Cost of a Upper Endoscopy Visit
in New Hampshire
Reviewed by Momentary Medical Group West PC
New Hampshire's healthcare costs run approximately 11% above the national average, creating significant variation in Upper Endoscopy procedure costs across the Granite State. Patients typically pay between $288 and $813 for an Upper Endoscopy, with a median out-of-pocket cost of $541 based on negotiated insurance rates. With over 3,600 active Upper Endoscopy providers throughout New Hampshire, patients have substantial options when selecting a gastroenterologist or facility for their procedure.
Average
$547
Median
$541
Lowest
$288
Highest
$813
Providers
3,661
43% above national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in New Hampshire?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $204 | $553 | $956 | 3,681 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $433 | $819 | $1,234 | 3,682 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $457 | $855 | $1,285 | 3,676 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $341 | $720 | $1,085 | 3,694 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $17 | $31 | $60 | 3,706 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $78 | $247 | $519 | 3,695 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $57 | $129 | $317 | 3,685 |
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 New Hampshire
New Hampshire's healthcare costs run 11% above the national average, driven by the state's proximity to high-cost Boston medical markets and limited provider competition in rural northern regions. The Granite State's geography creates distinct cost disparities between southern urban areas near Massachusetts and remote northern counties with fewer specialist options.
Urban vs. Rural Provider Availability
Southern New Hampshire cities like Manchester, Nashua, and Portsmouth have concentrated gastroenterology practices and multiple endoscopy centers, creating competitive pricing for Upper Endoscopy procedures. Rural areas in the North Country and western regions have limited specialist access, often requiring patients to travel significant distances and potentially pay higher costs due to reduced provider competition.
Facility Type and Overhead Costs
New Hampshire's healthcare landscape includes major systems like Dartmouth-Hitchcock and Catholic Medical Center, which operate hospital-based endoscopy units with higher overhead costs than independent facilities. Ambulatory surgery centers and dedicated endoscopy centers throughout the state typically offer more competitive Upper Endoscopy pricing due to lower facility fees and operational costs.
Insurance Market Competition in New Hampshire
The state's insurance market is dominated by Anthem, Harvard Pilgrim, and Cigna, creating moderate competition that affects negotiated rates for Upper Endoscopy procedures. This concentrated market structure can limit pricing pressure on providers, particularly in areas where certain insurers have stronger network positions with major health systems.
Physician Supply and Demand in New Hampshire
With over 3,600 Upper Endoscopy providers serving New Hampshire's population of approximately 1.4 million residents, the state maintains adequate specialist access in urban areas. However, the concentration of gastroenterologists in southern regions creates supply-demand imbalances that can affect pricing and appointment availability, particularly for patients in rural northern counties.
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 New Hampshire
What is the average cost of a Upper Endoscopy visit in New Hampshire without insurance?
Does New Hampshire Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in New Hampshire?
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 New Hampshire?
How does telemedicine affect the cost of seeing a Upper Endoscopy in New Hampshire?
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 |