Upper endoscopy (diagnostic)

A camera scope passed through the mouth to look at the esophagus, stomach, and upper intestine.
Code 43235 · Digestive procedures · by county · negotiated in-network prices · by state, with single plans
Payers shown: Security Health Plan · all plans together
Prices shown: surgery centers and hospital outpatient departments
Doctor’s fee or facility fee? These are doctors' (professional) fees only. If this is done in a hospital or surgery center, the facility bills its own fee on top — for the room, nurses and equipment — often larger than the doctor's. That fee is not included here. (About 7% of these prices are facility fees instead, which can show up as unusually high prices.)
CountyProvidersLowest25th pctMedian 75th pctHighestvs Medicare
“x Medicare” compares each price with what original Medicare pays a doctor for the same service in the same state under its physician fee schedule (RVU26D, in force from 2026-10-01) — the lower price a doctor is paid when a hospital or surgery center provides the room and equipment. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x.
Counties with fewer than five providers are not shown. A price in a county with one or two providers would be those providers’ own price; provider-level detail is not published here, but this specific data can be requested here. A provider is placed in the county of the practice address it registered with the federal NPI registry.