How much does upper GI endoscopy (EGD), diagnostic cost in Texas?
CPT 43235 — the fair price, every hospital's price, and the Medicare benchmark for Texas.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
43235 Upper GI endoscopy (EGD), diagnostic
Ask to pay
$1,825
This is the local cash / self-pay price — usually the best rate you can ask for.
Typical
$1,705
Medicare $938
Ask $1,825
$242 lowboxed = typical rangehigh $6,305
What Medicare paysⓘ
$938
Typical price near you
$1,705
Cash / self-pay price
$1,825
Prices near you — 67 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| University Medical Center of El Paso lowest | Hospital | $242cash | 0.3× | ★★★★★ |
| Valley Baptist Medical Center – Brownsville | Hospital | $284negotiated | 0.3× | ★★★★★ |
| Dell Seton Medical Center at UT (Austin) | Hospital | $335negotiated | 0.4× | ★★★★★ |
| Cook Children's Medical Center (Fort Worth) | Hospital | $352negotiated | 0.4× | — |
| Houston Methodist Hospital (Houston) | Hospital | $426cash | 0.5× | ★★★★★ |
| The Hospitals of Providence Memorial Campus (El Paso) | Hospital | $500negotiated | 0.5× | ★★★★★ |
| CHRISTUS Santa Rosa Hospital – Westover Hills (San Antonio) | Hospital | $560cash | 0.6× | — |
| The Hospitals of Providence Sierra Campus (El Paso) | Hospital | $649negotiated | 0.7× | — |
| Houston Methodist Sugar Land Hospital (Sugar Land) | Hospital | $658cash | 0.7× | ★★★★★ |
| Houston Methodist The Woodlands Hospital (The Woodlands) | Hospital | $658cash | 0.7× | ★★★★★ |
| Ascension Seton Medical Center Austin | Hospital | $909negotiated | 1.0× | ★★★★★ |
| University Hospital - University Health (San Antonio) | Hospital | $925negotiated | 1.0× | — |
| St. Luke's Health–The Woodlands Hospital (The Woodlands) | Hospital | $967negotiated | 1.0× | ★★★★★ |
| Baylor St. Luke's Medical Center (Houston) | Hospital | $1,000negotiated | 1.1× | ★★★★★ |
| UMC Health System – University Medical Center (Lubbock) | Hospital | $1,033negotiated | 1.1× | ★★★★★ |
| Covenant Medical Center (Lubbock) | Hospital | $1,040cash | 1.1× | ★★★★★ |
| Memorial Hermann Memorial City Medical Center (Houston) | Hospital | $1,056cash | 1.1× | ★★★★★ |
| Memorial Hermann The Woodlands Medical Center (The Woodlands) | Hospital | $1,056cash | 1.1× | — |
| JPS Health Network – John Peter Smith Hospital (Fort Worth) | Hospital | $1,071negotiated | 1.1× | ★★★★★ |
| Baylor Scott & White All Saints Medical Center (Fort Worth) | Hospital | $1,093negotiated | 1.2× | ★★★★★ |
| Baylor University Medical Center (Dallas) | Hospital | $1,118negotiated | 1.2× | ★★★★★ |
| Baylor Scott & White Medical Center – College Station | Hospital | $1,143negotiated | 1.2× | ★★★★★ |
| Baylor Scott & White Medical Center – Round Rock | Hospital | $1,149negotiated | 1.2× | ★★★★★ |
| Baylor Scott & White Medical Center – Plano | Hospital | $1,149negotiated | 1.2× | ★★★★★ |
| Baylor Scott & White Medical Center – Temple | Hospital | $1,191negotiated | 1.3× | ★★★★★ |
| UT MD Anderson Cancer Center (Houston) | Hospital | $1,209negotiated | 1.3× | — |
| Shannon Medical Center (San Angelo) | Hospital | $1,435negotiated | 1.5× | ★★★★★ |
| Memorial Hermann–Texas Medical Center (Houston) | Hospital | $1,456cash | 1.6× | ★★★★★ |
| UT Southwestern William P. Clements Jr. University Hospital (Dallas) | Hospital | $1,526cash | 1.6× | ★★★★★ |
| Methodist Hospital (San Antonio) | Hospital | $1,705negotiated | 1.8× | ★★★★★ |
| Methodist Hospital Texsan (San Antonio) | Hospital | $1,705negotiated | 1.8× | — |
| Methodist Hospital Stone Oak (San Antonio) | Hospital | $1,705negotiated | 1.8× | ★★★★★ |
| Methodist Hospital Metropolitan (San Antonio) | Hospital | $1,713negotiated | 1.8× | — |
| Texas Health Presbyterian Hospital Denton | Hospital | $1,825cash | 1.9× | — |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Hospital | $1,825cash | 1.9× | — |
| Texas Health Harris Methodist Hospital Stephenville | Hospital | $1,825cash | 1.9× | — |
| Texas Health Harris Methodist Hospital Cleburne | Hospital | $1,825cash | 1.9× | — |
| Texas Health Hospital Rockwall | Hospital | $1,825cash | 1.9× | — |
| Texas Health Presbyterian Hospital Allen | Hospital | $1,825cash | 1.9× | — |
| Texas Health Harris Methodist Hospital Southlake | Hospital | $1,825cash | 1.9× | — |
| Texas Health Presbyterian Hospital Kaufman | Hospital | $1,825cash | 1.9× | — |
| Texas Health Presbyterian Hospital Flower Mound | Hospital | $1,825cash | 1.9× | — |
| Texas Health Harris Methodist Hospital Alliance (Fort Worth) | Hospital | $1,825cash | 1.9× | — |
| Texas Health Presbyterian Hospital Dallas | Hospital | $1,825cash | 1.9× | — |
| Texas Health Arlington Memorial Hospital (Arlington) | Hospital | $1,825cash | 1.9× | — |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Hospital | $1,825cash | 1.9× | — |
| Texas Health Hospital Frisco | Hospital | $1,825cash | 1.9× | — |
| Texas Health Harris Methodist Hospital Fort Worth | Hospital | $1,825cash | 1.9× | — |
| Texas Health Harris Methodist Hospital Azle | Hospital | $1,825cash | 1.9× | — |
| Texas Health Presbyterian Hospital Plano | Hospital | $1,825cash | 1.9× | — |
| Parkland Health (Dallas) | Hospital | $1,916cash | 2.0× | ★★★★★ |
| HCA Houston Healthcare Northwest (Houston) | Hospital | $2,110negotiated | 2.3× | ★★★★★ |
| HCA Houston Healthcare West (Houston) | Hospital | $2,110negotiated | 2.3× | ★★★★★ |
| HCA Houston Healthcare Clear Lake (Webster) | Hospital | $2,115negotiated | 2.3× | ★★★★★ |
| HCA Houston Healthcare Medical Center (Houston) | Hospital | $2,146negotiated | 2.3× | ★★★★★ |
| Medical City Dallas Hospital (Dallas) | Hospital | $2,214negotiated | 2.4× | ★★★★★ |
| Medical City Plano | Hospital | $2,514negotiated | 2.7× | ★★★★★ |
| Medical City Frisco | Hospital | $2,515negotiated | 2.7× | — |
| Medical City Fort Worth | Hospital | $2,515negotiated | 2.7× | ★★★★★ |
| St. David's South Austin Medical Center (Austin) | Hospital | $2,613negotiated | 2.8× | ★★★★★ |
| St. David's North Austin Medical Center (Austin) | Hospital | $2,613negotiated | 2.8× | — |
| St. David's Round Rock Medical Center (Round Rock) | Hospital | $2,613negotiated | 2.8× | — |
| St. David's Medical Center (Austin) | Hospital | $2,625negotiated | 2.8× | ★★★★★ |
| Harris Health Lyndon B. Johnson Hospital (Houston) gross charge | Hospital | $3,407cash | 3.6× | — |
| Harris Health Ben Taub Hospital (Houston) gross charge | Hospital | $3,407cash | 3.6× | — |
| Hendrick Medical Center (Abilene) gross charge | Hospital | $3,727cash | 4.0× | ★★★★★ |
| Doctors Hospital at Renaissance (Edinburg) gross charge | Hospital | $6,305cash | 6.7× | — |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 4 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
- For 43235 (Upper GI endoscopy (EGD), diagnostic), Medicare's benchmark rate is $937.56. A fair self-pay target for this line is $1,824.75. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 43235 is $1,824.75, and negotiated rates at nearby facilities run $1,055.68–$1,915.75. Please apply a rate in that range to my bill rather than the gross charge.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See upper GI endoscopy (EGD), diagnostic prices in another area
What should 43235 cost in Texas?
For upper GI endoscopy (EGD), diagnostic (CPT 43235) in Texas, a fair self-pay price is around $1,705, with hospitals ranging from $1,056 to $1,916 across 67 facilities. Medicare's benchmark rate is $938, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does upper GI endoscopy (EGD), diagnostic cost in Texas?
A fair self-pay price for upper GI endoscopy (EGD), diagnostic (CPT 43235) in Texas is around $1,705, with hospital prices ranging from $1,056 to $1,916 across 67 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 43235?
Medicare pays about $938 for upper GI endoscopy (EGD), diagnostic (CPT 43235). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of upper GI endoscopy (EGD), diagnostic?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
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Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.