Cost of a EGD with Biopsy Visit
in Oregon
Reviewed by Momentary Medical Group West PC
Oregon's healthcare costs run approximately 9% above national averages, though EGD with Biopsy procedures show competitive pricing across the state's diverse provider network. Patients typically pay between $80 and $1,352 for an EGD with Biopsy visit, with a median out-of-pocket cost of $227 based on negotiated insurance rates. Oregon maintains 416 active EGD with Biopsy providers spanning from Portland's major medical centers to rural community hospitals, giving patients multiple options for accessing care throughout the state.
Average
$553
Median
$227
Lowest
$80
Highest
$1,352
Providers
416
3% above national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Oregon?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $80 | $309 | $836 | 348 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $308 | $1,070 | 397 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $453 | $3,638 | 355 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $85 | $261 | $691 | 250 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $85 | 1,029 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $79 | $158 | $568 | 400 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $68 | $68 | $236 | 738 |
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 Oregon
Oregon's healthcare costs run about 9% above national averages, driven by the state's growing population, high cost of living in metro areas, and geographic challenges in serving rural communities. The state's mix of urban medical centers and critical access hospitals creates pricing variations that reflect both market competition and operational realities.
Urban vs. Rural Provider Availability
Portland and Eugene offer multiple gastroenterology options with competitive pricing, while eastern Oregon counties may have limited specialist access requiring travel to regional medical centers. Rural areas often see higher per-procedure costs due to lower patient volumes and higher facility overhead, though some critical access hospitals offer sliding scale pricing for local residents.
Facility Type and Overhead Costs
Oregon Health & Science University, Legacy Health, and Providence Health dominate the hospital market, with their facility fees typically exceeding independent ambulatory surgery centers for EGD with Biopsy procedures. Standalone endoscopy centers have grown throughout the Portland metro area, offering competitive pricing and often shorter wait times than hospital-based facilities.
Insurance Market Competition in Oregon
Oregon maintains moderate insurer competition with Regence BCBS holding significant market share alongside PacificSource and UnitedHealthcare, creating negotiated rate variations across different plans. The state's insurance exchange provides additional options, though rural counties may have fewer plan choices, potentially affecting EGD with Biopsy coverage and provider network access.
Physician Supply and Demand in Oregon
With 416 active EGD with Biopsy providers serving Oregon's 4.2 million residents, the state maintains adequate specialist coverage in urban areas but faces shortages in rural regions. This supply-demand imbalance can create longer wait times and higher costs in underserved areas, while urban markets see more competitive pricing and scheduling flexibility.
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 Oregon
What is the average cost of a EGD with Biopsy visit in Oregon without insurance?
Does Oregon Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Oregon?
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 Oregon?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Oregon?
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 |