Cost of a Upper Endoscopy Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's diverse healthcare landscape spans from major academic medical centers in St. Louis and Kansas City to rural facilities serving agricultural communities across the state's 114 counties. Upper Endoscopy procedures in Missouri typically range from $114.98 to $535.44, with a median cost of $411.05 based on negotiated insurance rates. The state maintains over 5,300 active providers offering Upper Endoscopy services, reflecting robust availability across both urban corridors and smaller communities throughout Missouri.
Average
$354
Median
$411
Lowest
$115
Highest
$535
Providers
5,368
8% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $174 | $444 | $634 | 5,324 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $188 | $534 | $815 | 5,395 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $239 | $600 | $853 | 5,306 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $130 | $467 | $712 | 5,404 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $16 | $24 | $358 | 6,421 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $79 | $222 | $449 | 5,452 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $46 | $101 | $165 | 5,390 |
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 Missouri
Missouri's healthcare costs run approximately 5% below the national average, reflecting the state's moderate cost of living and competitive provider market. The state's mix of urban medical centers and rural facilities creates distinct pricing patterns across different regions.
Urban vs. Rural Provider Availability
Missouri's major metropolitan areas of St. Louis and Kansas City concentrate most specialized gastroenterology practices, while rural counties often rely on traveling specialists or require patients to travel significant distances for Upper Endoscopy procedures. This geographic disparity can create higher costs in rural areas due to limited competition and higher facility overhead costs.
Facility Type and Overhead Costs
Hospital-based outpatient endoscopy suites typically charge higher facility fees compared to independent ambulatory surgery centers throughout Missouri. Major health systems like BJC HealthCare in St. Louis and Saint Luke's Health System in Kansas City often have higher overhead costs that translate to increased procedure fees compared to smaller community-based facilities.
Insurance Market Competition in Missouri
The state's insurance market features moderate competition among Anthem, UHC, and Cigna, with regional insurers also maintaining significant market share in certain areas. This competitive environment helps keep negotiated rates for Upper Endoscopy procedures relatively stable, though rural markets may have fewer insurer options limiting competitive pressure on pricing.
Physician Supply and Demand in Missouri
With over 5,300 active providers offering Upper Endoscopy services, Missouri maintains adequate specialist availability relative to its population of 6.2 million residents. This healthy provider-to-population ratio helps prevent artificial price inflation due to supply shortages, though wait times for routine procedures can vary between urban and rural regions of the state.
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 Missouri
What is the average cost of a Upper Endoscopy visit in Missouri without insurance?
Does Missouri Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Missouri?
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 |