Cost of a Upper Endoscopy Visit
in South Carolina
Reviewed by Momentary Medical Group West PC
South Carolina's healthcare landscape features a strong ambulatory surgery center network that has helped keep Upper Endoscopy costs roughly 1% below national averages. Patients typically pay between $108 and $564 for an Upper Endoscopy procedure, with a median cost of $243 based on negotiated insurance rates. The state maintains over 1,000 active Upper Endoscopy providers across urban centers like Charleston and Columbia as well as rural communities, giving patients numerous options to browse all providers in South Carolina.
Average
$305
Median
$243
Lowest
$109
Highest
$564
Providers
1,048
20% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in South Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $304 | $695 | 1,131 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $306 | $782 | 1,333 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $414 | $936 | 1,265 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $211 | $627 | 1,357 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $21 | $88 | 1,517 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $62 | $137 | $364 | 1,356 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $43 | $90 | $221 | 1,332 |
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 South Carolina
South Carolina's healthcare costs run approximately 1% below national averages for Upper Endoscopy procedures, benefiting from a growing ambulatory surgery center market that provides competitive alternatives to hospital-based care. The state's moderate cost structure reflects balanced competition among major insurers and relatively lower facility overhead costs compared to more expensive coastal markets.
Urban vs. Rural Provider Availability
Charleston, Columbia, and Greenville offer multiple Upper Endoscopy options with competitive pricing, while rural counties like Bamberg and McCormick may have limited local access, requiring patients to travel to regional medical centers. This geographic disparity can add travel costs but sometimes results in lower procedure fees at rural hospitals trying to attract patients from urban areas.
Facility Type and Overhead Costs
Hospital systems like MUSC Health, Prisma Health, and McLeod Health operate many Upper Endoscopy programs through outpatient departments that charge facility fees, while independent gastroenterology groups often use ambulatory surgery centers with lower overhead costs. The growing ASC market in South Carolina provides patients with more affordable alternatives to hospital-based procedures.
Insurance Market Competition in South Carolina
BlueCross BlueShield of South Carolina maintains significant market share alongside UnitedHealthcare and Aetna, creating moderate insurer competition that prevents extreme rate variations. This three-way competition has resulted in relatively stable negotiated rates for Upper Endoscopy procedures, though patients may find meaningful differences between insurance plans.
Physician Supply and Demand in South Carolina
With over 1,000 active Upper Endoscopy providers statewide, South Carolina maintains adequate specialist availability relative to its population of 5.2 million residents. This healthy provider-to-patient ratio helps maintain competitive pricing and reasonable appointment availability, though some rural areas still experience longer wait times for non-urgent procedures.
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 South Carolina
What is the average cost of a Upper Endoscopy visit in South Carolina without insurance?
Does South Carolina Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in South Carolina?
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 South Carolina?
How does telemedicine affect the cost of seeing a Upper Endoscopy in South Carolina?
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 |