Price Checker / CPT 43235
How much does Upper endoscopy (diagnostic) cost?
CPT 43235 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 4.7x the fair price. This is well above fair — push back or dispute it.
Fair price
$1,650–$1,900
What this should cost
With insurance
~$2,400
Typical out-of-pocket
Overcharged if over
$2,400
Push back above this
The average hospital charge of $8,407 is $6,607 over the fair price (about 4.7x the fair rate).
What hospitals charge for Upper endoscopy (diagnostic)
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stony Brook Southampton Hospital , NY | $6,589 | — | 23466% |
| Pacifica Hospital of the Valley Sun Valley, CA | $61,772 | — | 19045% |
| Baptist Health-Fort Smith FORT SMITH, AR | $24,464 | $6,116 | 7482% |
| Baptist Health Medical Center-Hot Spring County , AR | $24,464 | $6,116 | 7482% |
| Baptist Health Medical Center-Stuttgart STUTTGART, AR | $24,464 | $6,116 | 7482% |
| Baptist Health-Van Buren VAN BUREN, AR | $24,464 | $6,116 | 7482% |
| Beartooth Billings Clinic RED LODGE, MT | $23,729 | — | 7254% |
| Hill Regional Hospital Hillsboro, TX | $16,287 | — | 4191% |
| Los Alamos Medical Center LOS ALAMOS, NY | $11,284 | — | 3397% |
| The Brooklyn Hospital Center , NY | $8,135 | — | 2168% |
| Syracuse Area Health Syracuse, NE | $7,320 | — | 2123% |
| Bourbon Community Hospital PARIS, KY | $7,145 | — | 2115% |
| Kindred Hospital Las Vegas - Flamingo Las Vegas, NV | $6,985 | — | 2065% |
| Kindred Hospital Las Vegas - Sahara Las Vegas, NV | $6,985 | — | 2065% |
| Butler County Health David City, NE | $5,686 | — | 1627% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Upper endoscopy (diagnostic)
CPT code 43235 refers to upper endoscopy (diagnostic) (billing description: "Egd diagnostic brush wash"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $111 in a facility (hospital or surgery center) and $323 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.