Upper Endoscopy (EGD) Cost in Illinois
Upper endoscopy (EGD) uses a flexible camera to examine your esophagus, stomach, and upper small intestine. Endoscopy costs in Illinois range from $1,000 to $4,000 depending on the facility and whether biopsies are taken.
Illinois Price Range
By choosing the lowest-cost provider
What is a Upper Endoscopy?
During an EGD, a gastroenterologist inserts a thin, flexible tube with a camera down your throat. The procedure takes 15-30 minutes and is performed under sedation. Tissue samples (biopsies) can be taken during the exam.
Common Billing Codes (CPT/DRG)
Why Upper Endoscopy Prices Vary So Much
Endoscopy prices vary based on facility type (hospital vs. ambulatory surgery center), anesthesia, pathology fees for biopsies, and any treatments performed during the procedure. ASCs typically charge 40-50% less than hospitals.
Lower-Cost Options
- Community hospitals in suburbs
- Freestanding imaging/surgery centers
- Cash-pay discounts (20-40% off)
Higher-Cost Options
- Academic medical centers (Northwestern, Rush)
- Hospital outpatient departments
- Out-of-network facilities
Upper Endoscopy Prices at Illinois Hospitals
Compare actual upper endoscopy prices reported by hospitals. Prices shown are cash-pay/self-pay rates from hospital transparency files.
Payment Options Comparison
See how different payment methods affect your out-of-pocket cost
Cash/Self-Pay
Hospital list price
$2,100
Full price
- No insurance needed
- May qualify for discounts
With Insurance
Estimated negotiated rate
~$1,680
Save ~$420 vs cash
- Negotiated network rate
- Counts toward deductible
- Actual cost depends on plan
With HSA/FSA
Tax-free payment
$1,373
Save $727 in taxes (~35%)
- Pay with pre-tax dollars
- Federal + State + FICA savings
- Rolls over year to year
No monthly fees. FDIC insured.
HSA savings based on 22% federal + 4.95% IL state + 7.65% FICA tax rates. Actual savings vary by tax bracket.
Can I Afford This?
Check if your savings can cover this $2,100 procedure.
No monthly fees. Invest your balance. FDIC insured.
Insurance Tips for Upper Endoscopy
Upper endoscopy is usually covered when medically necessary for symptoms like persistent heartburn, difficulty swallowing, or unexplained weight loss. Prior authorization may be required. Confirm coverage before scheduling.
Before Scheduling, Ask:
- 1.Is this facility in my insurance network?
- 2.Does this procedure require prior authorization?
- 3.What is my out-of-pocket cost after deductible?
- 4.Is there a cash-pay discount if I pay upfront?
When Do You Need a Upper Endoscopy?
Doctors recommend EGD for persistent acid reflux, difficulty swallowing, unexplained abdominal pain, GI bleeding, or to screen for Barrett's esophagus. It's also used to evaluate ulcers, inflammation, and celiac disease.
Frequently Asked Questions
Related Procedures
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Price data sourced from hospital transparency files as required by the Hospital Price Transparency Rule. Last updated December 2025.