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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Esophagus exam through the nose with biopsy

CPT 43198the billing code this page is about

A thin flexible scope is passed through the nose to view the esophagus and take one or more tissue samples for testing; one price covers any number of samples.

Hospitals typically charge $1,312 cash for this outpatient procedure — the median across 442 hospitals that filed a usable cash price; the average of the middle 60% is $1,476. Most fall between $517 and $2,803 (20th–80th percentile).

Hospitals
442
States
45
Filings dated
Jun 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 442 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
$239$656$1,312$2,526$4,687

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($239 vs $4,687).

How the prices are spread

$162 – $230: 23 hospitals$162$230 – $326: 24 hospitals$326 – $464: 12 hospitals$326$464 – $659: 34 hospitals$659 – $936: 47 hospitals$659$936 – $1,330: 66 hospitals$1,330 – $1,890: 73 hospitals$1,330$1,890 – $2,685: 44 hospitals$2,685 – $3,814: 33 hospitals$2,685$3,814 – $5,419: 46 hospitals$3,814median $1,312price bands are equal on a log scale
Hospitals per price band (402 of 442 — the bands cover the 5th to 95th percentile)
FromToHospitals
$162$23023
$230$32624
$326$46412
$464$65934
$659$93647
$936$1,33066
$1,330$1,89073
$1,890$2,68544
$2,685$3,81433
$3,814$5,41946

Against Medicare

Medicare pays (OPPS 2026, national rate)$927
Median cash price$1,312
Cash as a multiple of Medicare1.42×

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 $1,312.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 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: no hospital in the corpus filed a usable priceMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,422 across 18 hospitalsIL$1,422Wisconsin: median $920 across 16 hospitalsWI$920Michigan: median $920 across 11 hospitalsMI$920New York: median $1,109 across 24 hospitalsNY$1,109Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 7 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,327 across 35 hospitalsOH$2,327Pennsylvania: median $1,069 across 32 hospitalsPA$1,069New Jersey: median $4,203 across 35 hospitalsNJ$4,203Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,878 across 51 hospitalsCA$1,878Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals 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: no hospital in the corpus filed a usable priceNMKansas: 3 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: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $162 across 13 hospitalsOK$162Louisiana: median $1,110 across 10 hospitalsLA$1,110Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,766 across 26 hospitalsGA$1,766Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $648 across 13 hospitalsTX$648Florida: median $1,858 across 32 hospitalsFL$1,858
Cash price by state, most expensive first. National median $1,312. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ35$4,203+220%$1,039 – $6,311
Ohio OH35$2,327+77%$2,063 – $2,803
California CA51$1,878+43%$1,727 – $4,687
Florida FL32$1,858+42%$1,574 – $3,637
Georgia GA26$1,766+35%$1,654 – $1,766
Illinois IL18$1,422+8%$261 – $4,008
Louisiana LA10$1,110−15%$579 – $1,404
New York NY24$1,109−15%$517 – $1,109
Pennsylvania PA32$1,069−19%$74 – $1,767
Michigan MI11$920−30%$899 – $1,247
Wisconsin WI16$920−30%$920 – $920
Texas TX13$648−51%$648 – $906
Oklahoma OK13$162−88%$162 – $1,912
Idaho ID8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Iowa IA7not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Hampshire NH4not 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
Kansas KS3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Wyoming WY1not 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 $1,312.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care373$1,359$648 – $2,803
Children’s24$2,556$553 – $5,039
Critical access44$920$261 – $2,125
Ownership
For-profit44$1,160$656 – $2,231
Government52$1,109$514 – $2,074
Non-profit345$1,422$517 – $3,424
System affiliation
Part of a system385$1,444$590 – $2,803
Independent57$854$210 – $2,099

Cash price vs list price

Median list price (chargemaster)$2,734
Median cash price$1,312
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

317 hospitals filed a usable inpatient cash price for this code. The median is $1,574 and the average of the middle 60% is $1,509; most fall between $446 and $2,803.

Cash price percentiles, inpatient, across 317 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
$185$573$1,574$2,456$4,687

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($185 vs $4,687).

Of the 353 hospitals that filed this code inpatient, 317 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 25 a list price only.

How complete is this

442 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 — counted442
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded12
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 PR Esophagoscopy Flexible Transnasal With Biopsy.

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, “Esophagus exam through the nose with biopsy (CPT 43198) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43198-esophagus-exam-through-the-nose-with-biopsy