Let's Talk About the Cost of an Upper GI Endoscopy

If you're experiencing persistent digestive problems like heartburn, difficulty swallowing, vomiting, abdominal pain, or gastrointestinal (GI) bleeding, an upper GI endoscopy may be recommended.

Typically performed under sedation, this procedure involves inserting an endoscope—a flexible tube with a camera—through the mouth and throat to examine the upper GI tract, which includes the esophagus, stomach, and the first part of the small intestine (the duodenum). The camera transmits real-time images to a monitor, allowing the doctor to closely examine the lining of the upper GI tract. This examination helps determine potential causes of your digestive symptoms and may also involve collecting tissue samples (biopsies) to test for diseases and conditions affecting the upper digestive system, including ulcers, polyps, and cancers.

The Wear the Cost episode of care for upper GI endoscopy offers valuable insights into cost expectations, helping patients make informed decisions about their healthcare journey. In Maryland, the cost of an upper GI endoscopy can vary depending on the hospital and your insurance coverage. For those with private insurance, costs typically range from $2,093 to $2,883, while Medicaid patients might face bills between $2,731 to $4,904. These costs can fluctuate due to the expected components of care such as lab work, biopsies, and the endoscopy itself, but also because of potentially avoidable complications. Unexpected issues like hypotension, respiratory failure, or fluid and electrolyte imbalances can lead to additional, unplanned expenses.

Knowing the costs of healthcare is as critical as understanding the procedure and its potential outcomes, and patients should be aware of this before undergoing any treatment. This knowledge allows them to manage medical bills more effectively and anticipate the financial impact of their care. It's also important to recognize that higher prices don't always indicate better care. Being informed allows patients to discuss costs and quality of care with their providers, helping to avoid unnecessary expenses and complications, ultimately leading to better health outcomes and less financial pressure.

Explore this overview for more insights into the costs of an upper GI endoscopy in Maryland and which hospitals might provide greater value. Click here to create your own custom report showing the cost and quality for different hospitals for this procedure and other episodes of care and make the best decision for you.