Upper endoscopy (EGD) in Somerset, PA costs $411 to $1,509. Here's every hospital's price.
2 hospitals in the Somerset, PA metro area publish a cash price for upper endoscopy (egd) (CPT 43235). We read their files every month so you don't have to.
Across the Somerset, PA metro area, 2 hospitals list a cash price for upper endoscopy (egd) (CPT 43235). The lowest is $411 at Chan Soon- Shiong Medical Center at Windber, the median is $411 and the highest is $1,509 at UPMC Somerset. The most expensive hospital lists 3.7 times the cheapest for the same code.
The Somerset, PA median of $411 is 68% below the national median of $1,273 across 1016 US hospitals with a cash price for this code.
2 of these hospitals also publish the rates they negotiated with insurers, from $91 to $2,220. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.
The files behind these prices are dated between February 2026 and March 2026. 1 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.
Sorted by cash price
Hospital facility fee onlyWindber · 21 mi · File Feb 2026
Somerset · 3 mi · File Mar 2026
What's in the price
The hospital facility fee for CPT 43235. The doctor, anesthesia and lab work usually bill separately.
Cash vs. insured
Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.
What to say on the phone
"I'd like the self-pay price for CPT 43235, in writing, and whether it covers facility, physician and anesthesia."
About upper endoscopy (egd)
An upper endoscopy, or EGD (esophagogastroduodenoscopy), passes a thin camera through the mouth to look at the esophagus, stomach and the first part of the small intestine. CPT 43235 is the diagnostic version with no biopsy. It takes about 15 minutes under sedation and is done for reflux, swallowing problems, unexplained pain or bleeding.
What the price covers
The hospital's price is the facility fee for the endoscopy unit: room, nursing, scope, sedation monitoring and recovery. The gastroenterologist and the anesthesia provider bill separately. If a sample is taken the code becomes 43239 and pathology is added.
Why prices vary
An EGD is one of the most variable codes in hospital price files. Large systems and academic centers commonly list gross charges several times higher than community hospitals, and cash discounts range from 20 to 70 percent. Freestanding endoscopy centers, which do not publish these files, are often the cheapest option of all.
Questions to ask
- What is the self-pay price for 43235, and does it include the physician and anesthesia?
- What will it cost if a biopsy is taken (43239)?
- Is the procedure done in the hospital or in a hospital-owned outpatient center, and are the prices the same?
Hospitals in Somerset, PA without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Conemaugh Meyersdale Medical Centercode not in file