Endoscopy Cost in North Carolina (2026): Average Prices & What You'll Pay
What does a endoscopy cost in North Carolina?
You could pay $881 or $1,518 for the same endoscopy in North Carolina - depending entirely on which facility you choose. The median cash price across 51 reporting hospitals is $1,131. This data comes directly from hospital price transparency files published under federal law.
Where endoscopy costs vary in North Carolina
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.
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One upper endoscopy can become four separate bills - and a biopsy adds a fifth surprise weeks later.
Your personalized cost report includes:
- ✓ 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
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Cheapest Endoscopy Providers in North Carolina
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Sentara Albemarle Regional Medical Center, LLC | Elizabeth City, NC | $866 | -$265 |
| 2 | Adventhealth Hendersonville | Hendersonville, NC | $866 | -$265 |
| 3 | Hugh Chatham Memorial Hospital | Elkin, NC | $877 | -$254 |
| 4 | Novant Health Clemmons Medical Center | Clemmons, NC | $879 | -$252 |
| 5 | Novant Health Medical Park Hospital | Winston-Salem, NC | $879 | -$252 |
| 6 | Novant Health Thomasville Medical Center | Thomasville, NC | $879 | -$252 |
| 7 | Novant Health Kernersville Medical Center | Kernersville, NC | $879 | -$252 |
| 8 | Novant Health Forsyth Medical Center | Winston-Salem, NC | $879 | -$252 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Sentara Albemarle Regional Medical Center, LLC is the lowest-cost option at $866 - $265 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $1,131, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
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.
- Facility fee $239–$4,808
- Professional fee $180–$1,516
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $466–$2,746
- Professional fee $180–$1,516
Estimated from CMS fee schedules + commercial rate multipliers
Atrium Health (formerly Carolinas HealthCare) and Wake Forest Baptist Health have merged into one of the largest nonprofit health systems in the Southeast. Duke Health and UNC Health anchor the Research Triangle academic tier, creating a market where major academic centers hold outsized pricing leverage. North Carolina has been an active target for FTC scrutiny of hospital consolidation.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
A small number of hospitals (2) report prices above $3,515, including Granville Health System at $4,808, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $1,003 versus $2,320 inpatient (about 2.3× more), so where a procedure happens often matters more than which hospital you pick. The biggest swing for this procedure is screening versus diagnostic coding - a polyp removed during a routine screening can recode the whole visit as diagnostic and trigger cost-sharing you weren't expecting.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$1,131 |
| Deductible met - 20% coinsurance | ~$226 |
| Out-of-network provider | $2,488+ |
Frequently asked questions: endoscopy costs in North Carolina
How much does an endoscopy cost in North Carolina?
Across 51 North Carolina hospitals that publish prices, an endoscopy ranges from $239 to $24,630, with a median of $1,131. Most facilities fall between $880 and $1,518. 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 North Carolina?
Based on declared prices, the lowest-cost facility in our North Carolina data is Wakemed Raleigh Campus in Raleigh at about $239. By metro, Winston-Salem has the lowest median ($879). 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 North Carolina hospitals?
Prices vary up to 103.1× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Carolina, the median cash (self-pay) price is $1,131 versus a median negotiated rate of $879 - 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 North Carolina?
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.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read a Medicare Summary Notice
Other procedures in North Carolina
Endoscopy, elsewhere
Other North Carolina 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 North Carolina. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AIMEE L. SWAIN
6012600808 |
MONROE, NC | General Acute Care Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALISHA CART
3368030905 |
HIGH POINT, NC | General Acute Care Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALLEGHANY COUNTY MEMORIAL HOSPITAL INC
3363725511 |
SPARTA, NC | Critical Access Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALLEGHANY COUNTY MEMORIAL HOSPITAL INC
3363725511 |
SPARTA, NC | Critical Access Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALLEGHANY MEMORIAL HOSPITAL
3363725511 |
SPARTA, NC | Critical Access Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALLEGHANY MEMORIAL HOSPITAL
3363725511 |
SPARTA, NC | Critical Access Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALLEGHANY MEMORIAL HOSPITAL
3363725511 |
SPARTA, NC | Critical Access Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALLEGHANY MEMORIAL HOSPITAL
3363725511 |
SPARTA, NC | Critical Access Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALLEGHANY MEMORIAL HOSPITAL
3363725511 |
SPARTA, NC | Critical Access Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALLEGHANY MEMORIAL HOSPITAL
3363725511 |
SPARTA, NC | Critical Access Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALLIANCE IMAGING
8282347402 |
CLAREMONT, NC | General Acute Care Hospital | $419–$6,324 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AMERICAN ACCESS CARE OF NC ASC, LLC
9842434520 |
DURHAM, NC | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 88 more North Carolina hospitals and ambulatory surgery centers (of 667 registered)
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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.
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same endoscopy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A endoscopy involves multiple providers who bill separately - typically Facility Fee, Gastroenterologist Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this endoscopy changes the billing code, and what you pay. For example: Ordered to investigate symptoms or a prior finding - standard cost-sharing (deductible, coinsurance) applies.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for endoscopy before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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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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