Uninsured/Self-Pay Patient Estimate Rights

If you do not have insurance or choose not to use your insurance, you have the right to receive a “Good Faith Estimate” of the expected charges for your medical care.
Upon request, our practice will provide an estimate that includes the anticipated costs of scheduled services, including procedures, office visits, and any related items or services reasonably expected as part of your care.

  • Estimates are based on information available at the time and may change depending on your individual needs or unforeseen circumstances during treatment.
  • You may request a Good Faith Estimate before scheduling a service or at any time prior to receiving care.
  • If your final bill is substantially higher than your estimate, you may have the right to dispute the charges.

To request an estimate, please contact our office locations directly.

Self-Pay Rates

These fees represent the professional services billed through AGA. Please note that facility fees and anesthesia fees are separate charges and are not billed by AGA.

ServiceProvider Rate
EGD$400
EGD + dilation$450
EGD with banding $450
Colonoscopy$600
EGD + Colonoscopy$800
EUS$500
ERCP$750
Flexible Sigmoidoscopy$300
RUS$400
Capsule Endoscopy$1000
Anoscopy$100
Hemorrhoidal Banding$350
Liver Elastography$125
Office New Patient$200
Office Follow up$125
Hospital Follow up$150
Pathology$200
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