Cost of a Upper Endoscopy Visit
in Oregon
Reviewed by Momentary Medical Group West PC
Oregon's healthcare system serves over 4.2 million residents through a network of major health systems like OHSU and Providence Health, with costs running approximately 9% above national averages. Upper Endoscopy procedures in Oregon typically cost between $85 and $691, with a median price of $261, based on negotiated insurance rates from over 250 active providers across the state. Patients can browse all Upper Endoscopy providers in Oregon to compare costs and find in-network options that fit their budget.
Average
$346
Median
$261
Lowest
$85
Highest
$691
Providers
250
10% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Oregon?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $80 | $309 | $836 | 348 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $308 | $1,070 | 397 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $453 | $3,638 | 355 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $227 | $1,352 | 416 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $85 | 1,029 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $79 | $158 | $568 | 400 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $68 | $68 | $236 | 738 |
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 Oregon
Oregon's healthcare costs run approximately 9% above national averages, driven by the state's concentration of medical expertise in Portland and rural access challenges across the Cascade Range and eastern counties. The growing ambulatory surgery center market provides competitive alternatives to hospital-based endoscopy, helping moderate cost increases compared to neighboring California.
Urban vs. Rural Provider Availability
Portland's metro area hosts the majority of Oregon's Upper Endoscopy specialists, with OHSU and Providence Health serving as major referral centers for complex cases from rural counties. Eastern Oregon counties often require patients to travel 2-3 hours for specialized endoscopic procedures, limiting competition and contributing to higher facility fees. Telehealth consultations help bridge the gap for initial evaluations, though procedures still require in-person visits to urban centers.
Facility Type and Overhead Costs
Hospital-owned outpatient endoscopy centers in Oregon typically charge premium rates due to higher overhead costs and academic medical center affiliations like OHSU. Independent ambulatory surgery centers, particularly in suburban Portland and mid-size cities like Eugene, offer competitive pricing with lower facility fees. The state's preference for integrated health systems means many gastroenterologists work within larger networks that may limit price transparency and negotiation flexibility.
Insurance Market Competition in Oregon
Oregon's insurance landscape includes strong regional players like Regence BCBS and PacificSource competing with national carriers like UnitedHealthcare, creating moderate market competition. The state's insurance exchange offers multiple plan options that help drive competitive pricing for specialist services like Upper Endoscopy. Regence BCBS maintains the largest market share, giving them significant negotiating power with providers, which can translate to lower member costs for in-network procedures.
Physician Supply and Demand in Oregon
With over 250 providers offering Upper Endoscopy services, Oregon maintains adequate specialist supply in urban areas but faces shortages in rural counties east of the Cascades. The concentration of gastroenterologists in Portland and surrounding suburbs creates competitive pricing within the metro area while allowing premium charges in underserved regions. Wait times for routine Upper Endoscopy typically range from 2-4 weeks in Portland but can extend to 6-8 weeks in rural areas, reflecting supply-demand imbalances.
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 Oregon
What is the average cost of a Upper Endoscopy visit in Oregon without insurance?
Does Oregon Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Oregon?
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 Oregon?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Oregon?
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 |