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Nevada

Cost of a Upper Endoscopy Visit
in Nevada

Reviewed by Momentary Medical Group West PC

Nevada's desert landscape mirrors its sparse healthcare infrastructure, with most gastroenterology specialists concentrated in Clark and Washoe counties while rural areas face significant access challenges. Patients seeking Upper Endoscopy procedures typically pay between $197 and $467, with a median cost of $228 based on negotiated insurance rates across Nevada's 2,544 active providers. Browse all Upper Endoscopy providers in Nevada to compare costs and find in-network options near you.

Average

$297

Median

$228

Lowest

$197

Highest

$467

Providers

2,544

National avg: $383Nevada: $297

22% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$204$295$5532,637
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$331$7012,781
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$320$451$7402,572
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$256$5712,691
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$29$852,914
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$85$219$3212,598
OB Ultrasound

Obstetric ultrasound, complete

76805$76$133$2212,649

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 Nevada

Nevada's Upper Endoscopy costs run approximately 8% above national averages, reflecting the state's growing population and limited specialist supply outside major metropolitan areas. Las Vegas and Reno attract most gastroenterologists, creating cost premiums in urban areas while rural regions struggle with access and often higher per-procedure costs.

Urban vs. Rural Provider Availability

Clark County around Las Vegas hosts nearly 60% of Nevada's gastroenterologists, while vast rural counties like Nye and Elko may have no specialists within 200 miles. This geographic concentration drives patients toward urban centers, where higher facility costs and demand can inflate Upper Endoscopy pricing.

Facility Type and Overhead Costs

Hospital-owned endoscopy centers at facilities like Sunrise Hospital and Saint Mary's Regional Medical Center typically charge facility fees that independent surgery centers avoid. Nevada's growing ambulatory surgery center market in Las Vegas offers competitive pricing alternatives, though rural areas rely heavily on hospital-based services.

Insurance Market Competition in Nevada

UHC, Anthem, and Aetna compete actively in Nevada's individual and group markets, preventing the extreme rate concentration seen in less competitive states. However, rural Nevada counties often have limited insurer participation, reducing negotiating leverage and potentially increasing Upper Endoscopy costs in outlying areas.

Physician Supply and Demand in Nevada

Nevada's 2,544 Upper Endoscopy providers serve a rapidly growing population, creating moderate supply pressure that supports pricing above national averages. The state's physician shortage ranking suggests demand may continue outpacing supply, particularly for specialized procedures requiring gastroenterology expertise.

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 Nevada

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

Uninsured patients in Nevada can expect to pay between $197 and $467 for Upper Endoscopy procedures, with a median cost of $228 based on negotiated insurance rates. Many providers offer cash-pay discounts of 20-40% off these rates, making self-pay potentially more affordable than high-deductible insurance plans. Rural providers may offer more competitive pricing due to lower overhead costs.

Does Nevada Medicaid cover Upper Endoscopy visits?

Yes, Nevada's expanded Medicaid program covers medically necessary Upper Endoscopy procedures including diagnostic and therapeutic endoscopy. Prior authorization may be required for some procedures, particularly screening endoscopy in younger patients without clear symptoms. Coverage includes both the physician fee and facility charges when performed at approved providers.

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

Compare costs between hospital-owned endoscopy centers and independent ambulatory surgery centers, as facility fees can double your total cost. Ask about cash-pay discounts if you're uninsured or have a high-deductible plan, and consider community health centers in Las Vegas and Reno that offer sliding-scale fees. Rural providers sometimes offer competitive pricing despite limited options.

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 due to comprehensive evaluation requirements, though the procedure cost of $197-467 remains consistent regardless of visit type. Follow-up visits may focus on biopsy results or treatment planning and generally involve lower consultation fees. Many providers bundle consultation costs into procedure pricing for efficiency.

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

Yes, Upper Endoscopy procedures qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use pre-tax dollars to pay for the procedure, physician consultation, pathology fees, and related medical expenses. Keep all receipts and documentation for tax purposes and HSA/FSA reimbursement claims.

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

While Upper Endoscopy procedures require in-person visits, initial consultations and follow-up appointments can often be conducted via telehealth at reduced costs. Nevada allows gastroenterologists to provide remote consultations for symptom evaluation and results discussion, typically costing $100-200 less than office visits. Telehealth can help rural patients avoid travel costs while determining if endoscopy is necessary.

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