Cost of a Upper Endoscopy Visit
in Arkansas
Reviewed by Momentary Medical Group West PC
Arkansas maintains one of the most rural healthcare delivery systems in the nation, with 75% of counties designated as medically underserved areas. Patients seeking Upper Endoscopy procedures typically pay between $90 and $535, with a median out-of-pocket cost of $272 based on negotiated insurance rates. The state currently has 119 active Upper Endoscopy providers serving patients across urban centers like Little Rock and remote delta communities, allowing residents to browse all providers statewide through cost comparison platforms.
Average
$299
Median
$272
Lowest
$90
Highest
$535
Providers
119
22% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Arkansas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $316 | $634 | 131 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $349 | $815 | 134 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $85 | $455 | $853 | 116 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $286 | $712 | 140 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $23 | $358 | 223 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $72 | $163 | $369 | 159 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $49 | $96 | $188 | 131 |
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 43235 — EGD, diagnostic). 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 43235 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 43235 (EGD, diagnostic), as mandated by the CMS Price Transparency Rule.
What CPT 43235 covers: the provider's professional fee for upper endoscopy (egd). 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 Upper Endoscopy Visit Costs Vary Across Arkansas
Arkansas maintains healthcare costs approximately 12% below national averages, reflecting the state's lower cost of living and rural provider economics. The state's challenging geography creates significant access disparities between the Little Rock metropolitan area and isolated communities in the Arkansas Delta and Ozark Mountains.
Urban vs. Rural Provider Availability
Little Rock and Northwest Arkansas concentrate most gastroenterology specialists, while rural counties often lack any local endoscopy services within 50 miles. Patients in eastern Arkansas frequently travel to Memphis or Little Rock for Upper Endoscopy procedures, adding transportation costs to medical expenses. This urban concentration allows metropolitan providers to maintain higher volumes but may limit price competition in underserved rural markets.
Facility Type and Overhead Costs
Hospital-owned outpatient centers typically charge higher facility fees than independent endoscopy centers, reflecting different overhead structures and billing practices. Major health systems like CHI St. Vincent and Baptist Health operate most hospital-based gastroenterology services, while independent practices often offer more competitive cash-pay pricing. Ambulatory surgery centers specializing in endoscopy procedures may offer the most cost-effective option for routine screening procedures.
Insurance Market Competition in Arkansas
BCBS Arkansas dominates the individual and small group markets, limiting insurer competition that typically drives down negotiated rates in other states. The concentrated market gives the dominant insurer significant leverage in rate negotiations with providers, potentially benefiting consumers through lower premiums but limiting choice. Limited marketplace competition means fewer plan options and less pressure on insurers to offer broad specialist networks.
Physician Supply and Demand in Arkansas
With 119 active Upper Endoscopy providers serving the entire state, Arkansas maintains adequate specialist coverage in urban areas but significant gaps in rural regions. This supply distribution creates longer wait times and higher costs in underserved areas, while metropolitan markets may offer more competitive pricing. The concentration of specialists in Little Rock and Northwest Arkansas reflects broader healthcare workforce challenges in rural America.
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 — Upper Endoscopy Costs in Arkansas
What is the average cost of a Upper Endoscopy visit in Arkansas without insurance?
Does Arkansas Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Arkansas?
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 Upper Endoscopy visit in Arkansas?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Arkansas?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 43235)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $130 – $4,430 | $1,697 |
| 2 | Massachusetts Range: $159 – $1,259 | $625 |
| 3 | New Hampshire Range: $288 – $813 | $547 |
| 4 | Maine Range: $333 – $583 | $493 |
| 5 | Nebraska Range: $176 – $691 | $487 |
| 6 | Iowa Range: $135 – $691 | $473 |
| 7 | North Dakota Range: $118 – $853 | $440 |
| 8 | Wyoming Range: $161 – $864 | $438 |
| 9 | Georgia Range: $119 – $830 | $433 |
| 10 | North Carolina Range: $120 – $853 | $424 |
| 11 | West Virginia Range: $93 – $889 | $419 |
| 12 | Vermont Range: $211 – $673 | $415 |
| 13 | Minnesota Range: $117 – $695 | $408 |
| 14 | Washington Range: $152 – $759 | $408 |
| 15 | Rhode Island Range: $109 – $718 | $406 |
| 16 | Utah Range: $98 – $627 | $405 |
| 17 | New York Range: $159 – $771 | $401 |
| 18 | New Mexico Range: $141 – $724 | $391 |
| 19 | District of Columbia Range: $115 – $701 | $387 |
| 20 | Alaska Range: $105 – $759 | $380 |
| 21 | Connecticut Range: $118 – $683 | $367 |
| 22 | Indiana Range: $90 – $691 | $361 |
| 23 | Delaware Range: $109 – $701 | $361 |
| 24 | Pennsylvania Range: $90 – $715 | $360 |
| 25 | South Dakota Range: $103 – $691 | $356 |
| 26 | Missouri Range: $115 – $535 | $354 |
| 27 | New Jersey Range: $74 – $758 | $354 |
| 28 | Oregon Range: $85 – $691 | $346 |
| 29 | Maryland Range: $109 – $666 | $337 |
| 30 | Hawaii Range: $82 – $636 | $331 |
| 31 | Colorado Range: $117 – $627 | $329 |
| 32 | Kentucky Range: $106 – $631 | $328 |
| 33 | Michigan Range: $121 – $572 | $322 |
| 34 | Idaho Range: $86 – $623 | $316 |
| 35 | Illinois Range: $118 – $534 | $314 |
| 36 | South Carolina Range: $109 – $564 | $305 |
| 37 | Montana Range: $90 – $581 | $301 |
| 38 | Arkansas Range: $90 – $535 | $299 |
| 39 | Nevada Range: $197 – $467 | $297 |
| 40 | Virginia Range: $95 – $551 | $291 |
| 41 | Mississippi Range: $101 – $544 | $291 |
| 42 | Alabama Range: $98 – $500 | $279 |
| 43 | Texas Range: $90 – $508 | $276 |
| 44 | Louisiana Range: $96 – $484 | $270 |
| 45 | Tennessee Range: $101 – $473 | $266 |
| 46 | Oklahoma Range: $85 – $521 | $263 |
| 47 | Kansas Range: $115 – $411 | $262 |
| 48 | California Range: $80 – $598 | $254 |
| 49 | Ohio Range: $77 – $474 | $249 |
| 50 | Arizona Range: $71 – $455 | $233 |
| 51 | Florida Range: $35 – $496 | $195 |