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

What does a endoscopy cost in Virginia?

You could pay $902 or $1,121 for the same endoscopy in Virginia - depending entirely on which facility you choose. The median cash price across 44 reporting hospitals is $937. This data comes directly from hospital price transparency files published under federal law.

Where endoscopy costs vary in Virginia

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 Virginia

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

# Facility City Price vs Median
1 Smyth County Community Hospital Marion, VA $384 -$553
2 Russell County Hospital Lebanon, VA $384 -$553
3 Lonesome Pine Hospital Big Stone Gap, VA $384 -$553
4 Johnston Memorial Hospital Abingdon, VA $384 -$553
5 Clinch Valley Health VA $690 -$247
6 SHENANDOAH MEMORIAL HOSPITAL INC Woodstock, VA $762 -$175
7 Children's Hospital of the King's Daughters Norfolk, VA $782 -$155
8 Augusta Health Fishersville, VA $886 -$51

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

Quick take

  • Smyth County Community Hospital is the lowest-cost option at $384 - $553 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 $937, 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
$384–$5,271
  • Facility fee $204–$3,755
  • Professional fee $180–$1,516

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$384–$2,888
  • Facility fee $204–$1,372
  • Professional fee $180–$1,516

Estimated from CMS fee schedules + commercial rate multipliers

Inova Health System dominates Northern Virginia with pricing that reflects DC-metro labor costs - among the highest in the Mid-Atlantic. Sentara Healthcare and Carilion Clinic cover the Tidewater and Southwest Virginia markets respectively. Northern Virginia facilities typically price 20–30% above the state average due to proximity to the DC labor market.

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 (7) report prices above $1,587, including DOMINION HOSPITAL at $3,755, 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 $937 versus $937 inpatient, 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.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$937
Deductible met - 20% coinsurance ~$187
Out-of-network provider $2,061+

Frequently asked questions: endoscopy costs in Virginia

How much does an endoscopy cost in Virginia?

Across 44 Virginia hospitals that publish prices, an endoscopy ranges from $206 to $23,989, with a median of $937. Most facilities fall between $902 and $1,121. 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 Virginia?

Based on declared prices, the lowest-cost facility in our Virginia data is Bath Community Hospital in Hot Springs at about $204. By metro, Norfolk has the lowest median ($902). 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 Virginia hospitals?

Prices vary up to 116.5× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Virginia, the median cash (self-pay) price is $937 versus a median negotiated rate of $886 - about 1.1× 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 Virginia?

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 Virginia

Endoscopy, elsewhere

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

Provider City Type Est. Cost
ADVANCED SEDATION DENTISTRY - HAMPTON
7578380800
HAMPTON, VA Ambulatory Surgical Center -
ADVANCED UROLOGY P.C
7034940334
WOODBRIDGE, VA Ambulatory Surgical Center -
ADVANCED VISION SURGERY CENTER LLC
7572294000
WILLIAMSBURG, VA Ambulatory Surgical Center -
AESTHETIC & LASER PLASTIC SURGERY CENTER
7032554922
VIENNA, VA Ambulatory Surgical Center -
ALEXANDRIA HOSPITAL INC ACCOUNTING DEPT
7032043366
ALEXANDRIA, VA General Acute Care Hospital $384–$5,271 bundled est.
AMERICAN ACCESS CARE OF RICHMOND ASC LLC
8043559729
RICHMOND, VA Ambulatory Surgical Center -
AMERICAN ANESTHESIOLOGY ASSOCIATES OF VA
5407417614
FREDERICKSBURG, VA General Acute Care Hospital $384–$5,271 bundled est.
AMERICAN ANESTHESIOLOGY OF VIRGINIA PC
5407417614
FREDERICKSBURG, VA General Acute Care Hospital $384–$5,271 bundled est.
ANNECARE, INC
7037597228
GREAT FALLS, VA General Acute Care Hospital $384–$5,271 bundled est.
ARTHUR L. GLICK, D.D.S., P.C.
7574993163
VIRGINIA BEACH, VA Ambulatory Surgical Center -
AUGUSTA HEALTH CARE, INC
5409324000
FISHERSVILLE, VA General Acute Care Hospital $384–$5,271 bundled est.
BATH COUNTY COMMUNITY HOSPITAL
5408397137
HOT SPRINGS, VA Critical Access Hospital $384–$5,271 bundled est.
▼ Show 88 more Virginia hospitals and ambulatory surgery centers (of 445 registered)
BATH COUNTY COMMUNITY HOSPITAL
5408397137
HOT SPRINGS, VA Critical Access Hospital $384–$5,271 bundled est.
BATH COUNTY COMMUNITY HOSPITAL
5408397137
HOT SPRINGS, VA Critical Access Hospital $384–$5,271 bundled est.
BATH COUNTY COMMUNITY HOSPITAL
5408397137
HOT SPRINGS, VA Critical Access Hospital $384–$5,271 bundled est.
BATH COUNTY COMMUNITY HOSPITAL
5408397137
HOT SPRINGS, VA Critical Access Hospital $384–$5,271 bundled est.
BATH COUNTY COMMUNITY HOSPITAL
5408397137
HOT SPRINGS, VA Critical Access Hospital $384–$5,271 bundled est.
BATH COUNTY COMMUNITY HOSPITAL
5408397137
HOT SPRINGS, VA Critical Access Hospital $384–$5,271 bundled est.
BATH COUNTY COMMUNITY HOSPITAL
5408397137
HOT SPRINGS, VA Critical Access Hospital $384–$5,271 bundled est.
BATH COUNTY COMMUNITY HOSPITAL
5408397137
HOT SPRINGS, VA Critical Access Hospital $384–$5,271 bundled est.
BATH COUNTY COMMUNITY HOSPITAL
5408397137
HOT SPRINGS, VA Critical Access Hospital $384–$5,271 bundled est.
BAYVIEW MEDICAL CENTER, INC
7579349329
SUFFOLK, VA Ambulatory Surgical Center -
BEDFORD MEMORIAL HOSPITAL
5405862441
BEDFORD, VA General Acute Care Hospital $384–$5,271 bundled est.
BLUEFIELD REGIONAL MEDICAL CENTER
9047280437
BLUEFIELD, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS DEPAUL MEDICAL CENTER INC
7573982208
NORFOLK, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS DEPAUL MEDICAL CENTER LLC
7578895000
NORFOLK, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC
8045943478
MECHANICSVILLE, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC
8047646000
MECHANICSVILLE, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS MERCY HEALTH EMPORIA LLC
4343484400
EMPORIA, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS MERCY HEALTH FRANKLIN LLC
7575696100
FRANKLIN, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS MERCY HEALTH PETERSBURG LLC
8047655000
PETERSBURG, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS ST FRANCIS MEDICAL CENTER LLC
8045947400
MIDLOTHIAN, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS ST. FRANCIS MEDICAL CENTER LLC
8046275511
MIDLOTHIAN, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC
8042852011
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC
8045943478
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS SURGERY CENTER AT HARBOUR VIEW, LLC
7576735832
SUFFOLK, VA Ambulatory Surgical Center -
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC
8045943478
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC
8042251701
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
8042818180
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
BONSECOURS
8047647480
MECHANICSVILLE, VA Rural Acute Care Hospital $384–$5,271 bundled est.
BOTTICELLI CENTER FOR AESTHETIC PLASTIC SURGERY, LLC
7037905454
MC LEAN, VA Ambulatory Surgical Center -
BUCHANAN GENERAL HOSPITAL INC
2769351000
GRUNDY, VA General Acute Care Hospital $384–$5,271 bundled est.
BUCHANAN GENERAL HOSPITAL, INC
2769351000
GRUNDY, VA General Acute Care Hospital $384–$5,271 bundled est.
CAPITAL HOSPICE
7035257070
ARLINGTON, VA General Acute Care Hospital $384–$5,271 bundled est.
CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER, LLC
7574557114
NORFOLK, VA Ambulatory Surgical Center -
CARILION FRANKLIN MEMORIAL HOSPITAL
5404835277
ROCKY MOUNT, VA General Acute Care Hospital $384–$5,271 bundled est.
CARILION FRANKLIN MEMORIAL HOSPITAL
5404835277
ROCKY MOUNT, VA General Acute Care Hospital $384–$5,271 bundled est.
CARILION GILES COMMUNITY HOSPITAL
5409216000
PEARISBURG, VA Critical Access Hospital $384–$5,271 bundled est.
CARILION GILES COMMUNITY HOSPITAL
5409216000
PEARISBURG, VA Critical Access Hospital $384–$5,271 bundled est.
CARILION GILES COMMUNITY HOSPITAL
5409216000
PEARISBURG, VA Critical Access Hospital $384–$5,271 bundled est.
CARILION MEDICAL CENTER
5402033664
ROANOKE, VA General Acute Care Hospital $384–$5,271 bundled est.
CARILION NEW RIVER VALLEY MEDICAL CENTER
5407312000
CHRISTIANSBURG, VA General Acute Care Hospital $384–$5,271 bundled est.
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
5404583300
LEXINGTON, VA Critical Access Hospital $384–$5,271 bundled est.
CARILION TAZEWELL COMMUNITY HOSPITAL
2769888700
TAZEWELL, VA General Acute Care Hospital $384–$5,271 bundled est.
CATARACT AND REFRACTIVE SURGERY CENTER, LLC
8042850680
RICHMOND, VA Ambulatory Surgical Center -
CCRM NORTHERN VIRGINIA, LLC
5717892100
VIENNA, VA Ambulatory Surgical Center -
CENTER FOR ADVANCED SURGICAL PROCEDURES
7034445447
ASHBURN, VA Ambulatory Surgical Center -
CENTER FOR SURGICAL EXCELLENCE LLC
5402245135
ROANOKE, VA Ambulatory Surgical Center -
CENTER FOR VISUAL SURGICAL EXCELLENCE, LLC
7579082177
CHESAPEAKE, VA Ambulatory Surgical Center -
CENTRA
4343152420
FARMVILLE, VA Rural Acute Care Hospital $384–$5,271 bundled est.
CENTRA HEALTH INC
4342003777
LYNCHBURG, VA General Acute Care Hospital $384–$5,271 bundled est.
CENTRA HEALTH INC
4343847704
LYNCHBURG, VA Ambulatory Surgical Center -
CENTRA HEALTH INC
4349473777
LYNCHBURG, VA General Acute Care Hospital $384–$5,271 bundled est.
CENTRA HEALTH, INC
4342003000
LYNCHBURG, VA General Acute Care Hospital $384–$5,271 bundled est.
CENTRA HEALTH, INC.
4342004610
LYNCHBURG, VA General Acute Care Hospital $384–$5,271 bundled est.
CENTRA HEALTH, INC.
4346561274
GRETNA, VA General Acute Care Hospital $384–$5,271 bundled est.
CENTRAL VIRGINIA HOSPITAL FOR RESTORATIVE AND REHABILITATIVE CARE LLC
4349471960
LYNCHBURG, VA Long Term Care Hospital $384–$5,271 bundled est.
CENTRAL VIRGINIA SURGI-CENTER LP
5403715349
FREDERICKSBURG, VA Ambulatory Surgical Center -
CENTRAL VIRGINIA TRAINING CENTER
4349476000
MADISON HEIGHTS, VA General Acute Care Hospital $384–$5,271 bundled est.
CHESAPEAKE HOSPITAL AUTHORITY
7573126512
CHESAPEAKE, VA General Acute Care Hospital $384–$5,271 bundled est.
CHESAPEAKE HOSPITAL AUTHORITY
7573126300
VIRGINIA BEACH, VA General Acute Care Hospital $384–$5,271 bundled est.
CHESAPEAKE HOSPITAL CORPORATION
8044358000
KILMARNOCK, VA Rural Acute Care Hospital $384–$5,271 bundled est.
CHESAPEAKE HOSPITAL LLC
8044358000
KILMARNOCK, VA Critical Access Hospital $384–$5,271 bundled est.
CHESAPEAKE REGIONAL SURGERY CENTER AT VIRGINIA BEACH, LLC
7573126300
VIRGINIA BEACH, VA Ambulatory Surgical Center -
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC
7576684648
SUFFOLK, VA Children's Hospital $384–$5,271 bundled est.
CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS INC
8043203911
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS INC
8043203911
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS, INC.
8043203911
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS, INC.
8043203911
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
CHIPPENHAM AMBULATORY SURGERY CENTER, LLC
8046724040
RICHMOND, VA Ambulatory Surgical Center -
CHIPPENHAM HOSPITAL
8043238338
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
CJW MEDICAL CENTER
8043302000
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
CJW MEDICAL CENTER
8045606500
RICHMOND, VA General Acute Care Hospital $384–$5,271 bundled est.
CLINCH VALLEY MEDICAL CENTER INC.
2765966000
RICHLANDS, VA General Acute Care Hospital $384–$5,271 bundled est.
CLINCH VALLEY VASCULAR SURGERY ASSOCIATES
2769630333
RICHLANDS, VA General Acute Care Hospital $384–$5,271 bundled est.
CLUB STAFFING
5407411547
FREDERICKSBURG, VA Long Term Care Hospital $384–$5,271 bundled est.
COASTAL ANESTHESIA ., INC
7574600249
VIRGINIA BEACH, VA Ambulatory Surgical Center -
COLUMBIA-ALLEGHANY REGIONAL HOSPITAL INC
5408626011
LOW MOOR, VA General Acute Care Hospital $384–$5,271 bundled est.
COLUMBIA-ALLEGHANY REGIONAL HOSPITAL INC
5408626011
LOW MOOR, VA General Acute Care Hospital $384–$5,271 bundled est.
COLUMBIA/HCA JOHN RANDOLPH, INC.
8045208272
COLONIAL HEIGHTS, VA Ambulatory Surgical Center -
COLUMBIA/HCA JOHN RANDOLPH, INC.
8045411600
HOPEWELL, VA General Acute Care Hospital $384–$5,271 bundled est.
COLUMBIA/HCA JOHN RANDOLPH, INC.
8045411600
HOPEWELL, VA General Acute Care Hospital $384–$5,271 bundled est.
COMMONWEALTH OF VA HIRAM W DAVIS MEDICAL CENTER
8045247112
PETERSBURG, VA General Acute Care Hospital $384–$5,271 bundled est.
COMMONWEALTH OF VA. DEPT OF BEHAVIORAL HLTH&CENTRAL VA TRAINING CENTER
4349476000
MADISON HEIGHTS, VA General Acute Care Hospital $384–$5,271 bundled est.
COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL
5403754200
CATAWBA, VA General Acute Care Hospital $384–$5,271 bundled est.
COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI
7572535241
WILLIAMSBURG, VA General Acute Care Hospital $384–$5,271 bundled est.
COMMONWEALTH OF VIRGINIA PIEDMONT GERIATRIC HOSPITAL
4347674401
BURKEVILLE, VA General Acute Care Hospital $384–$5,271 bundled est.
COMMONWEALTH OF VIRGINIA PIEDMONT GERIATRIC HOSPITAL
4347674922
BURKEVILLE, VA Long Term Care Hospital $384–$5,271 bundled est.
COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL
5403328200
STAUNTON, VA General Acute Care Hospital $384–$5,271 bundled est.
COMMONWEALTH ORTHOPAEDICS & REHABILITATION, PC
7035736263
FAIRFAX, VA 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).

Other Procedure Costs in Virginia

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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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