Washington, DC · hospital rates, itemized

Upper GI endoscopy (diagnostic) at Children's National Hospital pediatric hospital

111 Michigan Avenue Nw, Washington, DC 20010. From the hospital's federally required price file (v3.0.0), file date April 2, 2026 — source file. Last verified by PriceCheck: July 16, 2026. CPT 43235.

$514
Cash price
$3,162
Median commercial
$1,028
Gross charge (list)

Median commercial rate here: $3,162 — 115% above the Washington, DC metro median of $1,469. Compare all Washington, DC hospitals →

Commercial insurance plans

Payer / planFacility rateRate type
Blue Cross Blue Shield Of Virginia (Anthem)HMO (+2 same-rate plans) $320 negotiated rate
CignaPPO $514 negotiated rate
Johns Hopkins HealthcareEHP $617 negotiated rate
Kaiser Foundation Health PlanCommercial $617 negotiated rate
AetnaCommercial $3,162 negotiated rate
United HealthcareAll Payer $4,316 negotiated rate
Blue Cross Blue Shield Of Maryland (Carefirst)HMO (+1 same-rate plans) $4,500 negotiated rate
United HealthcareOptions PPO $4,756 negotiated rate
CignaOap $4,902 negotiated rate

Medicaid plans

Payer / planFacility rateRate type
Aetna Better Health MdManaged Medicaid $104 negotiated rate
Amerigroup MdManaged Medicaid $104 negotiated rate
Blue Cross Blue Shield Of Virginia (Anthem)Medicaid $106 negotiated rate
United HealthcareManaged Medicaid $108 negotiated rate
Kaiser Foundation Health PlanManaged Medicaid $114 negotiated rate
Aetna Better Health VaManaged Medicaid $119 negotiated rate
Sentara Health PlansManaged Medicaid $119 negotiated rate
Blue Cross Blue Shield Of Maryland (Carefirst)Managed Medicaid $125 negotiated rate
Medstar Family ChoiceManaged Medicaid $137 negotiated rate
Amerigroup DcManaged Medicaid $159 negotiated rate
Amerihealth DcManaged Medicaid $320 negotiated rate
What these numbers are — and aren't. These are facility rates hospitals publish under the CMS Hospital Price Transparency rule (45 CFR Part 180). They are price information, not a quote or guarantee. Physician, anesthesia, radiology, and pathology services usually bill separately. Your actual cost depends on your insurance plan, deductible, and how the visit is coded. How we read hospital price files →

Common questions

How much does upper gi endoscopy (diagnostic) cost at Children's National Hospital without insurance?

Children's National Hospital's price file lists a discounted cash (self-pay) facility rate of $514 for Upper GI endoscopy (diagnostic), against a gross charge of $1,028. Facility rate only — physician, anesthesia, radiology, and pathology services bill separately.

What do insurance plans pay for upper gi endoscopy (diagnostic) at Children's National Hospital?

Children's National Hospital lists 9 commercial plan rates for Upper GI endoscopy (diagnostic), from $320 (Blue Cross Blue Shield Of Virginia (Anthem)) to $4,902 (Cigna), with a median of $3,162. The Washington, DC metro median commercial rate for this procedure is $1,469.

Where do these prices come from?

Directly from the machine-readable file Children's National Hospital publishes under the CMS Hospital Price Transparency rule (45 CFR Part 180), file date April 2, 2026. These are price disclosures, not quotes.

Same procedure at nearby hospitals: The George Washington University Hospital · MedStar Washington Hospital Center · MedStar Georgetown Hospital · Virginia Hospital Center Arlington Health System · Inova Fairfax Hospital · Howard University Hospital Corp