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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy through the nose with biopsy

CPT 0653Tthe billing code this page is about

A thin flexible scope is passed through the nose into the esophagus, stomach and first part of the small intestine, and one or more tissue samples are taken.

Hospitals typically charge $1,815 cash for this outpatient procedure — the median across 106 hospitals that filed a usable cash price; the average of the middle 60% is $1,901. Most fall between $1,740 and $2,399 (20th–80th percentile).

Hospitals
106
States
21
Filings dated
Sep 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 106 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,194$1,742$1,815$2,250$3,144

The most expensive tenth of hospitals charges at least 2.6× what the cheapest tenth charges ($1,194 vs $3,144).

How the prices are spread

$937 – $1,106: 4 hospitals$937$1,106 – $1,306: 7 hospitals$1,306 – $1,542: 2 hospitals$1,306$1,542 – $1,821: 47 hospitals$1,821 – $2,150: 5 hospitals$1,821$2,150 – $2,538: 20 hospitals$2,538 – $2,997: 5 hospitals$2,538$2,997 – $3,539: 2 hospitals$3,539 – $4,178: 3 hospitals$3,539$4,178 – $4,933: 1 hospitals$4,178median $1,815price bands are equal on a log scale
Hospitals per price band (96 of 106 — the bands cover the 5th to 95th percentile)
FromToHospitals
$937$1,1064
$1,106$1,3067
$1,306$1,5422
$1,542$1,82147
$1,821$2,1505
$2,150$2,53820
$2,538$2,9975
$2,997$3,5392
$3,539$4,1783
$4,178$4,9331

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,815
Cash as a multiple of Medicare0.93×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,815.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: no hospital in the corpus filed a usable priceWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: 1 hospital filed a usable price — fewer than 10, so no figureILWisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: no hospital in the corpus filed a usable priceMINew York: 6 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 2 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: no hospital in the corpus filed a usable priceINOhio: median $1,742 across 14 hospitalsOH$1,742Pennsylvania: 5 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 6 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,747 across 35 hospitalsCA$1,747Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: no hospital in the corpus filed a usable priceKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $2,250 across 10 hospitalsNC$2,250South Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 2 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,815. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
North Carolina NC10$2,250+24%$2,250 – $2,250
California CA35$1,747−4%$1,747 – $1,815
Ohio OH14$1,742−4%$1,611 – $1,742
New Jersey NJ6not enough hospitals filed a usable price
New York NY6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Pennsylvania PA5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Iowa IA2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Texas TX2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Illinois IL1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Wisconsin WI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,815.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care94$1,747$1,742 – $2,278
Children’s10fewer than 20 hospitals
Critical access2fewer than 20 hospitals
Ownership
For-profit7fewer than 20 hospitals
Government14fewer than 20 hospitals
Non-profit85$1,747$1,742 – $2,531
System affiliation
Part of a system96$1,747$1,742 – $2,250
Independent10fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$3,120
Median cash price$1,815
Cash as a share of list, median hospital55%

At the typical hospital, asking for the cash price cuts the list price by about 45%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

How complete is this

106 of the 3,956 hospitals with a price file in our corpus (3%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 125 hospitals that filed this code at all gave us
Usable cash price — counted106
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded3
Hospitals that filed this code125

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Upper gastrointestinal endoscopy, biopsy family.

Hospitals file this code under descriptions such as Egd Flexible Transnasal W/Biopsy Single/Multiple.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Upper endoscopy through the nose with biopsy (CPT 0653T) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0653t-upper-endoscopy-through-the-nose-with-biopsy