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Do you know how much is an endoscopy with insurance?

An endoscopy is a fairly common medical procedure and it is convenient to know how much you will have to pay

by Carmen Asua
20 June, 2022 - Updated on 10 October, 2022
in Insurance
insurances

An endoscopy is a test you may have to do at some point in your life. In case you do not know, it consists of exploring through an endoscope human body cavities to find possible causes for pain or symptom and, in general, diseases.

If your doctor has ordered this test, you may wonder what the endoscopy price is if you have health insurance. Likewise, if you do not have insurance, you will also want to clarify the same doubt and know how much you should consider spending to do this test and thus solve your problem. Today we will solve all these doubts, so be attentive to the information.

Contents

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  • What is the price of an endoscopy in general, and what does this price cover?
  • Does health insurance cover an endoscopy?

What is the price of an endoscopy in general, and what does this price cover?

As you probably know, the price of medical procedures in the United States is always very different from one state to another. It also depends on whether it is an urban or rural area or where the test will be carried out.

But speaking clearly, we can tell you that an endoscopy can cost between $1,250 and $4,800. The estimated median price, therefore, is $2,750. Let’s see, briefly, what factors can interfere with it being more or less expensive:

  • Like we said, the State or Town they send you to do an endoscopy is essential. If you check some data on the subject, you will see that the difference between many states is big. While in Atlanta or Dallas, it can cost around 980/1000 dollars, in New York or Philadelphia, that minimum amounts to 1150/1200 dollars.
  • The place in which the test will be carried out is also very important in terms of the cost it will have. It is not the same if the test is recommended to you while you are admitted to the hospital as if your doctor orders it to you in an outpatient center. The hospital will be much more expensive, and the fact that you are hospitalized will also be added.
  • There may be subtle differences in price depending on what the entire procedure covers. Maybe you have to do the endoscopy, or perhaps they send you to have a couple of revisions done later that increase the cost of the whole process.
  • Finally, and this is the most obvious difference, the price will vary greatly depending on whether you have health insurance. We know that this is what you were wondering since you want to find out how much an endoscopy will cost you if you have insurance. Well, less than if you don’t have it, but let’s flesh this out now.
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Does health insurance cover an endoscopy?

The medical insurance that you pay month by month can cover many of the medical needs that you have throughout life. Depending on the type of insurance, age, and gender, some things will be covered, and others will not.

Of course, if you expected that the endoscopy would be completely free if you had health insurance, we are sorry to disappoint you as this is not the case. If you have insurance, you will probably pay less than if you don’t, but you will have to cover some of the expenses.

It isn’t easy to establish how much the exact amount is. It depends a lot on the insurance company and the monthly amount you pay. But we can say typically that the insurance and the beneficiary bear the endoscopy cost. That is, in some cases, it is simply a 50/50. It would mean that the price could be between 600 and 2000 dollars depending on all the factors we have seen before.

The best thing to do, after all, is to check all this information with your health insurance when your doctor tells you that you should have this test done. Only then will you know what price you have to pay.

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