Upper Endoscopy (EGD) With Biopsy Cost in Delaware
Egd biopsy single/multiple
Delaware Average Cost (2026)
-1.1% vs national avgAverage across 1 Medicare locality in Delaware
National Average
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About Upper Endoscopy (EGD) With Biopsy Costs in Delaware
The average Medicare reimbursement for upper endoscopy (egd) with biopsy in Delaware is $414.34 for an office setting and $122.62 in a hospital. This is close to the national average of $418.85.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Delaware, that would be roughly $83 for an office visit or $25 in a hospital setting.
Private insurance plans in Delaware typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $539 and $829.
Without insurance, you may be able to negotiate a cash discount. Many providers in Delaware will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.
Ways to Save on Upper Endoscopy (EGD) With Biopsy
Compare Insurance Plans
Uninsured? Comparing marketplace plans in Delaware could save you thousands on procedures like this.
Compare plans on eHealth →Try Telehealth First
Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.
Book on Sesame Care →Save on Prescriptions
If this procedure leads to a prescription, check discount cards for up to 80% savings.
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More ways to save →Other Procedures in Delaware
Upper Endoscopy (EGD) With Biopsy Cost by State
Upper Endoscopy (EGD) With Biopsy in Delaware: Frequently Asked Questions
How much does upper endoscopy (egd) with biopsy cost in Delaware?
The average 2026 Medicare rate for upper endoscopy (egd) with biopsy (CPT 43239) in Delaware is $414.34 in an office setting and $122.62 in a hospital. Private insurance typically pays $539 to $829, and self-pay cash prices often run $331 to $622.
Is upper endoscopy (egd) with biopsy cheaper in Delaware than the national average?
Delaware is close to the national average of $418.85. Across all states, Delaware ranks #29 of 49 for this procedure. The cheapest state is Arkansas ($367.66) and the most expensive is District of Columbia ($483.17).
What will I pay out of pocket for upper endoscopy (egd) with biopsy in Delaware with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In Delaware that is roughly $83 for an office visit or $25 in a hospital setting.
How can I save on upper endoscopy (egd) with biopsy in Delaware?
Ask providers for a cash or self-pay price before scheduling; many in Delaware reduce fees 20% to 40% for self-pay patients. If you are uninsured, comparing marketplace plans, using telehealth for consultations, and checking prescription discount cards can cut costs further.