{"procedure":{"code_type":"CPT","code":"43255","lay_name":"Upper endoscopy with control of bleeding","blurb":"A flexible scope is passed through the mouth and bleeding in the esophagus, stomach or upper small intestine is stopped using heat, clips or injection.","slug":"cpt-43255-upper-endoscopy-with-control-of-bleeding","description":"Egd Transoral Control Bleeding Any Method","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":1633,"n_usable":1517,"n_not_usable":1,"n_labelled":62,"n_no_cash":45,"n_estimated":8,"n_states":50,"cash_p10":522.0,"cash_p20":769.6,"cash_p25":938.2,"cash_p50":1908.6,"cash_p75":3232.8,"cash_p80":3764.15,"cash_p90":5331.95,"cash_mean_trimmed":1987.81,"gross_p50":3245.0,"cash_to_gross_p50":0.61,"medicare_rate":1960.47,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.9735,"by_state":[{"state":"AK","n":10,"p20":416.86,"p50":2423.86,"p80":4274.4},{"state":"AL","n":24,"p20":915.0,"p50":1909.05,"p80":5841.96},{"state":"AR","n":15,"p20":630.0,"p50":692.12,"p80":1070.0},{"state":"AZ","n":11,"p20":739.05,"p50":3401.25,"p80":5752.93},{"state":"CA","n":95,"p20":1870.2,"p50":2867.0,"p80":4337.25},{"state":"CO","n":31,"p20":1062.0,"p50":1914.4,"p80":3294.9},{"state":"CT","n":16,"p20":1946.91,"p50":3028.3,"p80":6601.76},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":43,"p20":1596.0,"p50":2756.6,"p80":3841.26},{"state":"GA","n":38,"p20":1472.27,"p50":1472.27,"p80":3201.0},{"state":"HI","n":10,"p20":798.73,"p50":1519.2,"p80":3070.5},{"state":"IA","n":52,"p20":719.4,"p50":1458.4,"p80":2113.0},{"state":"ID","n":17,"p20":1251.0,"p50":2414.4,"p80":4686.0},{"state":"IL","n":48,"p20":693.28,"p50":1543.87,"p80":3081.0},{"state":"IN","n":33,"p20":545.65,"p50":2020.0,"p80":5211.6},{"state":"KS","n":30,"p20":520.96,"p50":746.9,"p80":1594.0},{"state":"KY","n":22,"p20":414.4,"p50":711.0,"p80":6207.24},{"state":"LA","n":35,"p20":618.24,"p50":985.53,"p80":1743.3},{"state":"MA","n":36,"p20":1825.0,"p50":3147.9,"p80":5458.0},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":10,"p20":629.35,"p50":1141.0,"p80":2755.05},{"state":"MI","n":48,"p20":938.2,"p50":1137.0,"p80":2638.57},{"state":"MN","n":63,"p20":726.4,"p50":1780.15,"p80":2308.68},{"state":"MO","n":45,"p20":701.28,"p50":1101.6,"p80":2980.9},{"state":"MS","n":30,"p20":940.5,"p50":1473.17,"p80":3064.2},{"state":"MT","n":15,"p20":291.2,"p50":1103.9,"p80":2133.0},{"state":"NC","n":22,"p20":1283.47,"p50":1908.6,"p80":2888.0},{"state":"ND","n":8,"p20":null,"p50":null,"p80":null},{"state":"NE","n":23,"p20":966.55,"p50":1454.0,"p80":1836.0},{"state":"NH","n":15,"p20":224.4,"p50":1379.75,"p80":1979.72},{"state":"NJ","n":40,"p20":2201.12,"p50":2531.28,"p80":5110.0},{"state":"NM","n":20,"p20":1412.0,"p50":2408.0,"p80":3863.55},{"state":"NV","n":7,"p20":null,"p50":null,"p80":null},{"state":"NY","n":60,"p20":565.0,"p50":2244.82,"p80":3907.4},{"state":"OH","n":89,"p20":2037.6,"p50":3359.2,"p80":5671.9},{"state":"OK","n":26,"p20":745.5,"p50":745.5,"p80":2950.41},{"state":"OR","n":35,"p20":569.25,"p50":1529.19,"p80":3783.79},{"state":"PA","n":73,"p20":871.25,"p50":2400.0,"p80":3880.25},{"state":"RI","n":8,"p20":null,"p50":null,"p80":null},{"state":"SC","n":27,"p20":1852.2,"p50":3764.15,"p80":3983.4},{"state":"SD","n":11,"p20":1111.5,"p50":1830.4,"p80":1830.4},{"state":"TN","n":35,"p20":806.4,"p50":1093.16,"p80":2611.8},{"state":"TX","n":77,"p20":980.7,"p50":1468.16,"p80":3734.07},{"state":"UT","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":29,"p20":1028.3,"p50":1779.03,"p80":4426.6},{"state":"VT","n":10,"p20":499.0,"p50":1297.8,"p80":3302.88},{"state":"WA","n":36,"p20":576.8,"p50":1096.75,"p80":2790.21},{"state":"WI","n":49,"p20":1251.9,"p50":1923.35,"p80":2341.8},{"state":"WV","n":25,"p20":208.41,"p50":578.0,"p80":1345.34},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1112,"p20":940.5,"p50":2201.12,"p80":4138.4},{"key":"childrens","n":21,"p20":890.1,"p50":1830.0,"p80":5128.0},{"key":"critical_access","n":378,"p20":576.8,"p50":1137.0,"p80":2341.8}],"ownership":[{"key":"for_profit","n":165,"p20":1131.6,"p50":2252.4,"p80":4815.36},{"key":"government","n":291,"p20":680.67,"p50":1468.16,"p80":2785.0},{"key":"nonprofit","n":1055,"p20":806.36,"p50":1923.35,"p80":3798.48}],"affiliation":[{"key":"affiliated","n":1187,"p20":898.2,"p50":2047.8,"p80":4086.64},{"key":"independent","n":330,"p20":520.96,"p50":1335.6,"p80":2753.3}]},"histogram":[{"lo":376.5,"hi":501.23,"n":63},{"lo":501.23,"hi":667.27,"n":102},{"lo":667.27,"hi":888.32,"n":118},{"lo":888.32,"hi":1182.61,"n":152},{"lo":1182.61,"hi":1574.38,"n":124},{"lo":1574.38,"hi":2095.94,"n":200},{"lo":2095.94,"hi":2790.27,"n":214},{"lo":2790.27,"hi":3714.63,"n":158},{"lo":3714.63,"hi":4945.21,"n":140},{"lo":4945.21,"hi":6583.45,"n":96}],"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":992,"n_usable":915,"n_not_usable":0,"n_labelled":31,"n_no_cash":46,"n_estimated":0,"n_states":50,"cash_p10":505.0,"cash_p20":745.5,"cash_p25":940.0,"cash_p50":1887.43,"cash_p75":3199.2,"cash_p80":3589.3,"cash_p90":4686.0,"cash_mean_trimmed":1952.09,"gross_p50":3405.0,"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":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":14,"p20":915.0,"p50":1830.0,"p80":4682.0},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":72,"p20":2694.0,"p50":4048.8,"p80":4337.25},{"state":"CO","n":24,"p20":1434.9,"p50":2314.9,"p80":4086.64},{"state":"CT","n":6,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":27,"p20":1448.0,"p50":2091.2,"p80":3322.2},{"state":"GA","n":28,"p20":1472.27,"p50":1472.27,"p80":3201.0},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":27,"p20":884.16,"p50":1607.2,"p80":1975.5},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":31,"p20":545.65,"p50":1553.0,"p80":2999.02},{"state":"IN","n":20,"p20":202.4,"p50":680.67,"p80":4439.16},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":14,"p20":530.0,"p50":711.0,"p80":7617.19},{"state":"LA","n":21,"p20":574.08,"p50":878.72,"p80":1042.1},{"state":"MA","n":32,"p20":1975.0,"p50":3309.0,"p80":5458.0},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":10,"p20":266.97,"p50":992.8,"p80":2755.05},{"state":"MI","n":30,"p20":950.4,"p50":2063.66,"p80":2707.96},{"state":"MN","n":45,"p20":796.62,"p50":1780.15,"p80":1887.43},{"state":"MO","n":24,"p20":701.28,"p50":965.4,"p80":2114.4},{"state":"MS","n":11,"p20":1084.9,"p50":1391.5,"p80":1572.0},{"state":"MT","n":10,"p20":291.2,"p50":1761.6,"p80":2133.0},{"state":"NC","n":11,"p20":1283.47,"p50":1706.13,"p80":2526.12},{"state":"ND","n":8,"p20":null,"p50":null,"p80":null},{"state":"NE","n":8,"p20":null,"p50":null,"p80":null},{"state":"NH","n":13,"p20":224.4,"p50":1379.75,"p80":1979.72},{"state":"NJ","n":8,"p20":null,"p50":null,"p80":null},{"state":"NM","n":12,"p20":1676.4,"p50":2387.7,"p80":2774.8},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":32,"p20":455.53,"p50":766.84,"p80":4104.0},{"state":"OH","n":67,"p20":2003.3,"p50":3177.85,"p80":5671.9},{"state":"OK","n":21,"p20":745.5,"p50":745.5,"p80":1933.2},{"state":"OR","n":18,"p20":360.1,"p50":1509.75,"p80":4476.95},{"state":"PA","n":60,"p20":841.8,"p50":2400.0,"p80":3574.47},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":16,"p20":3764.15,"p50":3764.15,"p80":3764.15},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":19,"p20":806.4,"p50":806.4,"p80":1795.21},{"state":"TX","n":57,"p20":661.5,"p50":1138.2,"p80":2489.5},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":13,"p20":806.4,"p50":1779.03,"p80":2004.0},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":17,"p20":576.8,"p50":1606.0,"p80":3409.54},{"state":"WI","n":33,"p20":1316.31,"p50":1923.35,"p80":2341.8},{"state":"WV","n":6,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":702,"p20":807.19,"p50":2046.38,"p80":3764.15},{"key":"childrens","n":13,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":194,"p20":556.78,"p50":1430.47,"p80":2547.0}],"ownership":[{"key":"for_profit","n":85,"p20":689.0,"p50":1472.27,"p80":3024.6},{"key":"government","n":145,"p20":796.62,"p50":1723.5,"p80":3322.2},{"key":"nonprofit","n":679,"p20":753.2,"p50":1926.96,"p80":3764.15}],"affiliation":[{"key":"affiliated","n":747,"p20":806.4,"p50":1935.39,"p80":3764.15},{"key":"independent","n":168,"p20":513.07,"p50":1529.19,"p80":3151.8}]},"histogram":[{"lo":360.1,"hi":474.41,"n":32},{"lo":474.41,"hi":625.01,"n":66},{"lo":625.01,"hi":823.41,"n":74},{"lo":823.41,"hi":1084.79,"n":51},{"lo":1084.79,"hi":1429.14,"n":72},{"lo":1429.14,"hi":1882.81,"n":120},{"lo":1882.81,"hi":2480.49,"n":118},{"lo":2480.49,"hi":3267.89,"n":125},{"lo":3267.89,"hi":4305.25,"n":104},{"lo":4305.25,"hi":5671.9,"n":67}],"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":"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"}]}