Self-Pay Option

Self-Pay Option

Self-pay is an alternative if:

You do not have medical insurance
You do not want to use your medical insurance
Arrowhead Endoscopy Center is not a participating provider with your insurance carrier

Fees may vary depending on the procedure being performed. All fees must be paid in full when due.

Self-Pay Fees Include:

Physician Fee: Collected by your physician’s office before your appointment
Facility Fee: Collected by Arrowhead Endoscopy Center at your appointment
Anesthesia Fee: Billed to you by the anesthesia company after your appointment
Pathology Fee*: Billed to you by the pathology company after your appointment

*Only applies if specimens are collected. The amount depends on the type of testing or stains and is charged per jar collected.

Self-Pay Fee Schedule

PROCEDURE	FACILTY FEE	PHYSICIAN FEE	ANESTHESIA FEE	PATHOLOGY FEE
Esophagogastroduodenoscopy (EGD)	$510.00	Contact physician's office	$500.00	$200
Esophagogastroduodenoscopy (EGD) with Esophageal Banding	$610.00	Contact physician's office	$500.00	$200
Esophagogastroduodenoscopy (EGD) with Esophageal Dilation	$610.00	Contact physician's office	$500.00	$200
Esophagogastroduodenoscopy (EGD) with Endoscopic Mucosal Resection	$610.00	Contact physician's office	$500.00	$200
Flexible Sigmoidoscopy	$510.00	Contact physician's office	$500.00	$200
Colonoscopy	$700.00	Contact physician's office	$500.00	$200
EGD and Colonoscopy	$950.00	Contact physician's office	$500.00	$200
EGD and Flexible Sigmoidoscopy	$950.00	Contact physician's office	$500.00	$200
Upper Endoscopic Ultrasound (EUS)	$885.00	Contact physician's office	$500.00	$200
Rectal Ultrasound (RUS)	$610.00	Contact physician's office	$500.00	$200