Upper Endoscopy (EGD) Cost in Illinois

Egd diagnostic brush wash

CPT 43235

Illinois Average Cost (2026)

-0.2% vs national avg

Average across 4 Medicare localities in Illinois

Illinois (Office)
$321.87
Non-facility rate
Illinois (Hospital)
$116.94
Facility rate
Private Insurance Est.
$418 - $644
130-200% of Medicare
Self-Pay / Cash Est.
$257 - $483
80-150% of Medicare

National Average

Office Rate$322.65
Hospital Rate$110.56

State Ranking

Illinois rank#32 of 49
Cheapest stateArkansas ($284.01)
Most expensiveDistrict of Columbia ($371.11)

Cost by Region in Illinois

RegionOffice Rate
suburban chicago$335.97
chicago$334.74
east st. louis$311.06
rest of illinois$305.72

Get exact pricing for your ZIP code

Enter your ZIP code to see costs adjusted for your specific locality within Illinois

About Upper Endoscopy (EGD) Costs in Illinois

The average Medicare reimbursement for upper endoscopy (egd) in Illinois is $321.87 for an office setting and $116.94 in a hospital. This is close to the national average of $322.65.

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Illinois, that would be roughly $64 for an office visit or $23 in a hospital setting.

Private insurance plans in Illinois typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $418 and $644.

Without insurance, you may be able to negotiate a cash discount. Many providers in Illinois 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)

Compare Insurance Plans

Uninsured? Comparing marketplace plans in Illinois 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.

Check prices on GoodRx

Some links are affiliate links. We may earn a commission at no extra cost to you.

More ways to save →
Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations based on industry averages.