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Mississippi

Cost of a Upper Endoscopy Visit
in Mississippi

Reviewed by Momentary Medical Group West PC

Mississippi faces significant gastrointestinal health challenges, with higher rates of digestive cancers and stomach conditions compared to national averages, making Upper Endoscopy procedures particularly important for early detection and treatment. Patients typically pay between $100.64 and $544.40 for an Upper Endoscopy visit, with a median out-of-pocket cost of $228.82 based on negotiated insurance rates across the state's 1,295 active providers. Mississippi residents can browse all available Upper Endoscopy providers to find the most cost-effective option for their diagnostic or therapeutic needs.

Average

$291

Median

$229

Lowest

$101

Highest

$544

Providers

1,295

National avg: $383Mississippi: $291

24% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$151$273$7191,309
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$162$349$8501,310
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$209$368$9631,304
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$114$286$6211,314
ECG / EKG

12-lead electrocardiogram with interpretation

93000$13$16$581,380
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$57$141$3771,318
OB Ultrasound

Obstetric ultrasound, complete

76805$38$80$1891,314

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 Mississippi

Mississippi's Upper Endoscopy costs run approximately 24% below national averages, reflecting the state's lower overall healthcare costs and limited urban healthcare markets. The state's heavily rural geography creates significant access challenges, with most gastroenterology specialists concentrated in Jackson, Tupelo, and the Gulf Coast region.

Urban vs. Rural Provider Availability

Mississippi's 82 counties include vast rural areas where patients may drive hours to reach the nearest Upper Endoscopy provider. Jackson and the surrounding metro area contain the highest concentration of gastroenterology practices, while the Mississippi Delta region faces severe specialist shortages. This geographic disparity often forces rural patients to pay higher travel costs even when procedure fees are lower.

Facility Type and Overhead Costs

Hospital-based endoscopy centers at major systems like University of Mississippi Medical Center typically charge higher facility fees but offer more comprehensive services. Independent ambulatory surgery centers, particularly around Jackson and Tupelo, often provide more competitive pricing for routine procedures. Community hospitals in smaller cities may offer limited endoscopy services with longer wait times but lower overall costs.

Insurance Market Competition in Mississippi

BCBS Mississippi holds the largest market share, followed by UHC and Magnolia, creating limited insurer competition that affects negotiated rates. This concentrated market means fewer network options for patients and potentially higher costs due to reduced competitive pressure. Rural areas often have even fewer participating providers, giving insurers less leverage in rate negotiations.

Physician Supply and Demand in Mississippi

With 1,295 Upper Endoscopy providers serving Mississippi's population, the state maintains adequate specialist availability in urban areas but faces shortages in rural regions. This uneven distribution creates longer wait times in underserved areas, potentially driving some patients to seek care out-of-state. The relatively stable provider count suggests balanced supply and demand in metropolitan markets, helping keep costs below national averages.

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 Mississippi

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

Without insurance, Upper Endoscopy visits in Mississippi range from $100.64 to $544.40, with a median cost of $228.82 based on negotiated rates that providers often extend to self-pay patients. Many Mississippi providers offer cash-pay discounts that can reduce these costs by 20-50% if you pay upfront. The final amount depends on whether you visit an independent practice or hospital-based facility, with hospital systems typically charging additional facility fees.

Does Mississippi Medicaid cover Upper Endoscopy visits?

Yes, Mississippi Medicaid covers medically necessary Upper Endoscopy procedures, but prior authorization is typically required for non-emergency cases. Since Mississippi has not expanded Medicaid, coverage is limited to very low-income adults (below 44% of federal poverty level), pregnant women, children, and disabled individuals. Covered members usually pay no copay for specialist visits, making Medicaid an excellent option for those who qualify.

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

Compare costs between independent endoscopy centers and hospital-based facilities, as independent centers often charge lower fees without facility charges. Look into community health centers and federally qualified health centers, which may offer sliding scale fees based on income. Many Mississippi providers offer significant self-pay discounts, so ask about cash-pay rates and payment plans when calling offices directly.

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

Initial Upper Endoscopy consultations typically cost more than follow-up visits because they require comprehensive evaluation and procedure planning. Based on the median rate of $228.82 for Upper Endoscopy procedures, initial visits involving actual endoscopy would fall in this range, while follow-up consultations for results or treatment planning typically cost less. The exact difference depends on whether the visit includes a procedure or is consultation-only.

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

Yes, Upper Endoscopy visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes the procedure itself, related consultation fees, and any necessary follow-up care or biopsies. Using pre-tax dollars from these accounts can effectively reduce your Upper Endoscopy costs by your marginal tax rate, providing significant savings for Mississippi residents.

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

While actual Upper Endoscopy procedures must be performed in person, initial consultations and follow-up visits can often be conducted via telemedicine at lower costs. Mississippi expanded telehealth coverage during COVID-19, and many insurers continue to cover virtual gastroenterology consultations. Telemedicine consultations typically cost 20-30% less than in-person visits and can help you avoid travel costs if you live in rural Mississippi.

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