How much does Upper endoscopy (EGD) cost in San Antonio?

Median insurer-negotiated rates range from $1,149 at CHRISTUS Santa Rosa Health System to $2,028 at Methodist Hospital Atascosa, based on the hospitals' own federally mandated price files.

Is it cheaper to pay cash than use insurance?

Sometimes. Several hospitals publish discounted cash prices below the rates insurers negotiate. If you haven't met your deductible, ask for the self-pay price.

Why do prices differ so much between hospitals?

Each hospital negotiates rates separately with each insurer, and hospitals in the same health system usually share one contract. The same procedure with the same insurer can cost several times more across town.

Costs · Endoscopy · Upper endoscopy (EGD) · San Antonio · codes 43235, 43239

How much does an upper endoscopy (EGD) cost in San Antonio?

Camera exam of the esophagus stomach and upper intestine; bundle includes the with-biopsy variant. Below: the rates insurers have actually negotiated with 5 San Antonio-area hospitals, and the cash (self-pay) prices where published — from the hospitals' own federally required price files.

$1,149

lowest median negotiated rate

CHRISTUS Santa Rosa Health System

$2,028

highest (adult hospitals)

Methodist Hospital Atascosa

1.8×

price spread

same procedure, same metro

Rates shown

Median negotiated rate per hospital · sorted low → high · hover a bar for the full receipt

cash (self-pay) price

Hospital	Gross charge	Cash price	Negotiated	Range	# rates	vs median

* Specialty hospital (pediatric or cancer center) — rates reflect specialty case mix. † Median based on fewer than 3 published rates — treat as indicative. Bars show the median dollar-denominated commercial negotiated rate; hospitals sharing a health-system contract show similar rates.

SOURCE: standard-charges files from 5 hospitals · file dates 2025-10-14 → 2026-05-01 · retrieved 2026-08-08

Paying cash can beat using insurance. At CHRISTUS Santa Rosa Health System, the self-pay price is $1,122 — less than the $1,149 median commercial-insurer rate. If you haven't met your deductible, ask for the cash rate.

Skipping the hospital? 50 independent imaging/outpatient centers in this area negotiate a median $410 all-in for this procedure (184 insurer rates) — less than the lowest hospital facility fee above ($1,149).

Pediatric Orthopedic Associates Of San Antonio — $96
Holy Cross Family Practice Association — $96
Travis Lockwood — $101
Planned Parenthood South Texas Surgical Center — $107

All-in (global) negotiated fees from Cigna, and UnitedHealthcare's federally mandated Transparency-in-Coverage files, newest dated 2026-08-01; hospital bars above show the facility fee only — a physician fee is usually billed on top. Estimates — confirm with the provider.

← Upper endoscopy (EGD): overview