Cost of a Upper Endoscopy Visit
in Kansas
Reviewed by Momentary Medical Group West PC
Kansas operates one of the most cost-effective healthcare markets in the Midwest, with Upper Endoscopy procedures running approximately 14% below national averages. Patients typically pay between $115 and $411 for an Upper Endoscopy, with a median out-of-pocket cost of $259, depending on facility type and insurance coverage. With over 1,700 active Upper Endoscopy providers across the state, patients can browse all qualified gastroenterologists and endoscopy specialists throughout Kansas.
Average
$262
Median
$259
Lowest
$115
Highest
$411
Providers
1,732
32% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Kansas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $174 | $289 | $530 | 1,761 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $188 | $328 | $646 | 1,759 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $239 | $401 | $713 | 1,716 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $130 | $345 | $526 | 1,766 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $21 | $53 | 1,967 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $71 | $169 | $316 | 1,767 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $48 | $94 | $165 | 1,874 |
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 Kansas
Kansas healthcare costs run approximately 7% below the national average, reflecting the state's lower cost of living and reduced physician overhead compared to coastal markets. The state's agricultural economy and smaller metropolitan areas contribute to more affordable facility costs, though specialist availability becomes limited in rural counties.
Urban vs. Rural Provider Availability
The Kansas City and Wichita metropolitan areas concentrate most gastroenterology specialists, while rural counties often require patients to travel 50+ miles for Upper Endoscopy procedures. This geographic disparity creates cost variations, with urban facilities typically charging higher fees but offering more scheduling flexibility and subspecialty expertise.
Facility Type and Overhead Costs
Hospital-owned endoscopy centers in Kansas generally charge facility fees 30-50% higher than independent ambulatory surgery centers, reflecting different overhead structures and billing practices. Major health systems like The University of Kansas Health System and Ascension Via Christi often bundle facility and professional fees differently than smaller practice groups.
Insurance Market Competition in Kansas
Blue Cross Blue Shield of Kansas holds significant market share, followed by UnitedHealthcare and Aetna, creating moderate competition that helps keep negotiated rates reasonable. The relatively concentrated market means most providers accept the major plans, though negotiated rates can vary substantially between insurers for the same procedure.
Physician Supply and Demand in Kansas
With over 1,700 active Upper Endoscopy providers statewide, Kansas maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply-demand imbalance means rural patients may face longer wait times but potentially lower costs when traveling to urban centers for procedures.
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 Kansas
What is the average cost of a Upper Endoscopy visit in Kansas without insurance?
Does Kansas Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Kansas?
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 Kansas?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Kansas?
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 |