Cost of a Upper Endoscopy Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware's compact healthcare market, concentrated primarily around Wilmington and Dover with limited rural provider options, creates unique cost dynamics for Upper Endoscopy procedures. Patients typically pay between $109 and $701 for an Upper Endoscopy in Delaware, with a median negotiated rate of $271. With 77 active Upper Endoscopy providers serving the state's population, patients can browse all available providers to find the most cost-effective option for their needs.
Average
$361
Median
$271
Lowest
$109
Highest
$701
Providers
77
6% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $95 | $317 | $1,830 | 84 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $376 | $2,117 | 99 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $455 | $2,338 | 94 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $324 | $1,647 | 98 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $15 | $15 | $46 | 212 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $171 | $677 | 104 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $54 | $139 | $216 | 203 |
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 Delaware
Delaware's Upper Endoscopy costs run approximately 11% below the national average, reflecting the state's smaller healthcare market and concentrated provider networks. The state's unique position as a small, largely urbanized market with limited rural areas creates distinct cost pressures compared to larger states with more geographic diversity.
Urban vs. Rural Provider Availability
Delaware's population concentration around Wilmington and the I-95 corridor means most Upper Endoscopy providers are located in New Castle County, with fewer options in Kent and Sussex counties. This geographic clustering can lead to higher costs in underserved rural areas where patients may need to travel to urban centers for specialized care.
Facility Type and Overhead Costs
ChristianaCare's dominance in Delaware's healthcare market means many Upper Endoscopy procedures occur in hospital-based outpatient settings with higher overhead costs. Independent gastroenterology practices in Delaware often offer more competitive pricing but may have less comprehensive ancillary services.
Insurance Market Competition in Delaware
With Highmark, Aetna, and UHC controlling most of Delaware's commercial insurance market, the limited competition can affect negotiated rates for Upper Endoscopy procedures. This concentrated insurer market may result in less competitive pricing compared to states with more diverse insurance options.
Physician Supply and Demand in Delaware
Delaware's 77 active Upper Endoscopy providers serve a relatively small population, suggesting adequate specialist availability in urban areas. However, the concentration of providers in northern Delaware can create access challenges and potentially higher costs for residents of southern counties who face longer travel times.
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 Delaware
What is the average cost of a Upper Endoscopy visit in Delaware without insurance?
Does Delaware Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Delaware?
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 Delaware?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Delaware?
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 |