Cost of a EGD with Biopsy Visit
in Oklahoma
Reviewed by Momentary Medical Group West PC
Oklahoma's healthcare market reflects approximately 8% lower costs than national averages, benefiting patients seeking specialized gastrointestinal care. EGD with Biopsy procedures in Oklahoma typically range from $85 to $569, with a median cost of $137 based on negotiated insurance rates from 1,728 active providers statewide. Oklahoma residents have access to numerous qualified specialists across both metropolitan areas like Oklahoma City and Tulsa, as well as rural communities served by regional medical centers.
Average
$264
Median
$137
Lowest
$85
Highest
$569
Providers
1,728
51% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Oklahoma?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $218 | $606 | 1,764 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $85 | $582 | 1,720 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $85 | $85 | $646 | 1,687 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $85 | $184 | $521 | 1,316 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $29 | $85 | 1,843 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $116 | $356 | 2,130 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $42 | $87 | $175 | 1,732 |
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 Oklahoma
Oklahoma's healthcare costs run approximately 8% below national averages, reflecting the state's lower cost of living and competitive provider market across major metropolitan areas. The state's geographic spread between urban centers like Oklahoma City and Tulsa and rural agricultural communities creates distinct cost and access patterns for specialized procedures like EGD with Biopsy.
Urban vs. Rural Provider Availability
Oklahoma City and Tulsa concentrate the majority of gastroenterology specialists, with rural areas like the Panhandle and southeastern counties often requiring patients to travel 50+ miles for endoscopic procedures. This geographic reality creates higher effective costs for rural patients due to travel expenses, while urban areas benefit from competitive pricing among multiple providers and facilities.
Facility Type and Overhead Costs
Hospital systems like Integris, OUHSC, and Saint Francis dominate Oklahoma's specialty care landscape, operating outpatient endoscopy centers with higher facility fees than independent practices. Ambulatory surgery centers throughout Oklahoma often provide cost-effective alternatives for routine EGD procedures, particularly for patients with high-deductible insurance plans where facility fees significantly impact out-of-pocket expenses.
Insurance Market Competition in Oklahoma
BCBS Oklahoma maintains the largest market share followed by UnitedHealthcare and CommunityCare, creating moderate competition that keeps negotiated rates reasonable compared to states with single-payer dominance. The relatively limited number of major insurers means providers often accept multiple plans, giving Oklahoma patients more in-network options than states with highly fragmented insurance markets.
Physician Supply and Demand in Oklahoma
With 1,728 providers offering EGD with Biopsy services, Oklahoma maintains adequate specialist availability relative to population, though distribution favors metropolitan areas over rural regions. This supply level supports competitive pricing in urban markets while potentially creating access challenges and higher costs in underserved rural counties where patients have fewer provider options.
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 Oklahoma
What is the average cost of a EGD with Biopsy visit in Oklahoma without insurance?
Does Oklahoma Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Oklahoma?
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 Oklahoma?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Oklahoma?
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 |