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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Scope repair of a throat pouch through the mouth

CPT 43180the billing code this page is about

A rigid scope is passed through the mouth to divide and staple a pouch at the top of the esophagus and cut the swallowing muscle, without an outside incision.

Hospitals typically charge $4,000 cash for this outpatient procedure — the median across 431 hospitals that filed a usable cash price; the average of the middle 60% is $4,864. Most fall between $1,076 and $9,671 (20th–80th percentile).

Hospitals
431
States
49
Filings dated
Nov 2024 – 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 431 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
$794$1,358$4,000$8,435$12,919

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($794 vs $12,919).

How the prices are spread

$597 – $842: 29 hospitals$597$842 – $1,187: 49 hospitals$1,187 – $1,672: 41 hospitals$1,187$1,672 – $2,357: 23 hospitals$2,357 – $3,322: 39 hospitals$2,357$3,322 – $4,683: 21 hospitals$4,683 – $6,600: 44 hospitals$4,683$6,600 – $9,303: 71 hospitals$9,303 – $13,111: 51 hospitals$9,303$13,111 – $18,480: 22 hospitals$13,111median $4,000price bands are equal on a log scale
Hospitals per price band (390 of 431 — the bands cover the 5th to 95th percentile)
FromToHospitals
$597$84229
$842$1,18749
$1,187$1,67241
$1,672$2,35723
$2,357$3,32239
$3,322$4,68321
$4,683$6,60044
$6,600$9,30371
$9,303$13,11151
$13,111$18,48022

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,048
Median cash price$4,000
Cash as a multiple of Medicare0.66×

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 $4,000.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,271 across 19 hospitalsIL$2,271Wisconsin: median $2,761 across 24 hospitalsWI$2,761Michigan: median $1,090 across 27 hospitalsMI$1,090New York: median $7,000 across 24 hospitalsNY$7,000Massachusetts: median $11,372 across 13 hospitalsMA$11,372Oregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,358 across 15 hospitalsIA$1,358Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,348 across 10 hospitalsOH$2,348Pennsylvania: median $5,465 across 23 hospitalsPA$5,465New Jersey: median $6,548 across 30 hospitalsNJ$6,548Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $9,671 across 33 hospitalsCA$9,671Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $5,300 across 11 hospitalsCO$5,300Nebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $2,202 across 10 hospitalsNC$2,202South Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $905 across 15 hospitalsOK$905Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $1,608 across 15 hospitalsGA$1,608Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,704 across 14 hospitalsTX$5,704Florida: median $7,346 across 23 hospitalsFL$7,346
Cash price by state, most expensive first. National median $4,000. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA13$11,372+184%$8,044 – $13,857
California CA33$9,671+142%$1,954 – $9,671
Florida FL23$7,346+84%$2,939 – $14,404
New York NY24$7,000+75%$1,585 – $7,000
New Jersey NJ30$6,548+64%$5,110 – $7,894
Texas TX14$5,704+43%$5,704 – $11,647
Pennsylvania PA23$5,465+37%$299 – $11,147
Colorado CO11$5,300+33%$4,543 – $7,852
Wisconsin WI24$2,761−31%$2,761 – $8,919
Ohio OH10$2,348−41%$1,097 – $6,383
Illinois IL19$2,271−43%$945 – $17,747
North Carolina NC10$2,202−45%$1,374 – $7,894
Georgia GA15$1,608−60%$1,608 – $1,608
Iowa IA15$1,358−66%$1,358 – $1,358
Michigan MI27$1,090−73%$708 – $8,140
Oklahoma OK15$905−77%$905 – $8,435
Idaho ID8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $4,000.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care374$4,921$1,097 – $9,671
Children’s2fewer than 20 hospitals
Critical access53$2,761$868 – $8,919
Ownership
For-profit47$2,939$945 – $8,540
Government62$3,957$1,090 – $8,173
Non-profit320$4,350$1,076 – $9,671
System affiliation
Part of a system368$4,847$1,090 – $9,671
Independent63$2,363$1,028 – $8,540

Cash price vs list price

Median list price (chargemaster)$5,361
Median cash price$4,000
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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.

The same procedure, inpatient

277 hospitals filed a usable inpatient cash price for this code. The median is $2,361 and the average of the middle 60% is $3,725; most fall between $945 and $9,671.

Cash price percentiles, inpatient, across 277 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
$730$1,076$2,361$8,173$12,176

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($730 vs $12,176).

Of the 304 hospitals that filed this code inpatient, 277 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

431 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 478 hospitals that filed this code at all gave us
Usable cash price — counted431
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded7
Hospitals that filed this code478

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 4, 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 Esophagoscp Rig Transoral Hypopharynx Crv Esoph.

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, “Scope repair of a throat pouch through the mouth (CPT 43180) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43180-scope-repair-of-a-throat-pouch-through-the-mouth