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

What does a endoscopy cost in Texas?

You could pay $334 or $1,122 for the same endoscopy in Texas - depending entirely on which facility you choose. The median cash price across 265 reporting hospitals is $597. This data comes directly from hospital price transparency files published under federal law.

Where endoscopy costs vary in Texas

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.

26+ people checked prices near them this month.

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 Texas

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

# Facility City Price vs Median
1 Valley Baptist Medical Center Brownsville Brownsville, TX $235 -$362
2 Valley Baptist Micro-Hospital Weslaco Pharr, TX $235 -$362
3 Valley Baptist Medical Center Harlingen Harlingen, TX $235 -$362
4 The Hospitals of Providence Spine & Pain Management Center El Paso, TX $238 -$359
5 Rolling Plains Memorial Hospital Sweetwater, TX $248 -$349
6 UT Health Quitman Hospital Quitman, TX $248 -$349
7 St. Michael Health System - Texarkana Texarkana, TX $250 -$347
8 CHRISTUS Health - Pine Street Texarkana, TX $250 -$347

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

Quick take

  • Valley Baptist Medical Center Brownsville is the lowest-cost option at $235 - $362 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 $597, and it's often lower than what insurance pays before your deductible is satisfied.
  • Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.

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
$381–$14,973
  • Facility fee $201–$13,457
  • Professional fee $180–$1,516

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$389–$14,973
  • Facility fee $209–$13,457
  • Professional fee $180–$1,516

Estimated from CMS fee schedules + commercial rate multipliers

Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas - particularly West Texas and the Panhandle - has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals.

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Why prices vary - and what it means for your coverage

A small number of hospitals (26) report prices above $2,890, including Atrium Medical Center at $6,942, 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 $554 versus $1,630 inpatient (about 2.9× 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 ~$597
Deductible met - 20% coinsurance ~$119
Out-of-network provider $1,313+

Frequently asked questions: endoscopy costs in Texas

How much does an endoscopy cost in Texas?

Across 265 Texas hospitals that publish prices, an endoscopy ranges from $200 to $24,432, with a median of $597. Most facilities fall between $297 and $1,122. 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 Texas?

Based on declared prices, the lowest-cost facility in our Texas data is Cook Children's Health Care System in Fort Worth at about $201. By metro, Fort Worth has the lowest median ($278). 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 Texas hospitals?

Prices vary up to 122.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Texas, the median cash (self-pay) price is $597 versus a median negotiated rate of $334 - about 1.8× 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 Texas?

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

Other procedures in Texas

Endoscopy, elsewhere

Other Texas 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 Texas. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
1917 ASHLAND VENTURE LLC
7135746814
HOUSTON, TX General Acute Care Hospital $381–$14,973 bundled est.
23330 EMERGENCY CENTER, LLC
2812360563
KINGWOOD, TX General Acute Care Hospital $381–$14,973 bundled est.
24 SCARVES RELIABLE CARE TRANSPORTATION
9362306385
CONROE, TX Long Term Care Hospital $381–$14,973 bundled est.
66SCHULTZ PA
9157306744
EL PASO, TX General Acute Care Hospital $381–$14,973 bundled est.
A BUITRAGO SURGICAL
4093708466
HOUSTON, TX General Acute Care Hospital $381–$14,973 bundled est.
A S SURGICAL AFFILIATES, PA
7133558600
HOUSTON, TX Ambulatory Surgical Center -
AAA ANESTHESIA SERVICES, PLLC
2813320073
WEBSTER, TX Ambulatory Surgery Center -
ABBY ALEX, PLLC
7133637170
SPRING, TX General Acute Care Hospital $381–$14,973 bundled est.
ABC PLASTIC SURGERY CENTER PA
3618849575
CORPUS CHRISTI, TX Ambulatory Surgical Center -
ABDOMINAL SPECIALISTS OF SOUTH TEXAS
3618842858
CORPUS CHRISTI, TX Ambulatory Surgical Center -
ABILENE ASC LP
3256772626
ABILENE, TX Ambulatory Surgical Center -
ABILENE CENTER FOR ORTHOPEDIC AND MULTISPECIALTY SURGERY, L.L.C.
2523281103
ABILENE, TX Ambulatory Surgical Center -
▼ Show 88 more Texas hospitals and ambulatory surgery centers (of 3,052 registered)
ABILENE EYE ASC LP
3256952020
ABILENE, TX Ambulatory Surgical Center -
ABILENE SPINE & JOINT SURGERY CENTER LLC
2542459175
ABILENE, TX Ambulatory Surgical Center -
ABILENE SURGERY CENTER, LLC
3256739806
ABILENE, TX Ambulatory Surgical Center -
ABSOLUTE SURGERY CENTER LLC
5123716398
AUSTIN, TX Ambulatory Surgical Center -
ACADENCE HOLDINGS, LLC
3238862472
DALLAS, TX Ambulatory Surgical Center -
ACCESS DALLAS SURGERY CENTER PA
2143502400
DALLAS, TX Ambulatory Surgical Center -
ACCORD MEDICAL MANAGEMENT, LP
2102712188
SAN ANTONIO, TX General Acute Care Hospital $381–$14,973 bundled est.
ACCORD MEDICAL MANAGEMENT, LP
2102712188
SAN ANTONIO, TX General Acute Care Hospital $381–$14,973 bundled est.
ACD-SA, LTD.
2106148899
SAN ANTONIO, TX Ambulatory Surgical Center -
ACHY LEGS CLINICS LLC
7138041959
TOMBALL, TX Ambulatory Surgical Center -
ACO SURGICAL ASSOCIATES PA
2143502400
DALLAS, TX Ambulatory Surgical Center -
ACPS-THE SURGICENTRE
7133545128
HOUSTON, TX Ambulatory Surgical Center -
ACUITY HOSPITAL OF HOUSTON, LP
2819215300
HOUSTON, TX Long Term Care Hospital $381–$14,973 bundled est.
ACUITY HOSPITAL OF HOUSTON, LP
2819215300
HOUSTON, TX General Acute Care Hospital $381–$14,973 bundled est.
ACUITY HOSPITAL OF SOUTH TEXAS, LLC
2103080261
SAN ANTONIO, TX Long Term Care Hospital $381–$14,973 bundled est.
ACUTE CARE TRANSITIONS, LLP
8174969700
ARLINGTON, TX General Acute Care Hospital $381–$14,973 bundled est.
AD HOSPITAL EAST, LLC
7133303887
HOUSTON, TX Ambulatory Surgical Center -
ADL SURGICAL ASSOCIATES PA
2143502400
DALLAS, TX Ambulatory Surgical Center -
ADOBE SURGERY CENTER LLC
2812402211
SUGAR LAND, TX Ambulatory Surgical Center -
ADULT COMPREHENSIVE CARE PLLC
8174656900
ARLINGTON, TX Long Term Care Hospital $381–$14,973 bundled est.
ADVANCED AMBULATORY, INC.
7135289998
HOUSTON, TX Ambulatory Surgical Center -
ADVANCED ENDOSCOPY OF HOUSTON, PLLC
2814464059
HUMBLE, TX Ambulatory Surgical Center -
ADVANCED MEDICAL PROCEDURES, PLLC
2814464053
HUMBLE, TX Ambulatory Surgical Center -
ADVANCED ODESSA HOSPITAL & CLINICS LLC
7137901666
ODESSA, TX Ambulatory Surgical Center -
ADVANCED PRACTICE MEDICAL CARE ASSOCIATES
8174737197
ARLINGTON, TX General Acute Care Hospital $381–$14,973 bundled est.
ADVANCED SPINAL TECHNOLOGIES, PLLC
2814464053
HUMBLE, TX Ambulatory Surgical Center -
ADVANCED SURGERY CENTER OF EL PASO LLC
9198300778
EL PASO, TX Ambulatory Surgical Center -
ADVANCED SURGERY CENTER OF SAN ANTONIO, LLC
8305566134
SAN ANTONIO, TX Ambulatory Surgical Center -
ADVANCED SURGICAL CARE OF BOERNE, LLC
2104429977
BOERNE, TX Ambulatory Surgical Center -
ADVANCED SURGICAL CENTER OF LAREDO
9563343825
LAREDO, TX Ambulatory Surgical Center -
ADVANCED SURGICAL CENTER, LLC
9726461159
DUNCANVILLE, TX Ambulatory Surgical Center -
ADVANCED SURGICAL SOLUTIONS OF BELLAIRE, LLC
9798646334
BELLAIRE, TX Ambulatory Surgical Center -
ADVANCEMENTS IN PAIN WEST HOUSTON PA
7136477700
HOUSTON, TX Ambulatory Surgical Center -
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
5127533505
SAN MARCOS, TX Ambulatory Surgical Center -
AENT ASC 1
2818758428
SPRING, TX Ambulatory Surgical Center -
AESTHETIC ENHANCEMENT COSMETIC & LASER CTR
2104962639
SAN ANTONIO, TX Ambulatory Surgical Center -
AESTHETIC PLASTIC SURGERY CENTER, L.P.
7135289100
HOUSTON, TX Ambulatory Surgical Center -
AFB SURGERY SUITES PLLC
5125593544
AUSTIN, TX Ambulatory Surgical Center -
AFFINITY HEALTHCARE SYSTEMS INC
9727029310
DALLAS, TX Ambulatory Surgical Center -
AFFINITY HOSPITAL DALLAS
9724872426
GARLAND, TX General Acute Care Hospital $381–$14,973 bundled est.
AFSC, LLC
5124510149
AUSTIN, TX Ambulatory Surgery Center -
AGCSI, LLC
8665119060
HOUSTON, TX Ambulatory Surgical Center -
AGR SURGICAL ASSOCIATES
2143502400
DALLAS, TX Ambulatory Surgical Center -
AI SURGICAL INSTITUTE
2104011014
SAN ANTONIO, TX Ambulatory Surgical Center -
AIRLINE SURGERY CENTER, LLC
8328107240
HOUSTON, TX Ambulatory Surgical Center -
AJAX SPORTS MEDICINE SURGICAL CENTER PA
2143502400
DALLAS, TX Ambulatory Surgical Center -
AKF HUMBLE SURGICAL SERVICES, PLLC
7135327311
HOUSTON, TX General Acute Care Hospital $381–$14,973 bundled est.
AKF SURGICAL SERVICES, PLLC
2814464053
HUMBLE, TX Ambulatory Surgical Center -
AKF WESTSIDE, PLLC
7136215010
HOUSTON, TX General Acute Care Hospital $381–$14,973 bundled est.
AL SURGERY PA
7136916000
HOUSTON, TX Ambulatory Surgical Center -
ALAMO AMBULATORY SURGICAL CENTER LLC
2102270324
SAN ANTONIO, TX Ambulatory Surgical Center -
ALAMO CITY SURGERY CENTER
2106144742
SAN ANTONIO, TX Ambulatory Surgical Center -
ALAMO HEIGHTS SURGICARE LP
2108267366
SAN ANTONIO, TX Ambulatory Surgical Center -
ALEX SURGICAL CENTER, PA
7133558600
HOUSTON, TX Ambulatory Surgical Center -
ALEXANDER TRAN MD PA
2146630005
PLANO, TX General Acute Care Hospital $381–$14,973 bundled est.
ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC
9039843505
KILGORE, TX Long Term Care Hospital $381–$14,973 bundled est.
ALLEGIANCE SURGERY CENTER LLC
8173320660
FORT WORTH, TX Ambulatory Surgical Center -
ALLEN SURGICAL CENTER LLC
9729991659
ALLEN, TX Ambulatory Surgical Center -
ALLIANCE ASC, LLC
2818101060
RICHMOND, TX Ambulatory Surgical Center -
ALLIANCE GROUP FOR SURGERY
7135547515
HUMBLE, TX Ambulatory Surgical Center -
ALLIANCE HOSPITAL, LTD
4325501000
ODESSA, TX General Acute Care Hospital $381–$14,973 bundled est.
ALLIANCE SURGERY LTD
2814876111
PASADENA, TX Ambulatory Surgical Center -
ALLIED CENTER FOR SPECIAL SURGERY DFW LLC
8172672300
BEDFORD, TX Ambulatory Surgical Center -
ALLIED CENTER FOR SPECIAL SURGERY, AUSTIN, LLC
7135866705
AUSTIN, TX Ambulatory Surgical Center -
ALLIED CENTER FOR SPECIAL SURGERY, SAN ANTONIO, LLC
7135866705
SAN ANTONIO, TX Ambulatory Surgical Center -
ALPHA SURGICAL CENTER LLC
3463367800
TOMBALL, TX Ambulatory Surgical Center -
ALPHA SURGICAL CENTER SUGARLAND LLC
3463367800
SUGAR LAND, TX Ambulatory Surgical Center -
ALTAMESE SPECIALTY CENTER, PA
2814464053
HUMBLE, TX Ambulatory Surgical Center -
ALWAYS YOUTHFUL SURGICAL HOUSTON, PLLC
7136215010
HOUSTON, TX General Acute Care Hospital $381–$14,973 bundled est.
AMARILLO CATARACT AND EYE SURGERY CENTER LTD
8063548891
AMARILLO, TX Ambulatory Surgical Center -
AMARILLO COLONOSCOPY CENTER LP
8063678537
AMARILLO, TX Ambulatory Surgical Center -
AMARILLO SPECIALTY HOSPITAL
8066398670
AMARILLO, TX Long Term Care Hospital $381–$14,973 bundled est.
AMARILLO SURGERY AND ENDOSCOPY, LP
8063531769
AMARILLO, TX Ambulatory Surgical Center -
AMARILLO VAMC
6153553451
AMARILLO, TX General Acute Care Hospital $381–$14,973 bundled est.
AMAZING LIFE HOME HEALTHCARE, INC
2108844955
SAN ANTONIO, TX Long Term Care Hospital $381–$14,973 bundled est.
AMBULATORY SURGERY CENTER OF NORTH DALLAS
2143632575
DALLAS, TX Ambulatory Surgical Center -
AMBULATORY SURGICAL INSTITUTE OF DALLAS LLC
4699160521
ADDISON, TX Ambulatory Surgical Center -
AMERICAN GENERAL SURGERY OF TEXAS PLLC
7135327311
SPRING, TX General Acute Care Hospital $381–$14,973 bundled est.
AMH CATH LABS LLC
9724196704
ARLINGTON, TX Ambulatory Surgical Center -
AMH CATH LABS, LLC
8179603500
ARLINGTON, TX Ambulatory Surgical Center -
AMIN TRANSITIONS MHT, LLC
8446334663
MCKINNEY, TX General Acute Care Hospital $381–$14,973 bundled est.
AMINI SMC LLC
2815615912
HOUSTON, TX General Acute Care Hospital $381–$14,973 bundled est.
AMIT SURGERY CENTER, PA
7136601710
HOUSTON, TX General Acute Care Hospital $381–$14,973 bundled est.
AMS SURGICAL CENTER, PA
7133558600
HOUSTON, TX Ambulatory Surgical Center -
ANDREA NEMIT LLC
4695258490
PROSPER, TX Ambulatory Surgical Center -
ANDREWS COUNTY HOSPITAL DISTRICT
4324642200
ANDREWS, TX Ambulatory Surgical Center -
ANESTHESIA CONSULTANTS OF DALLAS, LLP
2149478181
DALLAS, TX General Acute Care Hospital $381–$14,973 bundled est.
ANESTHESIA READY, PLLC
9565661455
EDINBURG, TX Ambulatory Surgical Center -

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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Published July 17, 2026

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