Cost of a Upper Endoscopy Visit
in Wyoming
Reviewed by Momentary Medical Group West PC
Wyoming's sparse population density of just 6 people per square mile creates unique challenges for specialized medical services like Upper Endoscopy procedures. Patients in the Equality State typically pay between $161 and $864 for an Upper Endoscopy visit, with a median out-of-pocket cost of $288 based on negotiated insurance rates. With 176 active Upper Endoscopy providers across Wyoming's 23 counties, patients can browse all available specialists to find the most affordable option in their area.
Average
$438
Median
$288
Lowest
$161
Highest
$864
Providers
176
14% above national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Wyoming?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $158 | $375 | $1,057 | 184 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $217 | $442 | $1,313 | 185 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $332 | $553 | $1,540 | 178 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $173 | $322 | $1,151 | 184 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $28 | $80 | 194 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $94 | $219 | $604 | 184 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $143 | $331 | 184 |
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 Wyoming
Wyoming's Upper Endoscopy costs average approximately 5% below national rates at $288 median, reflecting the state's lower cost of living but limited specialist competition. The state's vast rural geography and small population create unique market dynamics where provider scarcity in some regions drives up costs while lower overhead in others keeps prices competitive.
Urban vs. Rural Provider Availability
Most of Wyoming's Upper Endoscopy specialists concentrate in Cheyenne, Casper, and Jackson, leaving residents in counties like Niobrara and Hot Springs traveling significant distances for care. Rural patients often face higher total costs when factoring in travel expenses, overnight stays, and time off work, while urban areas benefit from more competitive pricing among multiple providers.
Facility Type and Overhead Costs
Hospital-based outpatient clinics dominate Wyoming's Upper Endoscopy market, with major health systems like Banner Health and Wyoming Medical Center setting regional pricing standards. Independent endoscopy centers offer lower-cost alternatives in urban areas but are virtually nonexistent in rural counties, limiting patient choice and price competition.
Insurance Market Competition in Wyoming
The concentrated insurance market featuring primarily Blue Cross Blue Shield of Wyoming, UnitedHealthcare, and Cigna results in less aggressive rate negotiations compared to more competitive states. This limited insurer competition, combined with Wyoming's small population, gives providers more leverage in contract negotiations, potentially leading to higher negotiated rates for Upper Endoscopy procedures.
Physician Supply and Demand in Wyoming
With 176 active Upper Endoscopy providers serving Wyoming's 580,000 residents, the state maintains adequate specialist coverage in urban areas but faces shortages in rural regions. This uneven distribution creates pricing disparities where underserved areas command premium rates while urban markets with multiple providers offer more competitive pricing and shorter wait times.
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 Wyoming
What is the average cost of a Upper Endoscopy visit in Wyoming without insurance?
Does Wyoming Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Wyoming?
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 Wyoming?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Wyoming?
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 |