Office Visit (Established Patient) vs Upper Endoscopy (EGD)
Medicare Cost Comparison 2025
Quick Answer
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Upper Endoscopy (EGD): $1,800 total · Medicare pays $1,440 · Patient pays $360
Cost Comparison
| Metric | Office Visit (Established Patient) | Upper Endoscopy (EGD) |
|---|---|---|
| Total Average Cost | $150 | $1,800 |
| Medicare Pays | $120 | $1,440 |
| Patient Pays | $30 | $360 |
| Category | physician | outpatient |
FAQ
What is the cost difference between Office Visit (Established Patient) and Upper Endoscopy (EGD)?
Upper Endoscopy (EGD) costs $1,800 on average, while Office Visit (Established Patient) costs $150 — a difference of $1,650.
How much does Medicare pay for Office Visit (Established Patient) vs Upper Endoscopy (EGD)?
Medicare typically pays $120 for Office Visit (Established Patient) (patient owes $30). For Upper Endoscopy (EGD), Medicare pays $1,440 (patient owes $360).
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.
What is Upper Endoscopy (EGD)?
Examination of the upper digestive tract using a flexible scope.