Cost of a Upper Endoscopy Visit
in Colorado
Reviewed by Momentary Medical Group West PC
Colorado's robust ambulatory surgery center network, particularly concentrated around Denver's metro area, creates competitive pricing for Upper Endoscopy procedures throughout the state. Patients typically pay between $117 and $627 for an Upper Endoscopy, with a median negotiated rate of $243 based on insurer agreements with Colorado's 1,345 active Upper Endoscopy providers. Colorado patients benefit from strong provider availability across both urban centers and mountain communities, allowing them to browse all Upper Endoscopy providers statewide for the most cost-effective options.
Average
$329
Median
$243
Lowest
$117
Highest
$627
Providers
1,345
14% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Colorado?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $309 | $760 | 1,571 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $344 | $969 | 1,596 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $85 | $467 | $1,282 | 1,413 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $236 | $829 | 1,652 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $16 | $26 | $85 | 1,878 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $77 | $169 | $428 | 1,528 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $104 | $275 | 1,580 |
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 Colorado
Colorado's Upper Endoscopy costs run approximately 7% above national averages, reflecting the state's growing population and increased healthcare utilization across diverse geographic regions. The state's unique mix of urban medical centers, mountain resort communities, and rural agricultural areas creates distinct cost pressures in different markets.
Urban vs. Rural Provider Availability
Denver's Front Range corridor contains the majority of Colorado's gastroenterology specialists, creating higher competition and more competitive pricing than rural areas like the Eastern Plains or Western Slope. Mountain communities such as Aspen and Vail face higher overhead costs due to real estate prices and staffing challenges, often resulting in premium pricing for Upper Endoscopy services.
Facility Type and Overhead Costs
Colorado's major health systems including Presbyterian/St. Joseph, UCHealth, and SCL Health operate hospital-based outpatient centers with higher facility fees than independent ambulatory surgery centers. The state's numerous independent gastroenterology practices and ASCs, particularly in the Denver metro area, often provide more cost-effective Upper Endoscopy options.
Insurance Market Competition in Colorado
Colorado benefits from robust insurer competition with UnitedHealthCare, Anthem Blue Cross Blue Shield, and Kaiser Permanente maintaining strong market presence alongside regional players. This competitive environment results in aggressive network contracting and negotiated rates that help keep Upper Endoscopy costs more manageable for Colorado patients.
Physician Supply and Demand in Colorado
With 1,345 active Upper Endoscopy providers serving Colorado's 5.8 million residents, the state maintains adequate gastroenterology capacity in most urban areas. This healthy provider supply helps stabilize pricing and reduces wait times for non-urgent Upper Endoscopy procedures, though some rural regions still experience access challenges.
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 Colorado
What is the average cost of a Upper Endoscopy visit in Colorado without insurance?
Does Colorado Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Colorado?
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 Colorado?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Colorado?
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 |