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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Esophagus scope exam with tissue sample

CPT 43202the billing code this page is about

A flexible scope is passed through the mouth to look at the esophagus and take one or more tissue samples for testing.

Hospitals typically charge $1,356 cash for this outpatient procedure — the median across 1,055 hospitals that filed a usable cash price; the average of the middle 60% is $1,449. Most fall between $566 and $2,639 (20th–80th percentile).

Hospitals
1,055
States
49
Filings dated
Aug 2022 – 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 1,055 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
$285$657$1,356$2,366$4,296

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($285 vs $4,296).

How the prices are spread

$179 – $256: 40 hospitals$179$256 – $365: 55 hospitals$365 – $522: 56 hospitals$365$522 – $745: 103 hospitals$745 – $1,063: 116 hospitals$745$1,063 – $1,518: 142 hospitals$1,518 – $2,168: 176 hospitals$1,518$2,168 – $3,096: 143 hospitals$3,096 – $4,420: 69 hospitals$3,096$4,420 – $6,311: 51 hospitals$4,420median $1,356price bands are equal on a log scale
Hospitals per price band (951 of 1,055 — the bands cover the 5th to 95th percentile)
FromToHospitals
$179$25640
$256$36555
$365$52256
$522$745103
$745$1,063116
$1,063$1,518142
$1,518$2,168176
$2,168$3,096143
$3,096$4,42069
$4,420$6,31151

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,356
Cash as a multiple of Medicare0.69×

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 $1,356.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $665 across 11 hospitalsME$665Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $250 across 10 hospitalsNH$250Washington: median $1,196 across 22 hospitalsWA$1,196Idaho: median $1,950 across 13 hospitalsID$1,950Montana: median $883 across 13 hospitalsMT$883North Dakota: median $2,240 across 10 hospitalsND$2,240Minnesota: median $1,414 across 49 hospitalsMN$1,414Illinois: median $826 across 38 hospitalsIL$826Wisconsin: median $1,172 across 39 hospitalsWI$1,172Michigan: median $587 across 37 hospitalsMI$587New York: median $1,960 across 44 hospitalsNY$1,960Massachusetts: median $1,970 across 25 hospitalsMA$1,970Oregon: median $632 across 14 hospitalsOR$632Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $826 across 35 hospitalsIA$826Indiana: median $394 across 14 hospitalsIN$394Ohio: median $2,677 across 60 hospitalsOH$2,677Pennsylvania: median $2,157 across 48 hospitalsPA$2,157New Jersey: median $3,879 across 33 hospitalsNJ$3,879Connecticut: median $3,200 across 13 hospitalsCT$3,200Rhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,252 across 76 hospitalsCA$2,252Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,203 across 20 hospitalsCO$1,203Nebraska: median $874 across 13 hospitalsNE$874Missouri: median $1,080 across 34 hospitalsMO$1,080Kentucky: median $947 across 14 hospitalsKY$947West Virginia: median $298 across 22 hospitalsWV$298Virginia: median $1,373 across 26 hospitalsVA$1,373Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,016 across 14 hospitalsNM$1,016Kansas: median $750 across 15 hospitalsKS$750Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,093 across 18 hospitalsTN$1,093North Carolina: median $1,813 across 12 hospitalsNC$1,813South Carolina: median $1,576 across 23 hospitalsSC$1,576Oklahoma: median $169 across 21 hospitalsOK$169Louisiana: median $763 across 24 hospitalsLA$763Mississippi: median $1,280 across 12 hospitalsMS$1,280Alabama: median $898 across 10 hospitalsAL$898Georgia: median $1,107 across 27 hospitalsGA$1,107Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 57 hospitalsTX$1,138Florida: median $2,150 across 33 hospitalsFL$2,150
Cash price by state, most expensive first. National median $1,356. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ33$3,879+186%$2,102 – $5,419
Connecticut CT13$3,200+136%$1,959 – $6,602
Ohio OH60$2,677+97%$458 – $3,594
California CA76$2,252+66%$1,018 – $7,762
North Dakota ND10$2,240+65%$182 – $3,199
Pennsylvania PA48$2,157+59%$575 – $3,414
Florida FL33$2,150+59%$1,688 – $3,322
Massachusetts MA25$1,970+45%$1,267 – $5,323
New York NY44$1,960+45%$603 – $2,395
Idaho ID13$1,950+44%$833 – $4,686
North Carolina NC12$1,813+34%$1,706 – $2,663
South Carolina SC23$1,576+16%$796 – $1,688
Minnesota MN49$1,414+4%$601 – $1,781
Virginia VA26$1,373+1%$566 – $2,353
Mississippi MS12$1,280−6%$988 – $1,560
Colorado CO20$1,203−11%$750 – $2,156
Washington WA22$1,196−12%$415 – $3,253
Wisconsin WI39$1,172−14%$657 – $2,148
Texas TX57$1,138−16%$547 – $1,838
Georgia GA27$1,107−18%$1,107 – $1,879
Tennessee TN18$1,093−19%$272 – $2,294
Missouri MO34$1,080−20%$562 – $1,912
New Mexico NM14$1,016−25%$953 – $2,934
Kentucky KY14$947−30%$333 – $7,617
Alabama AL10$898−34%$446 – $1,712
Montana MT13$883−35%$259 – $2,275
Nebraska NE13$874−36%$736 – $1,406
Iowa IA35$826−39%$568 – $863
Illinois IL38$826−39%$512 – $2,247
Louisiana LA24$763−44%$487 – $1,866
Kansas KS15$750−45%$259 – $1,098
Maine ME11$665−51%$267 – $1,533
Oregon OR14$632−53%$294 – $2,096
Michigan MI37$587−57%$230 – $1,794
Indiana IN14$394−71%$333 – $7,135
West Virginia WV22$298−78%$108 – $2,206
New Hampshire NH10$250−82%$114 – $1,312
Oklahoma OK21$169−88%$169 – $2,986
Alaska AK7not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Rhode Island RI2not 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 $1,356.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care782$1,596$650 – $2,758
Children’s24$718$396 – $4,505
Critical access245$867$330 – $2,148
Ownership
For-profit106$1,712$759 – $2,827
Government191$1,098$467 – $2,245
Non-profit754$1,406$568 – $2,677
System affiliation
Part of a system850$1,526$632 – $2,757
Independent205$937$298 – $2,195

Cash price vs list price

Median list price (chargemaster)$2,358
Median cash price$1,356
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

719 hospitals filed a usable inpatient cash price for this code. The median is $1,307 and the average of the middle 60% is $1,455; most fall between $543 and $2,677.

Cash price percentiles, inpatient, across 719 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
$272$650$1,307$2,420$4,505

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($272 vs $4,505).

Of the 780 hospitals that filed this code inpatient, 719 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 38 a list price only.

How complete is this

1,055 of the 3,956 hospitals with a price file in our corpus (27%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,139 hospitals that filed this code at all gave us
Usable cash price — counted1,055
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
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 — excluded33
Hospitals that filed this code1,139

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 24, 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,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 scope exam with tissue sample (CPT 43202) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43202-esophagus-scope-exam-with-tissue-sample