{"procedure":{"code_type":"CPT","code":"43191","lay_name":"Esophagus exam with a rigid scope through the mouth","blurb":"A rigid scope is passed through the mouth to look at the esophagus, and cells may be collected by brushing or washing the lining.","slug":"cpt-43191-esophagus-exam-with-a-rigid-scope-through-the-mouth","description":"Esophagoscopy Rigid Transoral Diagnostic Brush","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"70","label":"Upper gastrointestinal endoscopy, biopsy","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T22:20:23.317834Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:09:24.241146Z","n_priced_setters":3956,"n_filed":595,"n_usable":542,"n_not_usable":1,"n_labelled":38,"n_no_cash":13,"n_estimated":1,"n_states":49,"cash_p10":183.75,"cash_p20":297.0,"cash_p25":371.17,"cash_p50":1568.16,"cash_p75":2768.33,"cash_p80":3322.2,"cash_p90":5073.2,"cash_mean_trimmed":1589.81,"gross_p50":1941.0,"cash_to_gross_p50":0.6,"medicare_rate":1960.47,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.7999,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":5,"p20":null,"p50":null,"p80":null},{"state":"CA","n":51,"p20":1271.81,"p50":2660.0,"p80":2704.0},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":15,"p20":1904.16,"p50":3322.2,"p80":5944.67},{"state":"GA","n":19,"p20":1359.3,"p50":1765.5,"p80":1765.5},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":20,"p20":339.5,"p50":384.0,"p80":408.8},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":25,"p20":183.75,"p50":452.41,"p80":3994.2},{"state":"IN","n":21,"p20":183.75,"p50":1182.16,"p80":1681.42},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":14,"p20":584.96,"p50":970.32,"p80":2346.0},{"state":"MA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":26,"p20":147.2,"p50":199.2,"p80":331.2},{"state":"MN","n":17,"p20":387.49,"p50":694.66,"p80":1100.26},{"state":"MO","n":12,"p20":1486.8,"p50":3390.64,"p80":11957.93},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":6,"p20":null,"p50":null,"p80":null},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":9,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":30,"p20":2101.52,"p50":2531.28,"p80":5110.0},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":38,"p20":922.14,"p50":2244.82,"p80":4595.0},{"state":"OH","n":35,"p20":647.4,"p50":2690.25,"p80":6704.8},{"state":"OK","n":15,"p20":256.2,"p50":256.2,"p80":2513.5},{"state":"OR","n":8,"p20":null,"p50":null,"p80":null},{"state":"PA","n":20,"p20":96.14,"p50":2768.33,"p80":4084.93},{"state":"SC","n":15,"p20":1231.75,"p50":1231.75,"p80":1231.75},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":11,"p20":117.16,"p50":537.62,"p80":2399.22},{"state":"TX","n":10,"p20":385.5,"p50":2493.0,"p80":3716.58},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":10,"p20":2353.05,"p50":2353.05,"p80":6613.33},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":9,"p20":null,"p50":null,"p80":null},{"state":"WI","n":14,"p20":918.8,"p50":1696.0,"p80":2848.38},{"state":"WV","n":8,"p20":null,"p50":null,"p80":null},{"state":"WY","n":4,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":456,"p20":315.0,"p50":1765.5,"p80":3540.75},{"key":"childrens","n":10,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":75,"p20":267.2,"p50":694.66,"p80":2848.38}],"ownership":[{"key":"for_profit","n":56,"p20":547.2,"p50":2034.73,"p80":4686.0},{"key":"government","n":81,"p20":321.32,"p50":1100.26,"p80":2881.68},{"key":"nonprofit","n":404,"p20":285.35,"p50":1486.8,"p80":3570.0}],"affiliation":[{"key":"affiliated","n":445,"p20":333.0,"p50":1765.5,"p80":3570.0},{"key":"independent","n":97,"p20":267.2,"p50":477.0,"p80":2768.33}]},"histogram":[{"lo":147.2,"hi":216.08,"n":42},{"lo":216.08,"hi":317.19,"n":51},{"lo":317.19,"hi":465.62,"n":57},{"lo":465.62,"hi":683.51,"n":23},{"lo":683.51,"hi":1003.34,"n":21},{"lo":1003.34,"hi":1472.85,"n":51},{"lo":1472.85,"hi":2162.06,"n":51},{"lo":2162.06,"hi":3173.77,"n":109},{"lo":3173.77,"hi":4658.91,"n":54},{"lo":4658.91,"hi":6839.0,"n":35}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T18:34:04.741357Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T01:09:24.241146Z","n_priced_setters":3956,"n_filed":353,"n_usable":315,"n_not_usable":0,"n_labelled":18,"n_no_cash":20,"n_estimated":0,"n_states":45,"cash_p10":183.75,"cash_p20":266.7,"cash_p25":313.05,"cash_p50":1114.0,"cash_p75":2660.0,"cash_p80":2704.0,"cash_p90":3880.25,"cash_mean_trimmed":1266.94,"gross_p50":1844.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":4,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":46,"p20":1271.81,"p50":2660.0,"p80":2704.0},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":7,"p20":null,"p50":null,"p80":null},{"state":"GA","n":18,"p20":1359.3,"p50":1765.5,"p80":1765.5},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":318.0,"p50":384.0,"p80":384.0},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":14,"p20":183.75,"p50":292.7,"p80":1036.1},{"state":"IN","n":7,"p20":null,"p50":null,"p80":null},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":8,"p20":null,"p50":null,"p80":null},{"state":"MN","n":12,"p20":694.66,"p50":694.66,"p80":1100.26},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":5,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":9,"p20":null,"p50":null,"p80":null},{"state":"OH","n":26,"p20":310.96,"p50":2690.25,"p80":4118.01},{"state":"OK","n":12,"p20":256.2,"p50":256.2,"p80":256.2},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":17,"p20":130.81,"p50":335.0,"p80":3877.0},{"state":"SC","n":12,"p20":1231.75,"p50":1231.75,"p80":1231.75},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":6,"p20":null,"p50":null,"p80":null},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":8,"p20":null,"p50":null,"p80":null},{"state":"WI","n":2,"p20":null,"p50":null,"p80":null},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":263,"p20":273.0,"p50":1231.75,"p80":2690.25},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":45,"p20":297.0,"p50":694.66,"p80":4686.0}],"ownership":[{"key":"for_profit","n":28,"p20":183.75,"p50":1271.81,"p80":2768.33},{"key":"government","n":45,"p20":321.6,"p50":1114.0,"p80":3322.2},{"key":"nonprofit","n":241,"p20":256.2,"p50":1044.96,"p80":2690.25}],"affiliation":[{"key":"affiliated","n":253,"p20":285.35,"p50":1231.75,"p80":2690.25},{"key":"independent","n":62,"p20":266.7,"p50":398.31,"p80":2937.6}]},"histogram":[{"lo":153.56,"hi":218.99,"n":32},{"lo":218.99,"hi":312.3,"n":31},{"lo":312.3,"hi":445.38,"n":49},{"lo":445.38,"hi":635.15,"n":11},{"lo":635.15,"hi":905.78,"n":12},{"lo":905.78,"hi":1291.74,"n":36},{"lo":1291.74,"hi":1842.14,"n":27},{"lo":1842.14,"hi":2627.08,"n":7},{"lo":2627.08,"hi":3746.47,"n":62},{"lo":3746.47,"hi":5342.83,"n":18}],"previous":null}},"related":[{"code_type":"CPT","code":"43235","lay_name":"Diagnostic upper endoscopy","slug":"cpt-43235-diagnostic-upper-endoscopy"},{"code_type":"CPT","code":"43239","lay_name":"Upper endoscopy with biopsy","slug":"cpt-43239-upper-endoscopy-with-biopsy"},{"code_type":"CPT","code":"43247","lay_name":"Upper endoscopy with removal of a swallowed object","slug":"cpt-43247-upper-endoscopy-with-removal-of-a-swallowed-object"},{"code_type":"CPT","code":"43251","lay_name":"Upper endoscopy with growth removal by wire snare","slug":"cpt-43251-upper-endoscopy-with-growth-removal-by-wire-snare"},{"code_type":"CPT","code":"43255","lay_name":"Upper endoscopy with control of bleeding","slug":"cpt-43255-upper-endoscopy-with-control-of-bleeding"},{"code_type":"CPT","code":"43236","lay_name":"Upper endoscopy with injection into the stomach lining","slug":"cpt-43236-upper-endoscopy-with-injection-into-the-stomach-lining"},{"code_type":"CPT","code":"43200","lay_name":"Esophagus exam with a flexible scope through the mouth","slug":"cpt-43200-esophagus-exam-with-a-flexible-scope-through-the-mouth"},{"code_type":"CPT","code":"43250","lay_name":"Upper endoscopy with growth removal using heated forceps","slug":"cpt-43250-upper-endoscopy-with-growth-removal-using-heated-forceps"},{"code_type":"CPT","code":"43270","lay_name":"Upper endoscopy with destruction of a growth","slug":"cpt-43270-upper-endoscopy-with-destruction-of-a-growth"},{"code_type":"CPT","code":"43202","lay_name":"Esophagus scope exam with tissue sample","slug":"cpt-43202-esophagus-scope-exam-with-tissue-sample"},{"code_type":"CPT","code":"43241","lay_name":"Upper endoscopy with placement of a feeding tube or catheter","slug":"cpt-43241-upper-endoscopy-with-placement-of-a-feeding-tube-or-catheter"},{"code_type":"CPT","code":"44361","lay_name":"Small bowel endoscopy with biopsy","slug":"cpt-44361-small-bowel-endoscopy-with-biopsy"}]}