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Louisiana

Cost of a Upper Endoscopy Visit
in Louisiana

Reviewed by Momentary Medical Group West PC

Louisiana's healthcare system serves a predominantly rural population, with over 60% of residents living outside metropolitan areas, creating unique access challenges for specialized procedures like Upper Endoscopy. Patients in Louisiana typically pay between $96 and $484 for an upper endoscopy procedure, with a median out-of-pocket cost of $229 based on negotiated insurance rates. With 879 active Upper Endoscopy providers across the state, patients can browse all available specialists throughout Louisiana's parishes to find quality care that fits their budget.

Average

$270

Median

$229

Lowest

$96

Highest

$484

Providers

879

National avg: $383Louisiana: $270

30% below national average

Compare Similar Procedures

How does upper endoscopy (egd) compare to related procedures in Louisiana?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$116$314$670946
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$376$804943
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$197$429$918894
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$274$634954
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$16$903,354
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$57$148$342961
OB Ultrasound

Obstetric ultrasound, complete

76805$38$68$1591,206

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 43235EGD, 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 Louisiana

Upper Endoscopy costs in Louisiana run approximately 24% below the national average, reflecting the state's lower overall healthcare costs and physician fees. The state's predominantly rural geography creates significant disparities in specialist access, with most gastroenterologists concentrated in the New Orleans, Baton Rouge, and Shreveport metropolitan areas.

Urban vs. Rural Provider Availability

Louisiana's 64 parishes include vast rural areas where patients may travel over 100 miles to reach the nearest gastroenterologist, particularly in the northern and southwestern regions. Metro areas like New Orleans and Baton Rouge offer multiple endoscopy options and competitive pricing, while rural parishes often have limited choices and higher costs due to transportation and facility overhead. This geographic divide forces many rural Louisiana residents to seek Upper Endoscopy procedures in larger cities, adding travel costs to their healthcare expenses.

Facility Type and Overhead Costs

Louisiana's healthcare landscape includes major systems like Ochsner Health, Our Lady of the Lake, and LCMC Health, which operate both hospital-based and freestanding endoscopy facilities. Hospital outpatient departments typically charge higher facility fees due to regulatory requirements and overhead costs, while independent ambulatory surgery centers often provide more competitive pricing. The state's relatively low real estate and labor costs help keep facility fees lower than many other regions.

Insurance Market Competition in Louisiana

Blue Cross Blue Shield of Louisiana maintains the largest market share, followed by UnitedHealthcare and Aetna, creating moderate insurer competition that affects negotiated rates with gastroenterology practices. The state's insurance market is less concentrated than many others, providing some leverage for providers in rate negotiations. However, the lack of Medicaid expansion limits the patient volume that helps support competitive pricing at many facilities.

Physician Supply and Demand in Louisiana

With 879 active Upper Endoscopy providers serving a population of 4.6 million, Louisiana maintains adequate specialist availability in urban areas but faces shortages in rural parishes. This distribution creates a two-tier market where urban competition helps moderate costs while rural scarcity can drive up pricing and extend wait times. The state's medical schools and residency programs help maintain physician supply, though many graduates leave for higher-paying markets in other states.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Upper Endoscopy Costs in Louisiana

What is the average cost of a Upper Endoscopy visit in Louisiana without insurance?

Without insurance, Upper Endoscopy procedures in Louisiana range from $96 to $484, with a median cost of $229 based on negotiated insurance rates. Self-pay patients often receive discounts of 30-50% when paying upfront, making the actual out-of-pocket cost potentially lower than these rates. Many facilities offer payment plans to help uninsured patients manage these costs over time.

Does Louisiana Medicaid cover Upper Endoscopy visits?

Louisiana Medicaid covers medically necessary Upper Endoscopy procedures for eligible beneficiaries, though the state did not expand Medicaid so many low-income adults remain ineligible. Coverage requires the procedure to be performed by a Medicaid-enrolled gastroenterologist and may require prior authorization depending on the clinical indication. Traditional Medicaid eligibility in Louisiana is limited to specific categories like pregnant women, children, elderly, and disabled individuals.

How do I find an affordable Upper Endoscopy near me in Louisiana?

Compare costs between hospital outpatient departments and independent ambulatory surgery centers, as the latter often charge significantly less for the same procedure. Ask about self-pay discounts if you're uninsured or have a high-deductible plan, and consider traveling to areas outside major metropolitan centers where overhead costs may be lower. Community health centers and federally qualified health centers throughout Louisiana may offer sliding-scale fees based on income.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial gastroenterology consultations typically cost more than follow-up visits due to the comprehensive evaluation required for new patients. While specific consultation costs aren't detailed in our current data, the actual Upper Endoscopy procedure ranges from $96 to $484 in Louisiana. Follow-up visits after the procedure are usually brief and focus on results discussion, making them less expensive than the initial comprehensive consultation.

Can I use an HSA or FSA to pay for a Upper Endoscopy visit in Louisiana?

Yes, Upper Endoscopy procedures are qualified medical expenses eligible for Health Savings Account (HSA) and Flexible Spending Account (FSA) reimbursement in Louisiana. You can use these tax-advantaged accounts to pay for both the procedure itself and related costs like consultation visits and pathology fees. Keep all receipts and documentation for reimbursement, as these accounts may require proof that the procedure was medically necessary.

How does telemedicine affect the cost of seeing a Upper Endoscopy in Louisiana?

While the Upper Endoscopy procedure itself must be performed in person, many gastroenterologists in Louisiana offer telemedicine consultations for initial evaluations and follow-up care. These virtual visits typically cost less than in-person consultations and can help determine if an endoscopic procedure is necessary. Louisiana expanded telehealth coverage during the pandemic, and many insurers continue to cover virtual gastroenterology consultations at the same rate as office visits.

Click a state to compare costs

Average Visit Cost

$195
$1,697

Office visit (CPT 43235)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $130$4,430
$1,697
2Massachusetts
Range: $159$1,259
$625
3New Hampshire
Range: $288$813
$547
4Maine
Range: $333$583
$493
5Nebraska
Range: $176$691
$487
6Iowa
Range: $135$691
$473
7North Dakota
Range: $118$853
$440
8Wyoming
Range: $161$864
$438
9Georgia
Range: $119$830
$433
10North Carolina
Range: $120$853
$424
11West Virginia
Range: $93$889
$419
12Vermont
Range: $211$673
$415
13Minnesota
Range: $117$695
$408
14Washington
Range: $152$759
$408
15Rhode Island
Range: $109$718
$406
16Utah
Range: $98$627
$405
17New York
Range: $159$771
$401
18New Mexico
Range: $141$724
$391
19District of Columbia
Range: $115$701
$387
20Alaska
Range: $105$759
$380
21Connecticut
Range: $118$683
$367
22Indiana
Range: $90$691
$361
23Delaware
Range: $109$701
$361
24Pennsylvania
Range: $90$715
$360
25South Dakota
Range: $103$691
$356
26Missouri
Range: $115$535
$354
27New Jersey
Range: $74$758
$354
28Oregon
Range: $85$691
$346
29Maryland
Range: $109$666
$337
30Hawaii
Range: $82$636
$331
31Colorado
Range: $117$627
$329
32Kentucky
Range: $106$631
$328
33Michigan
Range: $121$572
$322
34Idaho
Range: $86$623
$316
35Illinois
Range: $118$534
$314
36South Carolina
Range: $109$564
$305
37Montana
Range: $90$581
$301
38Arkansas
Range: $90$535
$299
39Nevada
Range: $197$467
$297
40Virginia
Range: $95$551
$291
41Mississippi
Range: $101$544
$291
42Alabama
Range: $98$500
$279
43Texas
Range: $90$508
$276
44Louisiana
Range: $96$484
$270
45Tennessee
Range: $101$473
$266
46Oklahoma
Range: $85$521
$263
47Kansas
Range: $115$411
$262
48California
Range: $80$598
$254
49Ohio
Range: $77$474
$249
50Arizona
Range: $71$455
$233
51Florida
Range: $35$496
$195
Upper Endoscopy (EGD) in Other States