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CostHelper > Health & Personal Care  > Medical Specialties & Departments > EGD

EGD Cost


How Much Does an EGD Cost?

 
average costWith Health Insurance: Copay + 10%-50% of Procedure Costhigh costWithout Health Insurance: $1,500-$10,000+
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Upper gastrointestinal endoscopy (also known as gastroscopy, or as EGD, which is short for esophagogastroduodenoscopy) involves the use of a flexible tube with an attached camera and light to examine the inside of the upper digestive tract, often to further investigate pain or digestive problems. (A lower GI endoscopy, more commonly known as a colonoscopy, examines the lower GI tract.) Complications are rare, but risks include reaction to the sedative, excessive bleeding and perforation of the esophagus or stomach.

Typical costs:

  • For patients covered by health insurance, out-of-pocket costs typically include an office visit copay and coinsurance of 10% to 50% for the procedure. Depending on the insurance, the cost could reach $1,000 or more. For example, at Darmouth-Hitchcock Medical Center[1] in New Hampshire, a patient with Medicare would pay $1,447 without supplemental insurance. Gastrointestinal endoscopy typically is covered by health insurance when considered medically necessary. For example, Aetna[2] considers it medically necessary for diagnosis in a variety of situations, including for evaluation of certain upper abdominal symptoms, of persistent unexplained vomiting, of GI bleeding, and to investigate masses.
  • For patients not covered by health insurance, upper gastrointestinal endoscopy typically costs between about $1,500-$10,000 or more, depending on the provider, geographic location, whether sedation is used or not and whether the procedure is done in an imaging center or in a hospital. The national average cost is $2,700 -- but prices can range from $1,350 to $10,400, according to NewChoiceHealth.com[3] . At the Dartmouth-Hitchcock Medical Center[4] in New Hampshire, a patient without insurance coverage would pay $3,396. At Baptist Memorial Health Care in Memphis, the cost would be about $3,512.
Related articles: Biopsy, Colonoscopy, Virtual Colonoscopy

What should be included:
  • In an upper gastrointestinal endoscopy, which is typically performed on an outpatient basis, the patient will be given an anesthetic for the throat and sedated using an IV. Then, the doctor will push the endoscope down the throat and into the esophagus and stomach. The images of the inside of the upper GI tract will be displayed on a large screen during the procedure, and the doctor can take a tissue sample for biopsy or remove a polyp, if necessary, during the half-hour procedure.
  • The patient can go home after sedation wears off, in about an hour, but should take the rest of the day off work. No driving is permitted for up to 24 hours.
  • The National Institutes of Health has an overview[5] of upper gastrointestinal endoscopy.
Additional costs:
  • If it is necessary to take a biopsy, that would add a procedure cost and laboratory cost to the final bill. This could add as much as several thousand dollars to the cost. For example, at Good Samaritan Hospital in California, a biopsy adds $1,100-$4,800.
Discounts:
  • Some free or low-cost clinics, such as the NYC Free Clinic[6] and the Clinic at Brackenridge[7] in Austin, TX, offer access to specialist care. The U.S. Department of Health & Human Services has a tool[8] to find a federally funded health clinic. If a nearby clinic does not offer the procedure, they can provide a referral.
Shopping for an egd:
  • A physician with extensive training and experience performing gastrointestinal endoscopy should conduct the procedure. The American Society for Gastrointestinal Endoscopy offers a doctor locator[9] .
  • The ASGE also offers a list of 10 questions [10] to ask any provider.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments
Salinas, CA EGD Cost
Amount: $148.00
Posted by: CaliforniaE in Salinas, CA.Posted: August 25th, 2014 09:08AM
Medical Center: Los Palos Ambulatory Endoscopy CenterPhysician: Chandra
My copay of $148 was 20% of the insurance company allowed amount of $740. I don't know what their billed amount was yet (no EOB), but the contracted amount seems reasonable.
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Request An Itemized Statement From The Facility
Amount: $7,737.38
Posted by: MADMOM in Gibson City, IL.Posted: February 22nd, 2013 03:02PM
Medical Center: Gibson Area Hospital, ILPhysician: Chung
I couldn't believe the charge for a procedure that took less than an hour. So, I requested an itemized statement. We were charged for 2 hours in the operating room for my son's EGD. He probably was in there a half hour. The physician's charge was fair. After the insurance contract adjustment, we paid him $314. We were charged $1729 for anesthesia, $3785 for the OR, $955 for the recovery room. What a joke. Our fee is three times the national average and the cost of living here is not high.
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External Resources:
  1.  patients.dartmouth-hitchcock.org/billing_questions/charges_for_healthcare_services.html
  2.  www.aetna.com/cpb/medical/data/700_799/0738.html
  3.  www.newchoicehealth.com/Directory/Procedure/126/Upper%20GI%20Endoscopy
  4.  patients.dartmouth-hitchcock.org/billing_questions/charges_for_healthcare_services.html
  5.  digestive.niddk.nih.gov/ddiseases/pubs/upperendoscopy/
  6.  nycfreeclinic.med.nyu.edu/information-for-patients/schedule-appointment
  7.  www.seton.net/locations/brackenridge/services
  8.  bphc.hrsa.gov/technicalassistance/taresources/slidingscale.html
  9.  www.asge.org/Apps/FindADoctor/search.aspx
  10.  www.asge.org/patients/patients.aspx?id=370
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