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
30% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Louisiana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $116 | $314 | $670 | 946 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $376 | $804 | 943 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $197 | $429 | $918 | 894 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $274 | $634 | 954 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $16 | $90 | 3,354 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $57 | $148 | $342 | 961 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $38 | $68 | $159 | 1,206 |
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 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 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.
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 Louisiana
What is the average cost of a Upper Endoscopy visit in Louisiana without insurance?
Does Louisiana Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Louisiana?
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 Louisiana?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Louisiana?
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 |
