# Upper endoscopy (EGD) with biopsy in Rome, GA

Billing code `43239`. Prices for this code at 6 hospitals within 35 miles of Rome, taken from the machine-readable standard charge files each hospital is required to publish under the CMS Hospital Price Transparency Rule (45 CFR 180.50).

Source page: https://clearcharge.org/price/ga/rome/upper-endoscopy-egd-with-biopsy

Egd biopsy single/multiple

**Where this is done matters more than which hospital:** Upper endoscopy (EGD) with biopsy is a procedure a doctor's office can perform, and Medicare pays about 2.5x more for it at a hospital outpatient department than in an office. Every price below is a hospital's, and excludes the doctor's separate bill. Do not quote these as the cost of the procedure without saying which setting they describe.

## Before quoting any figure below

- **Hospital charges only.** The surgeon, anaesthetist, radiologist and pathologist bill separately and appear in no hospital price file, by construction. Every figure below is part of a total, never the total.
- **A negotiated rate is not a bill.** It is what a hospital and an insurer agreed. What a patient owes depends on their deductible, coinsurance and out-of-pocket maximum.
- **Each hospital's figure is a median across its own plans.** The spread inside one hospital is often wider than the gap between two of them.
- **"not mentioned" is not $0.** It means this hospital's file does not label a row that way. Silence is not a statement that the charge does not exist.
- **A hospital absent from the table says nothing about its prices.** It may publish this code under a revenue or drug code this site cannot map to a procedure.

A procedure code is billed twice -- once by the hospital for its own costs, once by the doctor for their work -- and hospitals publish different sides of that split under the same code. Of the hospitals here, 5 publish a facility charge; 1 do not label which half the figure is.

## Typical price

|  | Amount |
|---|---|
| Lowest reported | $925 |
| Typical | $2,219 |
| Highest reported | $3,127 |

Too few hospitals here for a decile to mean anything, so these are the true extremes and a single unusual figure can set one of them.

## Every hospital publishing this code

| Hospital | Where | CMS rating | Typical | Facility charge | Physician fee | Self-pay | Lowest | Highest | Plans on file |
|---|---|---|---|---|---|---|---|---|---|
| Floyd Cherokee Medical Center | CENTRE, AL (21.2 mi) | not rated | $925 | $925 | not mentioned | not published | $832 | $2,179 | 13 |
| Atrium Health Floyd Medical Center | ROME (~0 mi) | 2/5 | $932 | $932 | not mentioned | not published | $914 | $1,827 | 15 |
| AdventHealth Gordon | CALHOUN (22.0 mi) | 3/5 | $1,382 | $1,382 | not mentioned | not published | $903 | $2,246 | 11 |
| Hamilton Medical Center | DALTON (33.5 mi) | 3/5 | $2,219 | $2,219 | not mentioned | not published | $2,114 | $5,392 | 3 |
| AdventHealth Redmond | ROME (0.0 mi) | 4/5 | $2,246 | $2,246 | not mentioned | not published | $943 | $5,045 | 13 |
| Piedmont Cartersville Medical Center | CARTERSVILLE (25.6 mi) | 3/5 | $3,127 | not mentioned | not mentioned | $1,389 | $546 | $4,631 | 19 |

## Self-pay

Self-pay is what the hospital charges someone paying themselves rather than through insurance. Paying self-pay usually does not count toward a deductible, so it can cost less for one service and more across a year. Every other figure here is what an insurer pays, not what a patient would.

At 1 of the 1 hospitals here that publish a self-pay price it is LOWER than what that same hospital typically accepts from an insurer; at the other 0 it is higher.

## The doctor's side, roughly

Nationally, Medicare allows about $165 for the clinician who performs or reads this service, across 16,703 billing providers in 2024. That is a separate bill from everything above and is NOT added to any figure on this page -- it is here to show the rough size of what a hospital price leaves out.

1 of these 6 hospitals have not published an updated price file in over a year, or do not say when they last did. Hospitals are required to update at least annually, so those figures may not reflect what they charge now: Floyd Cherokee Medical Center.

## Others in digestive health

- [Upper endoscopy (EGD), diagnostic](https://clearcharge.org/price/ga/upper-endoscopy-egd-diagnostic) -- 92 hospitals, typically $1,786
- [Colonoscopy with biopsy](https://clearcharge.org/price/ga/colonoscopy-with-biopsy) -- 90 hospitals, typically $2,246
- [Colonoscopy with polyp removal (snare)](https://clearcharge.org/price/ga/colonoscopy-with-polyp-removal-snare) -- 90 hospitals, typically $2,246
- [Gallbladder removal (laparoscopic)](https://clearcharge.org/price/ga/gallbladder-removal-laparoscopic) -- 69 hospitals, typically $5,799
- [Colonoscopy, diagnostic](https://clearcharge.org/price/ga/colonoscopy-diagnostic) -- 68 hospitals, typically $1,746
- [Groin hernia repair, age 5 and over](https://clearcharge.org/price/ga/groin-hernia-repair-age-5-and-over) -- 67 hospitals, typically $3,547
- [Colonoscopy with ultrasound](https://clearcharge.org/price/ga/colonoscopy-with-ultrasound) -- 63 hospitals, typically $3,011
- [Tonsil and adenoid removal, under age 12](https://clearcharge.org/price/ga/tonsil-and-adenoid-removal-under-age-12) -- 53 hospitals, typically $5,997

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Every procedure with a published price in GA: https://clearcharge.org/price/ga
Prices that look wrong: info@clearcharge.org

Compiled by Clearcharge (clearcharge.org) from each hospital's machine-readable standard-charge file. When quoting a figure, cite the source page above. The hospital files behind these figures state data through dates from 2025-11-19 to 2026-07-01; per-hospital staleness is flagged above.