Cost of a Upper Endoscopy Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's island geography creates unique healthcare delivery challenges, with limited specialist availability across six inhabited islands. Upper Endoscopy procedures in Hawaii typically cost between $81.75 and $635.97 based on negotiated insurance rates, with a median cost of $276.04. The state's 52 active Upper Endoscopy providers serve residents across multiple islands, though most specialists concentrate in Honolulu and surrounding areas.
Average
$331
Median
$276
Lowest
$82
Highest
$636
Providers
52
14% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $312 | $757 | 64 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $351 | $969 | 87 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $453 | $1,785 | 67 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $250 | $903 | 92 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $25 | $85 | 162 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $75 | $153 | $438 | 97 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $54 | $126 | $230 | 111 |
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 Hawaii
Healthcare costs in Hawaii run approximately 16% above national averages, driven by the state's isolated geography, high cost of living, and limited specialist competition across six inhabited islands. The island healthcare market creates unique cost pressures, with medical equipment and supplies requiring expensive shipping while provider recruitment faces geographic and lifestyle barriers.
Urban vs. Rural Provider Availability
Oahu concentrates most of Hawaii's Upper Endoscopy specialists, while neighbor islands like Kauai, Molokai, and Lanai have minimal or no local gastroenterology services, forcing residents to travel for care. This geographic disparity creates higher total costs for outer island residents who must factor in inter-island travel, accommodation, and time away from work. Maui and the Big Island maintain some specialist coverage but still rely on Oahu for complex procedures.
Facility Type and Overhead Costs
Hospital-based endoscopy suites dominate Hawaii's market through systems like Queen's Health System, Kaiser Permanente, and Hawaii Pacific Health, commanding premium pricing due to limited competition. Independent gastroenterology practices are relatively rare compared to mainland markets, reducing cost competition and patient choice. Facility overhead costs are elevated by Hawaii's high real estate prices, imported medical supplies, and specialized staff recruitment challenges.
Insurance Market Competition in Hawaii
Hawaii's insurance landscape is controlled by three major players - HMSA, UnitedHealthcare, and Kaiser Permanente - creating moderate competition but less choice than larger mainland markets. HMSA's dominant market position as the local Blue Cross affiliate gives it significant negotiating power with providers. Kaiser's integrated model offers different cost structures but limits patients to Kaiser's own specialist network.
Physician Supply and Demand in Hawaii
With 52 active Upper Endoscopy providers serving Hawaii's 1.4 million residents, specialist supply is adequate in urban Honolulu but sparse across neighbor islands. This geographic maldistribution creates pricing power for providers in underserved areas while maintaining competitive pressure in Oahu's urban core. Recruitment challenges due to Hawaii's isolation and high living costs can limit new specialist entry, supporting higher reimbursement rates.
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 Hawaii
What is the average cost of a Upper Endoscopy visit in Hawaii without insurance?
Does Hawaii Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Hawaii?
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 Hawaii?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Hawaii?
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 |