Upper GI Endoscopy (EGD)

CPT 4323540 Colorado hospitals reporting a negotiated rate

Esophagogastroduodenoscopy — flexible scope of the esophagus, stomach, and upper duodenum. Used for reflux, ulcers, bleeding, and surveillance.

Typical insured price · Colorado

$205to$1,911

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians — half of reporting hospitals’ median rates fall in this window with a median of $1,494.

$205$1,911

Cash price (median)

$1,381

What you'd pay self-pay

Gross charge (median)

$2,921

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 40 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 43235
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 40

How they price Upper GI Endoscopy (EGD)

Across 40 Colorado hospitals that publish a commercial negotiated rate for CPT 43235, the typical insured price for Upper GI Endoscopy (EGD) runs $205 to $1,911 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $1,494 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $1,381, against a median gross charge of $2,921.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

41 hospitals listed

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Choose your insurance carrier

Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Metro	Position · Median	Your carrier's rate	Negotiated band	Cash	Payers
Commonspirit St Anthony Summit Medical Center Compare Metro Rest of Colorado Median negotiated $117 Your carrier's rate — 25th–75th $117 – $117 Cash — Payers 8	Rest of Colorado	$117	—	$117 – $117	—	8
Commonspirit St Anthony North Hospital Compare Metro Denver Metro Median negotiated $117 Your carrier's rate — 25th–75th $117 – $117 Cash — Payers 11	Denver Metro	$117	—	$117 – $117	—	11
Commonspirit St Elizabeth Hospital Fort Morgan Compare Metro Rest of Colorado Median negotiated $117 Your carrier's rate — 25th–75th $117 – $117 Cash — Payers 8	Rest of Colorado	$117	—	$117 – $117	—	8
Commonspirit St Francis Hospital Interquest Compare Metro Colorado Springs Median negotiated $117 Your carrier's rate — 25th–75th $117 – $117 Cash — Payers 9	Colorado Springs	$117	—	$117 – $117	—	9
Commonspirit St Anthony Hospital Lakewood Compare Metro Denver Metro Median negotiated $117 Your carrier's rate — 25th–75th $117 – $117 Cash — Payers 6	Denver Metro	$117	—	$117 – $117	—	6
Commonspirit Orthocolorado Hospital Compare Metro Denver Metro Median negotiated $117 Your carrier's rate — 25th–75th $117 – $117 Cash — Payers 9	Denver Metro	$117	—	$117 – $117	—	9
Commonspirit Mercy Hospital Durango Compare Metro Rest of Colorado Median negotiated $117 Your carrier's rate — 25th–75th $117 – $117 Cash — Payers 10	Rest of Colorado	$117	—	$117 – $117	—	10
Commonspirit St Francis Hospital Compare Metro Colorado Springs Median negotiated $117 Your carrier's rate — 25th–75th $117 – $117 Cash — Payers 10	Colorado Springs	$117	—	$117 – $117	—	10
Commonspirit St Mary Corwin Hospital Pueblo Compare Metro Rest of Colorado Median negotiated $117 Your carrier's rate — 25th–75th $117 – $117 Cash — Payers 10	Rest of Colorado	$117	—	$117 – $117	—	10
Commonspirit Longmont United Hospital Compare Metro Boulder Median negotiated $119 Your carrier's rate — 25th–75th $119 – $119 Cash — Payers 11	Boulder	$119	—	$119 – $119	—	11
Boulder Community Health Foothills Hospital Gross charge $241 Compare Metro Boulder Median negotiated $234 Your carrier's rate — 25th–75th $195 – $488 Cash $121 Payers 31	Boulder	$234	—	$195 – $488	$121	31
Grand River Health Rifle Gross charge $584 Compare Metro Rest of Colorado Median negotiated $903 Your carrier's rate — 25th–75th $903 – $903 Cash $292 Payers 1	Rest of Colorado	$903	—	$903 – $903	$292	1
Uchealth Yampa Valley Medical Center Steamboat Springs Compare Metro Rest of Colorado Median negotiated $942 Your carrier's rate — 25th–75th $942 – $2,784 Cash — Payers 8	Rest of Colorado	$942	—	$942 – $2,784	—	8
Community Hospital Grand Junction Gross charge $2,147 Compare Metro Rest of Colorado Median negotiated $952 Your carrier's rate — 25th–75th $952 – $1,047 Cash $1,202 Payers 7	Rest of Colorado	$952	—	$952 – $1,047	$1,202	7
Pikes Peak Regional Hospital Woodland Park Gross charge $1,473 Compare Metro Colorado Springs Median negotiated $972 Your carrier's rate — 25th–75th $675 – $1,252 Cash $1,178 Payers 12	Colorado Springs	$972	—	$675 – $1,252	$1,178	12
Commonspirit St Thomas More Hospital Ca on City Compare Metro Rest of Colorado Median negotiated $1,004 Your carrier's rate — 25th–75th $1,004 – $1,004 Cash — Payers 1	Rest of Colorado	$1,004	—	$1,004 – $1,004	—	1
Lincoln Community Hospital Hugo Gross charge $6,859 Compare Metro Rest of Colorado Median negotiated $1,014 Your carrier's rate — 25th–75th $1,014 – $1,014 Cash $6,859 Payers 14	Rest of Colorado	$1,014	—	$1,014 – $1,014	$6,859	14
Uchealth Longs Peak Hospital Longmont Gross charge $2,944 Compare Metro Boulder Median negotiated $1,096 Your carrier's rate — 25th–75th $942 – $1,737 Cash $1,030 Payers 14	Boulder	$1,096	—	$942 – $1,737	$1,030	14
Uchealth Estes Valley Medical Center Estes Park Gross charge $3,498 Compare Metro Fort Collins Median negotiated $1,126 Your carrier's rate — 25th–75th $836 – $1,149 Cash $2,624 Payers 15	Fort Collins	$1,126	—	$836 – $1,149	$2,624	15
Uchealth Grandview Hospital Colorado Springs Gross charge $2,944 Compare Metro Colorado Springs Median negotiated $1,472 Your carrier's rate — 25th–75th $942 – $2,280 Cash $1,030 Payers 13	Colorado Springs	$1,472	—	$942 – $2,280	$1,030	13
Uchealth Memorial Hospital Central Colorado Springs Gross charge $3,069 Compare Metro Colorado Springs Median negotiated $1,516 Your carrier's rate — 25th–75th $949 – $2,179 Cash $1,381 Payers 14	Colorado Springs	$1,516	—	$949 – $2,179	$1,381	14
Uchealth Memorial Hospital North Colorado Springs Gross charge $3,069 Compare Metro Colorado Springs Median negotiated $1,516 Your carrier's rate — 25th–75th $949 – $2,179 Cash $1,381 Payers 14	Colorado Springs	$1,516	—	$949 – $2,179	$1,381	14
Uchealth Highlands Ranch Hospital Gross charge $2,944 Compare Metro Denver Metro Median negotiated $1,530 Your carrier's rate — 25th–75th $1,036 – $2,302 Cash $883 Payers 12	Denver Metro	$1,530	—	$1,036 – $2,302	$883	12
Denver Health Medical Center Gross charge $1,616 Compare Metro Denver Metro Median negotiated $1,558 Your carrier's rate — 25th–75th $957 – $3,000 Cash $565 Payers 7	Denver Metro	$1,558	—	$957 – $3,000	$565	7
Family Health West Hospital Fruita Compare Metro Rest of Colorado Median negotiated $1,600 Your carrier's rate — 25th–75th $1,600 – $1,600 Cash — Payers 1	Rest of Colorado	$1,600	—	$1,600 – $1,600	—	1
National Jewish Health Denver Gross charge $2,509 Compare Metro Denver Metro Median negotiated $1,631 Your carrier's rate — 25th–75th $957 – $1,882 Cash $1,756 Payers 8	Denver Metro	$1,631	—	$957 – $1,882	$1,756	8
Uchealth University of Colorado Hospital Aurora Gross charge $4,071 Compare Metro Denver Metro Median negotiated $1,649 Your carrier's rate — 25th–75th $942 – $2,308 Cash $1,425 Payers 15	Denver Metro	$1,649	—	$942 – $2,308	$1,425	15
Uchealth Greeley Hospital Gross charge $2,897 Compare Metro Rest of Colorado Median negotiated $1,680 Your carrier's rate — 25th–75th $938 – $2,303 Cash $1,738 Payers 12	Rest of Colorado	$1,680	—	$938 – $2,303	$1,738	12
Uchealth Medical Center of the Rockies Loveland Gross charge $2,897 Compare Metro Fort Collins Median negotiated $1,857 Your carrier's rate — 25th–75th $976 – $2,607 Cash $2,028 Payers 16	Fort Collins	$1,857	—	$976 – $2,607	$2,028	16
Uchealth Poudre Valley Hospital Fort Collins Gross charge $2,897 Compare Metro Fort Collins Median negotiated $1,857 Your carrier's rate — 25th–75th $976 – $2,607 Cash $2,028 Payers 16	Fort Collins	$1,857	—	$976 – $2,607	$2,028	16
Uchealth Parkview Medical Center Pueblo Compare Metro Rest of Colorado Median negotiated $2,073 Your carrier's rate — 25th–75th $942 – $2,625 Cash — Payers 7	Rest of Colorado	$2,073	—	$942 – $2,625	—	7
Children S Hospital Colorado Colorado Springs Gross charge $3,550 Compare Metro Colorado Springs Median negotiated $2,308 Your carrier's rate — 25th–75th $1,961 – $2,592 Cash $2,308 Payers 33	Colorado Springs	$2,308	—	$1,961 – $2,592	$2,308	33
Hca Healthone Swedish Medical Center Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,454 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,454 – $4,764	—	6
Hca Healthone Sky Ridge Medical Center Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,454 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,454 – $4,764	—	6
Hca Healthone Presbyterian St Luke S Medical Center Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,454 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,454 – $4,764	—	6
Hca Healthone Aurora Medical Center of Aurora Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,454 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,454 – $4,764	—	6
Hca Healthone Mountain Ridge Thornton Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,454 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,454 – $4,764	—	6
Hca Healthone Rose Medical Center Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,454 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,454 – $4,764	—	6
Banner North Colorado Medical Center Compare Metro Rest of Colorado Median negotiated $6,279 Your carrier's rate — 25th–75th $3,990 – $8,568 Cash — Payers 2	Rest of Colorado	$6,279	—	$3,990 – $8,568	—	2
Banner Fort Collins Medical Center Compare Metro Fort Collins Median negotiated $6,279 Your carrier's rate — 25th–75th $3,990 – $8,568 Cash — Payers 2	Fort Collins	$6,279	—	$3,990 – $8,568	—	2
Prowers Medical Center Lamar Gross charge $603 Compare Metro Rest of Colorado Median negotiated — Your carrier's rate — 25th–75th — Cash $362 Payers —	Rest of Colorado	—	—	—	$362	—

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS) →

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Upper GI Endoscopy (EGD) cost in Colorado?

Across 40 Colorado hospitals that publish a commercial negotiated rate, the median is $1,494. The middle half of hospitals fall between $205 and $1,911 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Usually not. These rates are the hospital's facility charge — the room, equipment, and hospital staff. The physician who treats you or reads your results often bills separately for their professional fee. Ask the practice whether professional fees are billed separately before you schedule.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Upper GI Endoscopy (EGD) under 83 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Upper GI Endoscopy (EGD) if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $1,381. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS) →

What does CPT 43235 mean?

CPT 43235 is the CPT (Current Procedural Terminology) code for Upper GI Endoscopy (EGD). It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.