A gastroscopy, also known as an upper endoscopy, is a procedure used to examine the digestive system's upper part, including the esophagus, stomach, and duodenum. In Singapore, this procedure is commonly recommended for diagnosing issues like acid reflux, stomach ulcers, and abnormal growths. Understanding the cost of a Gastroscopy in Singapore is crucial for both patients and caregivers to make informed decisions about their health.

What is a Gastroscopy?

A gastroscopy involves using a thin, flexible tube equipped with a camera (endoscope) to look inside your digestive tract. The procedure is typically done under sedation, making it relatively painless. Doctors use it to detect issues such as inflammation, ulcers, polyps, or early signs of cancer. Biopsies may also be taken during the procedure.

Factors Influencing Gastroscopy Costs

  1. Type of Facility: The cost varies depending on whether the procedure is performed at a public hospital, private hospital, or specialized clinic. Public hospitals generally offer more affordable services, but wait times may be longer. Private hospitals and clinics offer quicker access but at a higher price.
  2. Consultation Fees: Before undergoing a gastroscopy, a consultation with a specialist is necessary. Consultation fees can vary between doctors and clinics. Typically, a first-time consultation may cost between SGD 100 and SGD 200, depending on the doctor’s experience and reputation.
  3. Sedation and Anesthesia: Most gastroscopies are done with sedation to ensure comfort. The type of anesthesia used can impact the overall cost. Local anesthesia is less expensive than general anesthesia, which involves a specialist.
  4. Diagnostic Tests and Biopsies: Additional costs may arise if the doctor takes biopsies or recommends further diagnostic tests. The more complex the case, the more tests may be needed, increasing the overall cost.
  5. Insurance Coverage: Whether or not you have insurance can also significantly affect your out-of-pocket expenses. In Singapore, many insurance plans cover gastroscopy, especially when deemed medically necessary. Checking with your insurance provider beforehand can give you an accurate estimate of what will be covered.
  6. Pre- and Post-Procedure Care: Pre-procedure blood tests, medications, and follow-up consultations can also contribute to the final bill. Some clinics may offer package deals that include pre- and post-procedure care.

Average Costs of Gastroscopy in Singapore

  • Public Hospitals: Gastroscopy in public hospitals like Singapore General Hospital (SGH) or Tan Tock Seng Hospital (TTSH) may range from SGD 500 to SGD 1,500, depending on whether you're a citizen, permanent resident, or foreigner. Subsidized patients will enjoy the lowest rates.
  • Private Hospitals and Clinics: In private healthcare settings such as Mount Elizabeth Hospital or Gleneagles Hospital, costs can range from SGD 1,500 to SGD 4,000, depending on factors like anesthesia, the complexity of the case, and any additional procedures such as biopsies.

How to Reduce Gastroscopy Costs

  • Subsidies: Singaporean citizens and permanent residents can apply for subsidies through the Ministry of Health (MOH) if the procedure is done in a restructured hospital. Subsidized patients typically pay a fraction of the standard cost, making public healthcare a cost-effective option.
  • MediSave: MediSave allows Singaporeans and permanent residents to use their CPF savings to pay for medical treatments, including gastroscopies. Typically, you can withdraw up to SGD 600 for outpatient diagnostic tests like gastroscopy.
  • Private Insurance: If you have a private health insurance plan, check whether it covers specialist consultations, diagnostic procedures, and anesthesia costs. Many integrated shield plans cover such procedures either fully or partially.

Final Thoughts

While the Cost of a Gastroscopy in Singapore can vary significantly depending on the facility and any additional treatments, there are ways to manage expenses through subsidies, insurance, and MediSave. Understanding your options and consulting with your doctor about the necessary steps can help you make informed decisions about your health and financial well-being. Always verify coverage details with your healthcare provider and insurance company to avoid unexpected charges.