What is the typical price for Upper GI Endoscopy (EGD) in Colorado?

Across 40 Colorado hospitals reporting a commercial negotiated rate for CPT 43235, the 25th-to-75th percentile band runs $205 to $1,911 per hospital median. The 50th-percentile (Colorado median) is $1,494.

Why is the price range for Upper GI Endoscopy (EGD) so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 9.3× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

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 offer a self-pay rate that's 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.

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 MRF reports rates against this code.

Upper GI Endoscopy (EGD)

CPT 4323540 Colorado hospitals reporting

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 — half of negotiated 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, anaesthesia, 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

Pin a plan

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

Common questions

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

What is the typical price for Upper GI Endoscopy (EGD) in Colorado?: Across 40 Colorado hospitals reporting a commercial negotiated rate for CPT 43235, the 25th-to-75th percentile band runs $205 to $1,911 per hospital median. The 50th-percentile (Colorado median) is $1,494.
Why is the price range for Upper GI Endoscopy (EGD) so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 9.3× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
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 offer a self-pay rate that's 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.
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 MRF 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.