both access and pricing for specialized services like gastroenterology.
Urban vs. Rural Provider Availability
Fargo and Bismarck concentrate most of North Dakota's gastroenterology specialists, while rural counties often require patients to travel significant distances for EGD with Biopsy procedures. This geographic disparity creates higher effective costs for rural patients when factoring in travel and time off work. Some rural hospitals partner with urban specialists to provide rotating clinic services.
Facility Type and Overhead Costs
Sanford Health and Essentia Health operate the largest hospital systems in North Dakota, with their facility fees typically exceeding independent gastroenterology centers. Hospital-based outpatient departments charge facility fees that can double the total cost compared to ambulatory surgery centers. Independent practices often offer more competitive pricing but may have limited hours or services.
Insurance Market Competition in North Dakota
The dominance of BCBS ND, Sanford Health Plan, and UHC creates limited insurer competition, potentially leading to higher negotiated rates for specialized procedures. Sanford Health Plan's vertical integration with Sanford Health facilities can create preferential pricing within their network. Rural areas may have even fewer insurer options, further limiting cost competition.
Physician Supply and Demand in North Dakota
With 470 providers offering EGD with Biopsy services statewide, North Dakota has reasonable specialist availability relative to its population size. However, many of these providers are concentrated in urban areas, creating supply shortages in rural regions. Wait times for non-urgent procedures can be several weeks, particularly for patients preferring specific facilities or specialists.
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 North Dakota
What is the average cost of a EGD with Biopsy visit in North Dakota without insurance?
Does North Dakota Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in North Dakota?
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 North Dakota?
How does telemedicine affect the cost of seeing a EGD with Biopsy in North Dakota?
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 |