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Endoscopy Cost in New Hampshire (2026): Average Prices & What You'll Pay

What does a endoscopy cost in New Hampshire?

Where you have an endoscopy done in New Hampshire swings the bill from $472 to $1,283 for identical care. The median cash price across 26 reporting hospitals is $968. The numbers are pulled directly from federally mandated hospital price transparency files.

Self-pay patients are quoted more than insurers actually pay: the median cash price is $968 versus a median negotiated rate of $318 — about 3× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. The same endoscopy that costs $205 at Mary Hitchcock Memorial Hospital in Lebanon reaches $23,918 at DOVER EMERGENCY ROOM in Dover — a 116.7× gap across the 26 New Hampshire hospitals reporting prices. The median New Hampshire price is $968. Most facilities fall between $332 and $1,283.

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 New Hampshire hospitals:
  • Lower-cost hospitals (bottom 25%): under $332
  • Median hospital: $968
  • Higher-cost hospitals (top 30%): $1,283+

That's a 4× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two commercially insured patients in Manchester:
  • Patient A (higher-rate plan or out-of-network): ~$1,283
  • Patient B (lower-rate in-network plan): ~$472
Same procedure. Same week. $811 difference.

Where endoscopy costs vary in New Hampshire

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 New Hampshire hospital's price

The 5 cheapest are shown. Enter your email to reveal the rest of the map and unlock all 21 remaining facilities — instantly.

We'll email you the full New Hampshire price list as a PDF. Sourced from CMS files. No spam.

Estimate YOUR exact out-of-pocket cost →

Cheapest Endoscopy Providers in New Hampshire

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

# Facility City Price vs Median
1 Cheshire Medical Center Keene, NH $240 -$728
2 The New London Hospital Association, Inc. NH $280 -$688
3 Littleton Regional Healthcare Littleton, NH $286 -$682
4 VALLEY REGIONAL HOSPITAL Claremont, NH $306 -$662
5 Weeks Medical Center Lancaster, NH $411 -$557
6 Speare Memorial Hospital Plymouth, NH $533 -$435
7 Androscoggin Valley Hospital Berlin, NH $604 -$364
8 Northeast Rehabilitation Hospital Salem, NH $623 -$345

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 $2,712, 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 $968. 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) ~$968
Deductible met — 20% coinsurance ~$194
Out-of-network provider $2,130+

Based on the state median facility price of $968. 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 $763+ vs. the median.

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

Lower-cost options in New Hampshire start around $332 or below. Most hospitals cluster between $332 and $1,284. 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: Mary Hitchcock Memorial Hospital in Lebanon (cash price from $205); Monadnock Community Hospital in Peterborough (cash price from $206); Huggins Hospital in Wolfeboro (cash price from $221). These are declared cash prices — contact each facility for a formal quote before scheduling.

How where you go changes what you pay for endoscopy

The same endoscopy bundles different services depending on the setting — facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$385–$4,691
  • Facility fee $205–$3,175
  • Professional fee $180–$1,516

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$386–$2,940
  • Facility fee $206–$1,424
  • Professional fee $180–$1,516

Estimated from CMS fee schedules + commercial rate multipliers

Quick decision guide:
  • Best value hospitals (lowest prices): Mary Hitchcock Memorial Hospital: $205; Monadnock Community Hospital: $206; Huggins Hospital: $221
  • Most expensive (outpatient): MaineHealth: ~$3,175; Concord Hospital - Laconia: ~$2,577

→ Choosing the right facility can save $763+ vs. the state median.

New Hampshire 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 Mary Hitchcock Memorial Hospital Lebanon, NH $205 -$763 $205–$9,879
#2 Monadnock Community Hospital Peterborough, NH $206 -$762 $344–$4,620
#3 Huggins Hospital Wolfeboro, NH $221 -$747 $443–$3,915
#4 Cheshire Medical Center Keene, NH $240 -$728 $240–$7,284
#5 The New London Hospital Association, Inc. NH $280 -$688 $280–$7,735
#6 Littleton Regional Healthcare Littleton, NH $286 -$682 $493–$4,064
#7 VALLEY REGIONAL HOSPITAL Claremont, NH $306 -$662 $557–$1,194
#8 Weeks Medical Center Lancaster, NH $411 -$557 $734–$1,593
#9 Speare Memorial Hospital Plymouth, NH $533 -$435 $533–$1,705
#10 Androscoggin Valley Hospital Berlin, NH $604 -$364 $960
#11 Northeast Rehabilitation Hospital Salem, NH $623 -$345 $623–$6,482
#12 CATHOLIC MEDICAL CENTER Manchester, NH $951 -$17 $951–$10,641
#13 Exeter Hospital Inc Exeter, NH $968 +$0 $968–$2,048
#14 Elliot Hospital Manchester, NH $968 +$0 $968–$6,482
#15 Southern NH Medical Center Nashua, NH $990 +$22 $990–$4,971
#16 DOVER EMERGENCY ROOM Dover, NH $1,282 +$314 $1,282–$23,918
#17 SEABROOK EMERGENCY Seabrook, NH $1,282 +$314 $1,282–$23,918
#18 PORTSMOUTH REGIONAL HOSPITAL Portsmouth, NH $1,282 +$314 $1,282–$23,918
#19 PARKLAND MEDICAL CENTER Derry, NH $1,284 +$316 $1,284–$8,993
#20 PLAISTOW FSER Plaistow, NH $1,284 +$316 $1,284–$8,993
#21 FRISBIE MEMORIAL HOSPITAL Rochester, NH $1,332 +$364 $1,332–$22,781
#22 Upper Connecticut Valley Hospital Colebrook, NH $1,424 +$456 $2,566–$7,497
#23 Cottage Hospital Woodsville, NH $2,417 +$1,449 $2,417–$7,621
#24 Concord Hospital Concord, NH $2,463 +$1,495 $8,213–$16,132
#25 Concord Hospital - Laconia Laconia, NH $2,577 +$1,609 $8,593–$20,251
#26 MaineHealth North Conway, NH $3,175 +$2,207 $3,175–$20,161

Unlock all 21 remaining New Hampshire 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 New Hampshire 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 New Hampshire:

Where you can save the most on endoscopy in New Hampshire

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
Mary Hitchcock Memorial Hospital Lebanon, NH $205 -$763
Monadnock Community Hospital Peterborough, NH $206 -$762
Huggins Hospital Wolfeboro, NH $221 -$747
Cheshire Medical Center Keene, NH $240 -$728
The New London Hospital Association, Inc. NH $280 -$688

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 New Hampshire

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
MaineHealth North Conway, NH $3,175 +$2,207
Concord Hospital - Laconia Laconia, NH $2,577 +$1,609
Concord Hospital Concord, NH $2,463 +$1,495
Cottage Hospital Woodsville, NH $2,417 +$1,449
Upper Connecticut Valley Hospital Colebrook, NH $1,424 +$456

Why prices vary this much

A small number of hospitals (1) report very high prices above $2,712, 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 New Hampshire: the median outpatient price is $968 versus $306 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the New Hampshire facilities reporting prices, 7 fall in a low-cost tier (up to $332) while 8 sit in a high-cost tier ($1,284 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 New Hampshire

How much does an endoscopy cost in New Hampshire?

Across 26 New Hampshire hospitals that publish prices, an endoscopy ranges from $205 to $23,918, with a median of $968. Most facilities fall between $332 and $1,283. 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 New Hampshire?

Based on declared prices, the lowest-cost facility in our New Hampshire data is Mary Hitchcock Memorial Hospital in Lebanon at about $205. By metro, Manchester has the lowest median ($960). 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 New Hampshire hospitals?

Prices vary up to 116.7× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New Hampshire, the median cash (self-pay) price is $968 versus a median negotiated rate of $318 — about 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 New Hampshire?

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

Other New Hampshire Hospitals and ambulatory surgery centers for Endoscopy

These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in New Hampshire. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
ACCESS AMBULATORY SURGERY CENTER, LLC
6037757575
AUBURN, NH Ambulatory Surgical Center
ANDROSCOGGIN VALLEY HOSPITAL OB
6037522200
BERLIN, NH Critical Access Hospital $385–$4,691 bundled est.
ANDROSCOGGIN VALLEY HOSPITAL, INC
6037522200
BERLIN, NH Ambulatory Surgical Center
ANDROSCOGGIN VALLEY HOSPITAL, INC.
6033265867
BERLIN, NH Critical Access Hospital $385–$4,691 bundled est.
ATLANTIC COAST SURGICAL SUITES, LLC
6032181793
SEABROOK, NH Ambulatory Surgical Center
ATLANTIC PLASTIC SURGERY ASSOCIATES PA
6034318819
PORTSMOUTH, NH Ambulatory Surgical Center
BARRINGTON SURGICAL CARE LLC
6036640100
BARRINGTON, NH Ambulatory Surgical Center
BEDFORD AMBULATORY SURGICAL CENTER, LLC
6036223670
BEDFORD, NH Ambulatory Surgical Center
CAPITAL ORTHOPEDIC SURGERY CENTER
6032287211
CONCORD, NH Ambulatory Surgical Center
CAPITAL ORTHOPEDIC SURGERY CENTER, LLC
6034256966
DERRY, NH Ambulatory Surgical Center
CENTERS FOR PAIN SOLUTIONS,LLC
6035773003
NASHUA, NH Ambulatory Surgical Center
CHESHIRE MEDICAL CENTER
6033545454
KEENE, NH General Acute Care Hospital $385–$4,691 bundled est.
▼ Show 73 more New Hampshire hospitals and ambulatory surgery centers
COASTAL SURGICAL CENTER, LLC
5613303381
NEWINGTON, NH Ambulatory Surgical Center
COLLABORATIVE ANESTHESIA PARTNERS
3343186537
FARMINGTON, NH Ambulatory Surgical Center
CONCORD AMBULATORY SURGERY CENTER, LLC
6034159460
CONCORD, NH Ambulatory Surgical Center
CONCORD EYE SURGERY LLC
6032246503
CONCORD, NH Ambulatory Surgical Center
CONCORD HOSPITAL, INC.
6032307429
CONCORD, NH General Acute Care Hospital $385–$4,691 bundled est.
CONCORD HOSPITAL-FRANKLIN
6039342060
FRANKLIN, NH Critical Access Hospital $385–$4,691 bundled est.
CONCORD HOSPITAL-FRANKLIN
9039342060
FRANKLIN, NH Critical Access Hospital $385–$4,691 bundled est.
COTTAGE HOSPITAL
6037479000
WOODSVILLE, NH Critical Access Hospital $385–$4,691 bundled est.
COTTAGE HOSPITAL
6037479000
WOODSVILLE, NH Critical Access Hospital $385–$4,691 bundled est.
COTTAGE HOSPITAL
6037479000
WOODSVILLE, NH Critical Access Hospital $385–$4,691 bundled est.
COTTAGE HOSPITAL
6037479000
WOODSVILLE, NH Critical Access Hospital $385–$4,691 bundled est.
COTTAGE HOSPITAL
6037479000
WOODSVILLE, NH Critical Access Hospital $385–$4,691 bundled est.
COTTAGE HOSPITAL
6037479000
WOODSVILLE, NH Critical Access Hospital $385–$4,691 bundled est.
COTTAGE HOSPITAL
6037479000
WOODSVILLE, NH Critical Access Hospital $385–$4,691 bundled est.
DANA-FARBER CANCER INSTITUTE, INC.
6176323000
LONDONDERRY, NH General Acute Care Hospital $385–$4,691 bundled est.
DARTMOUTH HITCHCOCK PSYCHIATRIC ASSOCIATES
6036508741
LEBANON, NH General Acute Care Hospital $385–$4,691 bundled est.
DEPARTMENT OF VETERANS AFFAIRS
6032162557
DERRY, NH Long Term Care Hospital $385–$4,691 bundled est.
DERRY SURGERY CENTER LP
6035372060
DERRY, NH Ambulatory Surgical Center
DERRY SURGICAL CENTER, LLC
8339460896
DERRY, NH Ambulatory Surgical Center
DUNNING ST. AMBULATORY CARE CENTER, LLC
6035433501
CLAREMONT, NH Ambulatory Surgical Center
ELLIOT 1 DAY SURGERY CENTER
6036633000
MANCHESTER, NH Ambulatory Surgical Center
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER
6036632431
MANCHESTER, NH General Acute Care Hospital $385–$4,691 bundled est.
HCA HEALTH SERVICES OF NEW HAMPSHIRE INC
6034321500
DERRY, NH General Acute Care Hospital $385–$4,691 bundled est.
HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC.
6034321500
DERRY, NH General Acute Care Hospital $385–$4,691 bundled est.
HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC.
6034365110
PORTSMOUTH, NH General Acute Care Hospital $385–$4,691 bundled est.
HILLSIDE ASC LLC
6035277514
GILFORD, NH Ambulatory Surgical Center
HUGGINS HOSPITAL
6035697500
WOLFEBORO, NH Critical Access Hospital $385–$4,691 bundled est.
HUGGINS HOSPITAL
6035697500
WOLFEBORO, NH Critical Access Hospital $385–$4,691 bundled est.
LIGHTHOUSE SURGICAL SUITES, LLC
6037241638
HOLLIS, NH Ambulatory Surgical Center
LITTLETON HOSPITAL ASSOCIATION
6034449565
LITTLETON, NH Ambulatory Surgical Center
LITTLETON REGIONAL HOSPITAL
6036362877
STARK, NH Critical Access Hospital $385–$4,691 bundled est.
LRG HEALTHCARE
6035245151
LACONIA, NH Ambulatory Surgical Center
LRGH REHABILITATION SERVICES
6035242852
BELMONT, NH General Acute Care Hospital $385–$4,691 bundled est.
LRGHEALTHCARE
6039342060
FRANKLIN, NH Ambulatory Surgical Center
LRGHEALTHCARE
6035248660
LACONIA, NH Ambulatory Surgical Center
LRGHEALTHCARE
6035247514
GILFORD, NH Ambulatory Surgical Center
LRGHEALTHCARE
6035243211
LACONIA, NH Ambulatory Surgical Center
MANCHESTER HEALTH SERVICES, LLC
6036638785
MANCHESTER, NH General Acute Care Hospital $385–$4,691 bundled est.
MANCHESTER VAMC
7172776565
MANCHESTER, NH General Acute Care Hospital $385–$4,691 bundled est.
MASS GENERAL BRIGHAM AMSURG INC.
8572828001
SALEM, NH Ambulatory Surgical Center
MEMORIAL HOSPITAL
6033565461
NORTH CONWAY, NH Critical Access Hospital $385–$4,691 bundled est.
MONADNOCK COMMUNITY HOSPITAL
6039247191
PETERBOROUGH, NH Critical Access Hospital $385–$4,691 bundled est.
NEW LONDON HOSPITAL INC
6035265544
NEW LONDON, NH General Acute Care Hospital $385–$4,691 bundled est.
NORTH ATLANTIC SURGICAL SUITES, LLC
6033860272
SALEM, NH Ambulatory Surgical Center
NORTH COUNTRY ENDOSCOPY LLC
6034440272
LITTLETON, NH Ambulatory Surgical Center
NORTHEAST SURGICAL CARE OF NEWINGTON, LLC
6034315563
NEWINGTON, NH Ambulatory Surgical Center
NORTHRIDGE SURGICAL SUITES, LLC
6034907338
NASHUA, NH Ambulatory Surgical Center
NOVAMED SURGERY CENTER OF BEDFORD, LLC
6036279540
BEDFORD, NH Ambulatory Surgical Center
NOVAMED SURGERY CENTER OF NASHUA, LLC
6038829800
NASHUA, NH Ambulatory Surgical Center
NSLIJ HEALTH SYSTEM
3472061532
DOVER, NH General Acute Care Hospital $385–$4,691 bundled est.
ORCHARD SURGICAL CENTER, LLC
6034016466
SALEM, NH Ambulatory Surgical Center
PAIN SURGERY CENTER LIMITED LIABILITY COMPANY
6037789921
NEWINGTON, NH Ambulatory Surgical Center
PARADIGM CLINICAL ASSOCIATES LLC
6037722076
STRATHAM, NH Ambulatory Surgical Center
PLASTIC SURGERY PA
6036690290
MANCHESTER, NH Ambulatory Surgical Center
PMC SURGICAL CENTER, LLC
6034248866
MERRIMACK, NH Ambulatory Surgical Center
PMC SURGICAL CENTER, LLC
6036923166
SOMERSWORTH, NH Ambulatory Surgical Center
PORTSMOUTH SURGICENTER, LLC
6033686220
PORTSMOUTH, NH Ambulatory Surgical Center
RICHARD L. ZEFF MD PA
6037757444
STRATHAM, NH Ambulatory Surgical Center
RYE SURGICAL CENTER, LLC
6033191581
RYE, NH Ambulatory Surgical Center
SAINT CLARES HOSPITAL
9736257009
DENVILLE, NH General Acute Care Hospital $385–$4,691 bundled est.
SJH SURGICENTER, LLC
6038823000
NASHUA, NH Ambulatory Surgical Center
SKYHAVEN SURGERY CENTER LLC
6033308987
ROCHESTER, NH Ambulatory Surgical Center
SOUTHERN NEW HAMPSHIRE MEDICAL CENTER
6035772000
NASHUA, NH General Acute Care Hospital $385–$4,691 bundled est.
SPEARE MEMORIAL HOSPITAL
6035361120
PLYMOUTH, NH General Acute Care Hospital $385–$4,691 bundled est.
SPEARE MEMORIAL HOSPITAL
6035361120
PLYMOUTH, NH Critical Access Hospital $385–$4,691 bundled est.
STATE OF NEW HAMPSHIRE
6037465979
CONCORD, NH General Acute Care Hospital $385–$4,691 bundled est.
THE SURGERY CENTER OF GREATER NASHUA
6035772000
NASHUA, NH Ambulatory Surgical Center
UPPER CONNECTICUT VALLEY HOSPITAL ASSOCIATION
6032374971
COLEBROOK, NH Critical Access Hospital $385–$4,691 bundled est.
WEEKS MEDICAL CENTER
6037884911
LANCASTER, NH Critical Access Hospital $385–$4,691 bundled est.
WEEKS MEDICAL CENTER
6037884911
LANCASTER, NH Ambulatory Surgical Center
WENTWORTH DOUGLASS HOSPITAL
6036096819
PORTSMOUTH, NH General Acute Care Hospital $385–$4,691 bundled est.
WENTWORTH SURGERY CENTER, LLC
6032859288
SOMERSWORTH, NH Ambulatory Surgical Center
WENTWORTH-DOUGLASS HOSPITAL
6036108070
PORTSMOUTH, NH General Acute Care Hospital $385–$4,691 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

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 New Hampshire

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.

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Published June 9, 2026 · Updated June 9, 2026

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