{"procedure":{"code_type":"CPT","code":"43251","lay_name":"Upper endoscopy with growth removal by wire snare","blurb":"A flexible scope is passed through the mouth and a tumor, polyp or other lesion is removed from the esophagus, stomach or upper small intestine with a wire loop.","slug":"cpt-43251-upper-endoscopy-with-growth-removal-by-wire-snare","description":"Egd Removal Tumor Polyp/Other Lesion Snare","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"70","label":"Upper gastrointestinal endoscopy, biopsy","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":1730,"n_usable":1604,"n_not_usable":0,"n_labelled":64,"n_no_cash":54,"n_estimated":8,"n_states":50,"cash_p10":455.35,"cash_p20":674.0,"cash_p25":817.7,"cash_p50":1723.46,"cash_p75":3124.8,"cash_p80":3384.5,"cash_p90":5082.0,"cash_mean_trimmed":1816.11,"gross_p50":2708.0,"cash_to_gross_p50":0.65,"medicare_rate":1960.47,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.8791,"by_state":[{"state":"AK","n":10,"p20":439.5,"p50":1978.6,"p80":3518.0},{"state":"AL","n":23,"p20":1277.0,"p50":1909.05,"p80":8095.79},{"state":"AR","n":24,"p20":488.25,"p50":692.12,"p80":1267.69},{"state":"AZ","n":14,"p20":1150.96,"p50":3585.55,"p80":6726.02},{"state":"CA","n":92,"p20":936.62,"p50":3276.0,"p80":4248.75},{"state":"CO","n":34,"p20":904.8,"p50":1637.3,"p80":3222.1},{"state":"CT","n":15,"p20":2177.62,"p50":6225.8,"p80":6602.0},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":44,"p20":1894.4,"p50":2756.6,"p80":4633.03},{"state":"GA","n":38,"p20":1159.43,"p50":1159.43,"p80":3120.0},{"state":"HI","n":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":63,"p20":695.04,"p50":1170.4,"p80":2657.57},{"state":"ID","n":17,"p20":1138.94,"p50":2352.0,"p80":4686.0},{"state":"IL","n":59,"p20":598.4,"p50":1514.4,"p80":2976.83},{"state":"IN","n":34,"p20":455.35,"p50":2020.0,"p80":4753.39},{"state":"KS","n":48,"p20":515.95,"p50":917.0,"p80":1962.32},{"state":"KY","n":21,"p20":455.35,"p50":669.6,"p80":7617.19},{"state":"LA","n":31,"p20":593.4,"p50":878.72,"p80":1334.2},{"state":"MA","n":36,"p20":1714.37,"p50":3119.25,"p80":5322.8},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":11,"p20":483.43,"p50":821.0,"p80":1363.25},{"state":"MI","n":50,"p20":372.3,"p50":983.2,"p80":2638.57},{"state":"MN","n":71,"p20":700.8,"p50":1452.38,"p80":2221.24},{"state":"MO","n":48,"p20":817.7,"p50":1266.6,"p80":4453.99},{"state":"MS","n":27,"p20":779.7,"p50":1622.0,"p80":2022.73},{"state":"MT","n":20,"p20":284.8,"p50":711.59,"p80":1761.6},{"state":"NC","n":25,"p20":1384.8,"p50":1920.81,"p80":2526.12},{"state":"ND","n":15,"p20":798.66,"p50":2397.6,"p80":2992.0},{"state":"NE","n":34,"p20":787.5,"p50":1242.0,"p80":2730.0},{"state":"NH","n":16,"p20":218.7,"p50":656.7,"p80":1811.94},{"state":"NJ","n":40,"p20":2201.12,"p50":2531.28,"p80":5181.24},{"state":"NM","n":22,"p20":1645.2,"p50":2240.7,"p80":3020.0},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":60,"p20":548.11,"p50":1755.95,"p80":3157.5},{"state":"OH","n":84,"p20":1102.2,"p50":3121.3,"p80":6704.8},{"state":"OK","n":28,"p20":591.5,"p50":1423.2,"p80":3303.27},{"state":"OR","n":32,"p20":442.8,"p50":765.0,"p80":1340.0},{"state":"PA","n":71,"p20":686.8,"p50":2476.2,"p80":3631.77},{"state":"RI","n":8,"p20":null,"p50":null,"p80":null},{"state":"SC","n":28,"p20":3250.0,"p50":3250.0,"p80":3888.0},{"state":"SD","n":10,"p20":852.84,"p50":1432.8,"p80":1432.8},{"state":"TN","n":28,"p20":456.3,"p50":1093.16,"p80":2422.26},{"state":"TX","n":86,"p20":616.1,"p50":1138.2,"p80":2674.5},{"state":"UT","n":5,"p20":null,"p50":null,"p80":null},{"state":"VA","n":30,"p20":748.5,"p50":2353.05,"p80":5120.64},{"state":"VT","n":10,"p20":463.5,"p50":1124.0,"p80":3832.43},{"state":"WA","n":39,"p20":450.0,"p50":1014.4,"p80":2726.46},{"state":"WI","n":47,"p20":1140.55,"p50":1754.35,"p80":2437.2},{"state":"WV","n":25,"p20":411.63,"p50":689.0,"p80":2954.21},{"state":"WY","n":7,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1089,"p20":836.8,"p50":2103.0,"p80":4058.98},{"key":"childrens","n":21,"p20":871.2,"p50":1447.2,"p80":2871.0},{"key":"critical_access","n":489,"p20":519.12,"p50":1056.38,"p80":2271.75}],"ownership":[{"key":"for_profit","n":179,"p20":1082.86,"p50":2271.0,"p80":4689.09},{"key":"government","n":336,"p20":616.0,"p50":1307.0,"p80":2643.0},{"key":"nonprofit","n":1084,"p20":686.5,"p50":1754.35,"p80":3443.56}],"affiliation":[{"key":"affiliated","n":1243,"p20":744.16,"p50":1915.0,"p80":3600.35},{"key":"independent","n":361,"p20":478.02,"p50":1140.55,"p80":2622.68}]},"histogram":[{"lo":337.0,"hi":455.78,"n":89},{"lo":455.78,"hi":616.43,"n":119},{"lo":616.43,"hi":833.71,"n":126},{"lo":833.71,"hi":1127.57,"n":148},{"lo":1127.57,"hi":1525.0,"n":177},{"lo":1525.0,"hi":2062.52,"n":180},{"lo":2062.52,"hi":2789.5,"n":221},{"lo":2789.5,"hi":3772.72,"n":185},{"lo":3772.72,"hi":5102.5,"n":119},{"lo":5102.5,"hi":6900.98,"n":80}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":976,"n_usable":892,"n_not_usable":0,"n_labelled":28,"n_no_cash":56,"n_estimated":0,"n_states":50,"cash_p10":441.6,"cash_p20":608.09,"cash_p25":744.16,"cash_p50":1673.91,"cash_p75":3039.75,"cash_p80":3273.9,"cash_p90":4248.75,"cash_mean_trimmed":1723.92,"gross_p50":2699.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":14,"p20":1093.0,"p50":1890.49,"p80":8397.0},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":7,"p20":null,"p50":null,"p80":null},{"state":"CA","n":71,"p20":1597.95,"p50":3332.0,"p80":4248.75},{"state":"CO","n":25,"p20":1417.45,"p50":2194.65,"p80":4086.64},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":28,"p20":1617.6,"p50":2091.2,"p80":3322.2},{"state":"GA","n":27,"p20":1159.43,"p50":1159.43,"p80":3120.0},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":27,"p20":709.52,"p50":1170.4,"p80":1170.4},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":35,"p20":455.35,"p50":996.1,"p80":2447.0},{"state":"IN","n":18,"p20":305.8,"p50":455.35,"p80":7617.19},{"state":"KS","n":13,"p20":683.34,"p50":1233.67,"p80":2192.0},{"state":"KY","n":13,"p20":455.35,"p50":669.6,"p80":7617.19},{"state":"LA","n":21,"p20":579.02,"p50":764.22,"p80":1156.14},{"state":"MA","n":33,"p20":1825.0,"p50":3147.9,"p80":5322.8},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":9,"p20":null,"p50":null,"p80":null},{"state":"MI","n":25,"p20":423.0,"p50":1221.94,"p80":2298.58},{"state":"MN","n":43,"p20":779.88,"p50":1468.26,"p80":1884.08},{"state":"MO","n":23,"p20":886.2,"p50":943.8,"p80":1879.8},{"state":"MS","n":10,"p20":940.5,"p50":1479.83,"p80":1673.91},{"state":"MT","n":11,"p20":284.8,"p50":711.59,"p80":1761.6},{"state":"NC","n":10,"p20":1481.76,"p50":1706.13,"p80":2103.0},{"state":"ND","n":13,"p20":798.66,"p50":2397.6,"p80":3199.2},{"state":"NE","n":14,"p20":608.28,"p50":1216.32,"p80":2730.0},{"state":"NH","n":13,"p20":218.7,"p50":1379.75,"p80":1892.09},{"state":"NJ","n":8,"p20":null,"p50":null,"p80":null},{"state":"NM","n":13,"p20":1676.4,"p50":2403.6,"p80":2996.7},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":31,"p20":353.15,"p50":818.73,"p80":1496.0},{"state":"OH","n":55,"p20":479.0,"p50":2597.25,"p80":3485.72},{"state":"OK","n":20,"p20":591.5,"p50":591.5,"p80":2437.8},{"state":"OR","n":11,"p20":352.3,"p50":352.3,"p80":786.0},{"state":"PA","n":48,"p20":2181.63,"p50":2898.5,"p80":3588.0},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":15,"p20":3250.0,"p50":3250.0,"p80":3250.0},{"state":"SD","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":10,"p20":245.05,"p50":456.3,"p80":940.5},{"state":"TX","n":61,"p20":579.7,"p50":1138.2,"p80":1949.6},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":10,"p20":129.03,"p50":748.5,"p80":1495.8},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":19,"p20":384.12,"p50":920.0,"p80":3360.0},{"state":"WI","n":32,"p20":1470.35,"p50":1754.35,"p80":2437.2},{"state":"WV","n":6,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":633,"p20":713.0,"p50":1797.33,"p80":3332.0},{"key":"childrens","n":12,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":242,"p20":464.63,"p50":1127.0,"p80":2437.2}],"ownership":[{"key":"for_profit","n":88,"p20":591.5,"p50":1356.53,"p80":3120.0},{"key":"government","n":161,"p20":628.1,"p50":1550.0,"p80":3112.0},{"key":"nonprofit","n":638,"p20":592.5,"p50":1695.83,"p80":3276.0}],"affiliation":[{"key":"affiliated","n":711,"p20":673.0,"p50":1723.46,"p80":3276.0},{"key":"independent","n":181,"p20":457.5,"p50":1266.6,"p80":2833.0}]},"histogram":[{"lo":305.8,"hi":409.2,"n":37},{"lo":409.2,"hi":547.57,"n":64},{"lo":547.57,"hi":732.72,"n":74},{"lo":732.72,"hi":980.47,"n":72},{"lo":980.47,"hi":1312.0,"n":102},{"lo":1312.0,"hi":1755.63,"n":92},{"lo":1755.63,"hi":2349.27,"n":97},{"lo":2349.27,"hi":3143.64,"n":107},{"lo":3143.64,"hi":4206.61,"n":112},{"lo":4206.61,"hi":5629.0,"n":47}],"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":"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"},{"code_type":"CPT","code":"44360","lay_name":"Endoscopy of the small intestine beyond the stomach","slug":"cpt-44360-endoscopy-of-the-small-intestine-beyond-the-stomach"}]}