Cost of a Upper Endoscopy Visit
in Texas
Reviewed by Momentary Medical Group West PC
Texas operates over 600 ambulatory surgery centers, creating significant competition for Upper Endoscopy procedures across the state. Patients typically pay between $90 and $508 for an Upper Endoscopy in Texas, with a median negotiated rate of $230 based on insurer contracts. With more than 10,000 active Upper Endoscopy providers throughout Texas, patients have substantial options when selecting a gastroenterologist or facility for their procedure.
Average
$276
Median
$230
Lowest
$90
Highest
$508
Providers
10,361
28% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Texas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $291 | $634 | 10,832 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $332 | $772 | 11,638 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $90 | $402 | $866 | 10,759 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $230 | $649 | 12,607 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $25 | $90 | 14,138 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $155 | $418 | 12,962 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $46 | $96 | $237 | 11,056 |
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 Texas
Texas Upper Endoscopy costs run approximately 4% below the national average, reflecting the state's competitive healthcare market and lower overall cost of living compared to coastal states. The vast geographic spread of Texas creates distinct cost variations, with rural counties often having limited specialist access while major metropolitan areas benefit from intense competition among the state's 600+ ambulatory surgery centers.
Urban vs. Rural Provider Availability
Major Texas metro areas like Dallas-Fort Worth, Houston, San Antonio, and Austin have high concentrations of gastroenterologists and endoscopy facilities, driving competitive pricing and shorter wait times. Rural areas of East Texas, the Panhandle, and West Texas often require patients to travel 100+ miles for specialty care, with some facilities charging premium rates due to limited local competition.
Facility Type and Overhead Costs
Texas has a robust network of independent ambulatory surgery centers that typically offer Upper Endoscopy procedures at lower costs than hospital-based facilities. Major health systems like Houston Methodist, Baylor Scott & White, and UT Southwestern operate hospital outpatient departments with higher overhead costs, often resulting in facility fees that can double the total procedure cost.
Insurance Market Competition in Texas
The presence of multiple major insurers including UnitedHealthCare, Blue Cross Blue Shield of Texas, Aetna, and Cigna creates competitive negotiated rates for Upper Endoscopy procedures across most of the state. However, some rural Texas counties have limited insurer options, potentially resulting in higher out-of-pocket costs for patients in those markets due to reduced negotiating leverage.
Physician Supply and Demand in Texas
With over 10,000 providers performing Upper Endoscopy procedures, Texas has a relatively strong supply of gastroenterologists compared to many states, helping keep procedure costs competitive in urban areas. This robust provider network means most patients can schedule procedures within 2-4 weeks, though specialist shortages in rural regions can lead to longer wait times and higher costs for those requiring local care.
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 Texas
What is the average cost of a Upper Endoscopy visit in Texas without insurance?
Does Texas Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Texas?
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 Texas?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Texas?
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 |