CPT43239

Upper Endoscopy (EGD) With Biopsy Cost in Connecticut

Egd biopsy single/multiple

$1,050Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Connecticut Medicare physician rate (2026)

+6.9% vs national

Single statewide locality.

Connecticut (Hospital)
$129.86
Facility physician fee
Private plan est.
$582–$896
~130–200% of Medicare
Cash / self-pay est.
$358–$672
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$621
$124 physician + $498 facility
Physician fee alone
$124
Only 12% of the hospital total

Choosing a surgery centre over a hospital saves about $429 on the Medicare allowed amount for upper endoscopy (egd) with biopsy. Ask whether your procedure can be done at an ambulatory surgery centre.

This is Medicare's separate payment to the facility on top of the physician's fee. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Connecticut

Look up your ZIP code for local detail across Connecticut, including the New Haven and Hartford areas, Fairfield County and Stamford, and the quieter eastern and northwestern corners.

What upper endoscopy (egd) with biopsy costs at hospitals near you

Everything above is a national average. The hospital you pick in Connecticut moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Connecticut the office and hospital physician lines for this CPT differ by $318.00.

National vs Connecticut

National office$418.85
National hospital (physician)$123.58
Connecticut vs national7% above the national office rate of $418.85

Where Connecticut ranks for this CPT

Rank (lowest physician fee first)#44 of 51
Lowest stateArkansas ($367.66)
Highest stateDistrict of Columbia ($483.17)

Upper Endoscopy (EGD) With Biopsy and how Connecticut is priced

Despite sitting between two of the priciest metros in America, Connecticut is priced as one statewide Medicare locality, with geographic indices well above the national average. Every town from Stamford to Storrs shares the same adjustments, which are pushed up by the state's high wages, rents, and insurance costs. The uniform locality means Fairfield County's proximity to New York does not add a further Medicare premium beyond the statewide level. In practice Connecticut's Medicare-approved amounts rank among the higher states outside the biggest coastal cities.

Connecticut's hospital market has consolidated around a few large systems, and a major academic medical center in New Haven draws complex cases from across the state. Residents of Fairfield County routinely cross into New York for care, while some in the north lean toward Springfield or Boston providers. High commercial prices in the state make Medicare rates and transparent cash pricing especially useful comparison points here.

This procedure: This is the same upper endoscopy camera exam of the esophagus, stomach, and duodenum, but with the physician taking one or more small tissue samples through the scope using tiny forceps. Biopsies are painless and are taken to test for conditions such as H. pylori infection, celiac disease, Barrett's esophagus, or inflammation. The exam runs 10 to 20 minutes under IV sedation, and recovery is the same as a diagnostic EGD: home the same day with a driver.

What Is Upper Endoscopy (EGD) With Biopsy?

This is the same upper endoscopy camera exam of the esophagus, stomach, and duodenum, but with the physician taking one or more small tissue samples through the scope using tiny forceps. Biopsies are painless and are taken to test for conditions such as H. pylori infection, celiac disease, Barrett's esophagus, or inflammation. The exam runs 10 to 20 minutes under IV sedation, and recovery is the same as a diagnostic EGD: home the same day with a driver.

What Affects the Cost

  • Pathology is the defining extra cost of this code: each biopsy jar processed and read by the lab generates its own charge, and multiple sites mean multiple jars.
  • The facility fee difference between hospital outpatient departments and freestanding endoscopy centers dwarfs most other line items.
  • Separate anesthesia billing for propofol sedation adds an independent professional charge.
  • Testing biopsies for H. pylori or celiac disease may involve special stains that increase the lab bill.
  • The physician fee for 43239 is higher than the no-biopsy code 43235, reflecting the sampling work.

Questions to Ask Before Booking

  • 1.How many biopsy specimens do you expect to take, and what does the lab charge per specimen?
  • 2.Which pathology lab reads the samples and is it in my network?
  • 3.What is the total estimate across physician, facility, anesthesia, and pathology bills?
  • 4.Would a freestanding endoscopy center lower the facility portion of my cost?
  • 5.If you find something needing treatment during the exam, how could the code and price change?

Upper Endoscopy (EGD) With Biopsy in Connecticut: questions

Connecticut is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 43239 is $447.86 in an office and $129.86 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Connecticut uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $90 for the office physician line or $26 for the hospital physician line in Connecticut. Medigap may cover that 20%. This is not the hospital facility fee.

No. $447.86 is only the physician's share. Adding Medicare's facility payment brings the total to about $1,050 in a hospital outpatient department, or about $621 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Connecticut ranks #44 of 51 states on the physician line (7% above the national office rate of $418.85).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.