Cost of a Upper Endoscopy Visit
in Oklahoma
Reviewed by Momentary Medical Group West PC
Oklahoma's healthcare costs run approximately 8% below the national average, making it one of the more affordable states for medical procedures like Upper Endoscopy. Patients typically pay between $85 and $521 for an Upper Endoscopy procedure, with a median cost of $184 based on negotiated insurance rates across Oklahoma's 1,316 active providers. The state's mix of urban medical centers and rural facilities creates varied pricing options for patients seeking Upper Endoscopy services throughout Oklahoma.
Average
$263
Median
$184
Lowest
$85
Highest
$521
Providers
1,316
31% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Oklahoma?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $218 | $606 | 1,764 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $85 | $582 | 1,720 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $85 | $85 | $646 | 1,687 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $137 | $569 | 1,728 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $29 | $85 | 1,843 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $116 | $356 | 2,130 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $42 | $87 | $175 | 1,732 |
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 Oklahoma
Oklahoma's healthcare costs run about 8% below national averages, reflecting the state's lower cost of living and rural geography. The concentration of medical resources in Oklahoma City and Tulsa creates cost disparities compared to smaller communities across the state's 77 counties.
Urban vs. Rural Provider Availability
Oklahoma City and Tulsa metro areas contain the majority of Upper Endoscopy specialists, while rural counties often have limited or no local options. Patients in western and southeastern Oklahoma frequently travel 100+ miles for specialized procedures, adding transportation costs but potentially accessing lower-priced facilities. Rural hospitals may offer basic endoscopy services but complex cases typically require referral to urban centers.
Facility Type and Overhead Costs
Major health systems like Integris, Saint Francis, and OU Medicine operate hospital-based endoscopy centers with higher overhead costs reflected in pricing. Independent ambulatory surgery centers throughout Oklahoma often provide the same procedures at 20-30% lower rates due to reduced facility fees. Physician-owned endoscopy centers have grown in popularity, offering competitive pricing while maintaining quality care.
Insurance Market Competition in Oklahoma
BCBS Oklahoma holds significant market share, followed by UHC and CommunityCare, creating moderate insurer competition that helps control negotiated rates. The limited number of major players means some providers have stronger negotiating power with certain insurers. Rural areas often have even fewer insurer options, potentially limiting price competition among healthcare providers.
Physician Supply and Demand in Oklahoma
With 1,316 providers offering Upper Endoscopy services, Oklahoma maintains adequate specialist availability relative to its population of 4 million residents. This provider density helps prevent significant wait times and creates competitive pricing pressure. However, geographic distribution remains uneven, with higher provider concentrations in urban areas leading to more competitive pricing and scheduling options.
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 Oklahoma
What is the average cost of a Upper Endoscopy visit in Oklahoma without insurance?
Does Oklahoma Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Oklahoma?
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 Oklahoma?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Oklahoma?
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 |