CostKits Your Healthcare Budget

Endoscopy Cost in Boston, MA (2026): Average Prices & What You'll Pay

What does a endoscopy cost in Boston, MA?

Where you have an endoscopy done in Boston, MA swings the bill from $898 to $1,282 for identical care. The median cash price across 29 reporting hospitals is $1,086. The numbers are pulled directly from federally mandated hospital price transparency files.

Across 29 Boston, MA hospitals that publish prices, an endoscopy runs from as little as $337 (MetroWest Medical Center - Natick in Natick) to $3,801 (PORTSMOUTH REGIONAL HOSPITAL in Portsmouth) — a 11.3× spread for the same procedure. Half of Boston, MA facilities price it at or below $1,086, with most clustered between $640 and $1,282. Insurers negotiate this down to a median of $851, while self-pay patients are quoted $1,086.

One upper endoscopy can become four separate bills — and a biopsy adds a fifth surprise weeks later.

The free toolkit shows you:

  • ✓ The four separate bills (facility, gastroenterologist, anesthesia, pathology) and which to scrutinize
  • ✓ How a biopsy adds a pathology bill that arrives weeks after the procedure
  • ✓ Why anesthesia ends up out-of-network even at an in-network surgery center
  • ✓ Why an ambulatory surgery center costs less than a hospital for the identical procedure
  • ✓ A real patient billing breakdown, line by line

Free for patients — takes 30 seconds to get.

We'll email it to you immediately. No account required, no spam.

Forecast your out-of-pocket cost

How prices are distributed across Boston, MA hospitals:
  • Lower-cost hospitals (bottom 25%): under $640
  • Median hospital: $1,086
  • Higher-cost hospitals (top 30%): $1,282+

That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two commercially insured patients in Boston:
  • Patient A (higher-rate plan or out-of-network): ~$1,282
  • Patient B (lower-rate in-network plan): ~$898
Same procedure. Same week. $384 difference.

Where endoscopy costs vary in Boston, MA

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

See every Boston, MA hospital's price

The 5 cheapest are shown. Enter your email to reveal the rest of the map and unlock all 24 remaining facilities — instantly.

We'll email you the full Boston, MA price list as a PDF. Sourced from CMS files. No spam.

Estimate YOUR exact out-of-pocket cost →

Cheapest Endoscopy Providers in Boston, MA

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Boston Medical Center South MA $611 -$475
2 Boston Medical Center Brighton MA $611 -$475
3 South Shore Hospital South Weymouth, MA $623 -$463
4 Northeast Rehabilitation Hospital Salem, MA $623 -$463
5 Tufts Medical Center Boston, MA $640 -$446
6 Anna Jaques Hospital Newburyport, MA $851 -$235
7 Exeter Hospital Inc Exeter, MA $968 -$118
8 Beth Israel Deaconess Hospital - Plymouth Plymouth, MA $1,069 -$17

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → Endoscopy costs nationwide

Check YOUR hospital's pricing → Estimate YOUR exact cost →

Worth knowing: A small number of hospitals report very high prices above $2,245, which pulls the overall range wider than what most patients encounter. The typical range above is a better guide for planning.
Every hospital in this dataset offers a cash price — with a median of $1,086. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$1,086
Deductible met — 20% coinsurance ~$217
Out-of-network provider $2,389+

Based on the state median facility price of $1,086. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should verify your hospital is in-network before an elective visit when possible
  • The cheapest facility can save you $749+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in Boston, MA start around $640 or below. Most hospitals cluster between $640 and $1,282. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Boston Medical Center in Boston (cash price from $337); MetroWest Medical Center - Natick in Natick (cash price from $377); MetroWest Medical Center - Framingham in Framingham (cash price from $377). These are declared cash prices — contact each facility for a formal quote before scheduling.

Quick decision guide:
  • Best value hospitals (lowest prices): Boston Medical Center: $337; MetroWest Medical Center - Natick: $377; MetroWest Medical Center - Framingham: $377
  • Most expensive (outpatient): Boston Children's Hospital: ~$2,577; Signature Healthcare Brockton Hospital: ~$1,786

→ Choosing the right facility can save $749+ vs. the state median.

Boston, MA Endoscopy prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 Boston Medical Center Boston, MA $337 -$749 $750–$2,738
#2 MetroWest Medical Center - Natick Natick, MA $377 -$709 $377–$3,517
#3 MetroWest Medical Center - Framingham Framingham, MA $377 -$709 $377–$3,761
#4 Boston Medical Center South MA $611 -$475 $1,359–$4,367
#5 Boston Medical Center Brighton MA $611 -$475 $1,359–$4,505
#6 South Shore Hospital South Weymouth, MA $623 -$463 $623–$926
#7 Northeast Rehabilitation Hospital Salem, MA $623 -$463 $623–$6,482
#8 Tufts Medical Center Boston, MA $640 -$446 $915–$6,821
#9 Anna Jaques Hospital Newburyport, MA $851 -$235 $851–$1,720
#10 Exeter Hospital Inc Exeter, MA $968 -$118 $968–$2,048
#11 Beth Israel Deaconess Hospital - Plymouth Plymouth, MA $1,069 -$17 $1,069–$1,764
#12 Beth Israel Deaconess Hospital - Needham Needham, MA $1,069 -$17 $1,069–$2,856
#13 Beth Israel Deaconess Medical Center Boston, MA $1,072 -$14 $1,072–$2,299
#14 Beth Israel Deaconess Hospital-Milton Inc Milton, MA $1,072 -$14 $1,072–$2,210
#15 Beverly Hospital Corporation Beverly, MA $1,086 +$0 $1,086–$2,299
#16 Mount Auburn Hospital Cambridge, MA $1,086 +$0 $1,086–$2,299
#17 Winchester Hospital Winchester, MA $1,086 +$0 $1,086–$2,299
#18 Lahey Hospital & Medical Center, Burlington Burlington, MA $1,086 +$0 $1,086–$2,299
#19 New England Baptist Hospital Boston, MA $1,186 +$100 $1,186–$2,256
#20 PORTSMOUTH REGIONAL HOSPITAL Portsmouth, MA $1,282 +$196 $1,282–$23,918
#21 SEABROOK EMERGENCY Seabrook, MA $1,282 +$196 $1,282–$23,918
#22 DOVER EMERGENCY ROOM Dover, MA $1,282 +$196 $1,282–$23,918
#23 PLAISTOW FSER Plaistow, MA $1,284 +$198 $1,284–$8,993
#24 PARKLAND MEDICAL CENTER Derry, MA $1,284 +$198 $1,284–$8,993
#25 FRISBIE MEMORIAL HOSPITAL Rochester, MA $1,332 +$246 $1,332–$22,781
#26 Dana-Farber Cancer Institute Boston, MA $1,608 +$522 $1,608
#27 Signature Healthcare Brockton Hospital Brockton, MA $1,786 +$700 $2,207–$9,218
#28 Boston Children's Hospital MA $2,577 +$1,491 $2,577–$8,237
#29 Curahealth Stoughton LLC MA $3,801 +$2,715 $3,801–$7,630

Unlock all 24 remaining Boston, MA hospitals

Enter your email to reveal the full table instantly — and we'll email you the complete price list as a PDF to keep.

We'll email you the full Boston, MA price list as a PDF. Sourced from CMS files. No spam.

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in Boston, MA:

Where you can save the most on endoscopy in Boston, MA

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
Boston Medical Center Boston, MA $337 -$749
MetroWest Medical Center - Natick Natick, MA $377 -$709
MetroWest Medical Center - Framingham Framingham, MA $377 -$709
Boston Medical Center South MA $611 -$475
Boston Medical Center Brighton MA $611 -$475

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive endoscopy providers in Boston, MA

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
Curahealth Stoughton LLC MA $3,801 +$2,715
Boston Children's Hospital MA $2,577 +$1,491
Signature Healthcare Brockton Hospital Brockton, MA $1,786 +$700
Dana-Farber Cancer Institute Boston, MA $1,608 +$522
FRISBIE MEMORIAL HOSPITAL Rochester, MA $1,332 +$246

Why prices vary this much

A small number of hospitals (2) report very high prices above $2,245, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

Setting drives much of the gap in Boston, MA: the median outpatient price is $1,079 versus $626 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the Boston, MA facilities reporting prices, 8 fall in a low-cost tier (up to $640) while 10 sit in a high-cost tier ($1,282 and up) — a lower-priced option almost always exists within the same state.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

Compare endoscopy costs in nearby states

Frequently asked questions: endoscopy costs in Boston, MA

How much does an endoscopy cost in Boston, MA?

Across 29 Boston, MA hospitals that publish prices, an endoscopy ranges from $337 to $3,801, with a median of $1,086. Most facilities fall between $640 and $1,282. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an endoscopy in Boston, MA?

Based on declared prices, the lowest-cost facility in our Boston, MA data is Boston Medical Center in Boston at about $337. By metro, Boston has the lowest median ($1,072). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.

Why is an endoscopy so much cheaper at some Boston, MA hospitals?

Prices vary up to 11.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Boston, MA, the median cash (self-pay) price is $1,086 versus a median negotiated rate of $851 — about 1.3× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for an endoscopy in Boston, MA?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network — not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Explore all endoscopy cost data

See endoscopy costs across all states

Where You Get an Endoscopy Matters

Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.

Ambulatory Surgery Center

Ambulatory Surgery Center typically carries a mid-range price for an endoscopy. Typically 40–60% less than hospital OP for surgical procedures. Anesthesia billed separately. You can shop here — call ahead and ask for a self-pay or cash quote.

Hospital Outpatient Department

Hospital Outpatient Department typically carries a higher price for an endoscopy. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.

What's Actually on Your Endoscopy Bill

A endoscopy involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.

Asc

  • Facility Fee — ASC facility fee — usually lower than hospital outpatient.
  • Gastroenterologist Fee
  • Anesthesia — Anesthesiologist/CRNA bills separately. Common out-of-network surprise.
  • Pathology (if biopsy) (conditional) — CPT 88305 for biopsy specimen — only when tissue is sampled (43239), not a diagnostic-only EGD (43235).

Hospital Outpatient

  • Facility Fee — Hospital outpatient facility fee — typically higher than an ASC.
  • Gastroenterologist Fee
  • Anesthesia
  • Pathology (if biopsy) (conditional)

Endoscopy Cost by Type

Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.

Diagnostic Upper Endoscopy (EGD)

Ordered to investigate symptoms or a prior finding — standard cost-sharing (deductible, coinsurance) applies. CPT 43235 — visualization only, no biopsy.

Upper Endoscopy with Biopsy

Adds a therapeutic step during the procedure, which changes the billing code and can add pathology charges. CPT 43239 — adds a pathology bill.

This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands

Endoscopy is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than ASC, Hospital OP for identical clinical outcomes.

How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.

Who performs this: Endoscopy is typically performed by a Gastroenterology. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.


CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
Analyze your medical bill for errors
How to negotiate your medical bills
Track and manage your healthcare costs (free account)

One upper endoscopy can become four separate bills — and a biopsy adds a fifth surprise weeks later.

The free toolkit shows you:

  • ✓ The four separate bills (facility, gastroenterologist, anesthesia, pathology) and which to scrutinize
  • ✓ How a biopsy adds a pathology bill that arrives weeks after the procedure
  • ✓ Why anesthesia ends up out-of-network even at an in-network surgery center
  • ✓ Why an ambulatory surgery center costs less than a hospital for the identical procedure
  • ✓ A real patient billing breakdown, line by line

Free for patients — takes 30 seconds to get.

We'll email it to you immediately. No account required, no spam.

Other Procedure Costs in Boston, MA

Interested in understanding healthcare costs and managing your medical expenses?

About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

Connect on LinkedIn →

Ready to take control of your healthcare costs?

Use the free cost estimator →  ·  Analyze a medical bill →

Published June 12, 2026

Track Your Healthcare Costs

Create a free account to save procedures, compare prices, and analyze future medical bills.