Gastroscopy and colonoscopy in Yerevan: prices with and without anesthesia from 22 price lists — and what state insurance pays

An endoscopy room: a stand with a monitor and a flexible endoscope next to an empty procedure chair

30 000 ֏the Fund pays the clinic for a colonoscopy with general anesthesia; a patient with a referral pays nothing extra
45 000 ֏median cash price of a colonoscopy with anesthesia across 16 price lists
34addresses in Yerevan where a colonoscopy with anesthesia is done under state insurance (32 organizations on the Fund’s list)

A gastroscopy (esophagogastroduodenoscopy, EGD) is an examination of the esophagus, stomach and duodenum; a colonoscopy is an examination of the large bowel. Whether you need a procedure, and which one, is the doctor’s decision. This article is only about money and the route: what it costs at the cash desk, what the insurance pays and which lines make up the final bill.

What it costs at the cash desk

We went through 22 price lists of Yerevan clinics and chains. A chain with one price list for all branches counts once; Heratsi and Muratsan publish the shared price list of the medical university, so that is one price list too. The lines were collected on 15–25 September; we checked 21 price lists on the clinics’ websites on 30 September 2026, while the Slavmed price list was blocked by a bot check that day, so its prices come from the copy of 24 September. The median is the middle of the range: half of the price lists charge no more than this amount and half charge no less.

Gastroscopy and colonoscopy at the cash desk: summary of 22 price lists
Examination	Price lists	From	To	Median
Gastroscopy without anesthesia	21	15,000 ֏	25,000 ֏	15,000 ֏
Gastroscopy with anesthesia, as a single line	10	25,000 ֏	40,000 ֏	30,000 ֏
Gastroscopy with anesthesia, including “examination + anesthesia” sums	16	25,000 ֏	40,000 ֏	35,000 ֏
Colonoscopy without anesthesia	21	20,000 ֏	50,000 ֏	30,000 ֏
Colonoscopy with anesthesia, as a single line	9	35,000 ֏	50,000 ֏	45,000 ֏
Colonoscopy with anesthesia, including “examination + anesthesia” sums	16	35,000 ֏	55,000 ֏	45,000 ֏
Both procedures in one session under anesthesia, as a single line	5	60,000 ֏	70,000 ֏	65,000 ֏

Medaro calculation based on clinic price lists. “Including sums” means that clinics listing anesthesia separately were added to the single-line prices: in that case the price is the sum of two lines of the same price list, not a price quoted by the clinic. Two clinics are not in these sums: Izmirlian, where anesthesia costs 15,000, 25,000 or 40,000 ֏ depending on its duration, so there is no single sum, and the Fanarjian oncology center, whose price list gives IV anesthesia under outpatient procedures rather than next to endoscopy. The upper limit for colonoscopy without anesthesia, 50,000 ֏, is a line that does not say whether the examination is done with or without anesthesia. The oldest document in the sample is Achapnyak’s 2022 PDF price list, the only one on its prices page; without it the median for colonoscopy without anesthesia is 27,500 ֏ and for gastroscopy 17,500 ֏. A link to each clinic’s price list is on its page in the Medaro catalog.

Price lists mostly use round numbers: a colonoscopy without anesthesia costs 25,000 or 30,000 ֏ in 16 of 21 price lists, and a gastroscopy without anesthesia costs 15,000 ֏ in 11 of 21. The difference between “without anesthesia” and “with anesthesia” is almost entirely the price of the anesthesia itself.

What changes the price

Anesthesia. Nine price lists show a colonoscopy with anesthesia as a single line; seven more list anesthesia separately, at 10,000 to 25,000 ֏ per procedure depending on the clinic and the examination. At Izmirlian the price depends on duration: 15,000, 25,000 or 40,000 ֏ (the center’s price list as of 30.09.2026), so a colonoscopy with anesthesia there comes to 45,000 to 70,000 ֏. Clinics call it different things: “anesthesia”, “IV anesthesia”, “sedation”.
Time of day. At Surb Grigor Lusavorich a colonoscopy from 18:00 to 09:00 costs 50,000 ֏ instead of 30,000, and a gastroscopy 40,000 instead of 20,000 (the center’s price list as of 30.09.2026).
Artificial intelligence. AI-assisted colonoscopy is a separate service: 50,000 ֏ at both Surb Grigor Lusavorich and the Mikayelyan Institute of Surgery (price lists as of 30.09.2026).
Carbon dioxide. In Izmirlian’s endoscopy price list CO₂ is a separate line at 5,000 ֏ (price list as of 30.09.2026); colonoscopy with CO₂ gas is also listed separately in Decision No. 1979-N.
Citizenship. In the price list of the Fanarjian National Center of Oncology endoscopy costs foreign citizens twice as much as citizens of Armenia: gastroscopy with biopsy 40,000 ֏ instead of 20,000, colonoscopy 50,000 instead of 25,000; histology of a biopsy sample costs 20,000 instead of 15,000 (price list as of 30.09.2026). We saw this rule in two of the 22 price lists without specifically looking for it — if you do not hold an Armenian passport, ask when booking whether the same price applies to you.
Both procedures at once. Five price lists have a single line for “gastroscopy and colonoscopy under anesthesia”, from 60,000 to 70,000 ֏. At Vardanants it is 65,000 ֏, while separately under anesthesia they cost 35,000 and 45,000, that is 80,000 ֏ (the center’s endoscopy page as of 30.09.2026).
Biopsy and histology. If a small piece of tissue is taken during the examination, its laboratory examination (histology) is billed as a separate line almost everywhere — 10,000 to 20,000 ֏ at the cash desk. Removing a polyp, if it is needed, is a separate service with a separate price.

What state insurance pays

If you are covered by universal health insurance, the Fund pays the clinic for these examinations at the tariffs in the table below, and the Fund’s catalog provides for no patient co-payment on them (the Fund’s service catalog, uhif.am/am/services, 30.09.2026). In Yerevan a colonoscopy with general anesthesia under the insurance is available at 34 addresses in the Medaro catalog. On the Fund’s list as of 30.09.2026 these are 32 organizations — Medline and the National Center for Infectious Diseases each have two addresses — and 60 organizations across Armenia.

The Fund’s tariffs: what it pays the clinic
Service, as the Fund names it	Tariff	Co-payment	Addresses in Yerevan
Colonoscopy with general anesthesia	30,000 ֏	none	34
Colonoscopy with general anesthesia, with biopsy	35,000 ֏	none	3
Colonoscopy without anesthesia — only in the colorectal cancer screening program	17,000 ֏	none	0
Esophagogastroduodenoscopy (EGD, gastroscopy)	10,000 ֏	none	35
Esophagogastroduodenoscopy (EGD) with Helicobacter pylori detection	12,000 ֏	none	34
Histological examination, regardless of quantity	10,500 ֏	none	25
Endoscopic polypectomy (polyp removal), outpatient	150,000 ֏	none	49

Tariffs and co-payments: the Fund’s service catalog, uhif.am/am/services, as of 30.09.2026. Addresses are Medaro catalog entries built from the Fund’s list of organizations on 24.08.2026 (each branch of a chain is a separate entry); for colonoscopy with anesthesia the count was checked against the Fund’s list as of 30.09.2026. Colonoscopy with anesthesia and biopsy at its own tariff is offered in Yerevan by three organizations: Achapnyak, Margaryan Maternity Hospital and Surb Grigor Lusavorich (six nationwide). Colonoscopic polypectomy in a surgical department has a separate tariff of 210,320 ֏ (50 addresses). The name of the EGD tariff does not mention anesthesia: if you need it, ask the clinic how it is paid for.

The main condition is a referral. The insurance pays for an examination prescribed on medical indications: the referral is issued by the family doctor (primary care doctor) you are registered with, or by a specialist to whom that doctor referred you (Decision No. 1979-N, annex 1, point 20, sub-point 3 “A”). In the Fund’s words, “referrals are issued through the ArMed system”, and with a referral you can go to any organization that has a contract with the Fund, not only to your polyclinic’s partners (the Fund’s section for medical organizations, uhif.am/am/for-specialists, 30.09.2026). Without indications and without a referral — including when you have simply decided to get checked (except for scheduled screening, see below) — consultations and examinations are not paid by the insurance (Decision No. 1979-N, annex 1, point 27, sub-point 3). In that case you pay the cash price. For co-payments at specialist appointments, see our article on state insurance. As of 30.09.2026 the Medaro catalog lists 86 gastroenterologists at 34 organizations, 43 endoscopists at 19 and 39 proctologists at 19; links to the lists are in the “Read next” block.

One clinic, two prices, and the full bill

The Fund’s tariff is not a cash price: it is the amount the Fund pays the clinic for an insured patient with a referral. At the same clinic’s cash desk the examination costs more. We compared 18 clinics that have both a Fund tariff and a cash price list: there, a colonoscopy with anesthesia costs 35,000 to 55,000 ֏ at the cash desk (where the price list states the anesthesia), and up to 70,000 ֏ at Izmirlian with longer anesthesia; a gastroscopy without anesthesia costs 15,000–25,000 ֏ against a tariff of 10,000 ֏. Below are the clinics whose price lists show what the bill is made of.

Colonoscopy with anesthesia: under insurance and at the same clinic’s cash desk
Clinic	Under insurance (you pay 0)	Cash price with anesthesia	Full cash bill	What the bill is made of
Mikayelyan Institute of Surgery	30,000 ֏	35,000 ֏	47,000 ֏	Colonoscopy with biopsy under IV anesthesia 35,000 + histology of biopsy material 12,000; each additional fragment +5,000
Vardanants Center for Innovative Medicine	30,000 ֏	45,000 ֏	—	Colonoscopy under anesthesia 45,000, with biopsy under anesthesia also 45,000; histology is not on the endoscopy page — it is in the separate price list of the center’s laboratory
Elit-Med	30,000 ֏	45,000 ֏	65,000 ֏	Colonoscopy 25,000 + IV anesthesia 20,000 + biopsy 5,000 + histology 15,000
Izmirlian Medical Center	30,000 ֏	45,000–70,000 ֏	—	Colonoscopy 30,000 + IV anesthesia 15,000, 25,000 or 40,000 depending on duration; ask about biopsy and histology
Surb Grigor Lusavorich Medical Center	30,000 ֏	50,000 ֏	70,000 ֏	Daytime: colonoscopy 30,000 + anesthesia 20,000 + histology of an endoscopic biopsy sample 20,000; taking the biopsy is not listed separately — ask. Under insurance with biopsy: 35,000 ֏
Fanarjian National Center of Oncology	30,000 ֏	—	—	No separate line for “colonoscopy under anesthesia”; IV anesthesia for outpatient procedures costs 15,000 (30,000 for foreign citizens) — ask whether it applies to colonoscopy. Colonoscopy without anesthesia: 25,000 for citizens of Armenia, 50,000 for foreign citizens; histology of a biopsy sample: 15,000 (20,000 for foreign citizens)

Fund tariff: the uhif.am service catalog as of 30.09.2026, paid with a referral, no patient co-payment. Cash prices: clinic price lists checked on 30.09.2026. “Full bill” is the sum of lines of one price list (examination, anesthesia, biopsy, histology), not a price quoted by the clinic; “—” means the bill cannot be added up from the price list lines or its parts are in different price lists. Order: by price with anesthesia. Polyp removal is not included in the bill.

Under the insurance the bill looks different. The Fund pays for a colonoscopy with general anesthesia at a tariff of 30,000 ֏, and for histology separately, 10,500 ֏ regardless of the number of samples (the Fund’s service catalog, 30.09.2026). Histology under the insurance is available at 25 addresses in Yerevan, and 18 of them also do colonoscopy with anesthesia (the Fund’s list of organizations, Medaro copy of 24.08.2026). If the clinic where you had the colonoscopy does not do histology under the insurance, ask where the sample will be sent.

Screening for bowel cancer: a stool test first

According to WHO, colorectal cancer often has no or mild symptoms in the early stages; screening reduces both incidence and mortality, and among the diagnostic methods WHO lists colonoscopy and histopathology of a biopsy (WHO fact sheet of 13.02.2026). In Armenia, under the schedule in Decision No. 1979-N (annex 5), men and women are entitled to a fecal immunochemical test at ages 50, 52, 54 … 70 — that is, every two years, 11 times. These screenings are part of the care the family doctor provides to the insured people registered with them (annex 1, point 20, sub-point 1 “B”), so the way to the test is through your family doctor.

The Fund’s service catalog already describes the program (uhif.am/am/services, 30.09.2026): the “Colorectal Cancer Early Detection Screening” section includes transport of the fecal immunochemical test (FIT), payment to the primary care organization for each person tested, colonoscopy with biopsy if necessary without anesthesia at 17,000 ֏ and with general anesthesia at 30,000 ֏, colonoscopy with completed polypectomy at 160,000 ֏ and histology at 10,500 ֏. But on the Fund’s list of organizations as of 30.09.2026 no organization provides these services, and the Fund’s screenings page (uhif.am/am/screenings) does not list the program: it shows mammography, HPV testing and the preventive visit for adults. To find out how to get screened now, ask your family doctor or call the Fund’s hotline 8866.

A fecal occult blood test is also available among examinations by referral: “Occult blood in stool” at 2,640 ֏ (69 addresses in Yerevan) and “Fecal occult blood test” at 1,100 ֏ (86). Neither is called immunochemical, and the catalog does not say which code is used for screening — ask your family doctor. At the cash desk many laboratories do this test, with different methods in their price lists; prices are in the Lab tests and laboratories section.

How to prepare — the clinic will tell you

How to prepare will be explained by the clinic where you have the examination. Diet, bowel preparation and whether to take your usual medicines are prescribed by the doctor. We deliberately do not publish schemes or names of preparations: they depend on the clinic and on your health. When booking, ask:

whether you will get written preparation instructions;
from what time you must not eat;
what to do about the medicines you take regularly — name each one;
what the clinic calls anesthesia, whether it is included in the price and what its cost depends on;
whether a biopsy and histology, if needed, are included in the price;
whether you need someone to accompany you;
whether there is an evening or night surcharge and whether the price is the same for foreign citizens.

When an article is not the answer — call 103

With these signs you do not look up prices or book a test; you call an ambulance.

Vomiting blood — bright red or dark, like coffee granules — is always a reason to get medical help. If you also feel generally unwell, confused, faint or dizzy, have rapid or shallow breathing, cold, clammy, pale skin, tummy pain or black stool, call 103. If the vomiting has stopped and there are no other symptoms, see a doctor the same day (NHS).
Bleeding from the bottom that does not stop, a lot of blood or large blood clots — call 103 (NHS).
After a gastroscopy you keep being sick, you are vomiting blood, you are short of breath, or you have severe or worsening chest or stomach pain — call 103 (NHS).
After a gastroscopy you have a high temperature or chills, or your stool is black like tar — call the clinic where you had the examination straight away; if they do not answer or you feel worse, call 103 (NHS).
After a colonoscopy you have heavy or worsening bleeding, severe or worsening stomach pain, a high temperature or chills — call the clinic where you had the examination straight away; if they do not answer or you feel worse, call 103 (NHS).
Black or dark red stool, bloody diarrhea — see a doctor the same day, without delay (NHS).
Blood in your stool, a lasting change in bowel habits (diarrhea or constipation), losing weight without trying, abdominal pain, cramps or bloating that won’t go away — do not wait for age-based screening or a queue for a planned examination, see a doctor (WHO).

Where the data comes from

This material is for reference and does not replace a consultation: it contains no diagnoses, treatment plans or dosages. Prices and tariffs change — check the terms with the organisation and with the fund before your visit. Medaro does not provide medical services and does not take appointments.