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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with anti-reflux valve repair

CPT 43210the billing code this page is about

A flexible scope is passed through the mouth into the stomach and used to create a valve at the junction of the esophagus and stomach to reduce acid reflux, without an external incision.

Hospitals typically charge $6,685 cash for this outpatient procedure — the median across 506 hospitals that filed a usable cash price; the average of the middle 60% is $6,441. Most fall between $1,078 and $13,893 (20th–80th percentile).

Hospitals
506
States
45
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 506 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
$704$1,922$6,685$12,320$21,226

The most expensive tenth of hospitals charges at least 30× what the cheapest tenth charges ($704 vs $21,226).

How the prices are spread

$614 – $894: 53 hospitals$614$894 – $1,302: 35 hospitals$1,302 – $1,896: 13 hospitals$1,302$1,896 – $2,760: 55 hospitals$2,760 – $4,018: 28 hospitals$2,760$4,018 – $5,849: 27 hospitals$5,849 – $8,515: 77 hospitals$5,849$8,515 – $12,396: 69 hospitals$12,396 – $18,046: 57 hospitals$12,396$18,046 – $26,271: 42 hospitals$18,046median $6,685price bands are equal on a log scale
Hospitals per price band (456 of 506 — the bands cover the 5th to 95th percentile)
FromToHospitals
$614$89453
$894$1,30235
$1,302$1,89613
$1,896$2,76055
$2,760$4,01828
$4,018$5,84927
$5,849$8,51577
$8,515$12,39669
$12,396$18,04657
$18,046$26,27142

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,860
Median cash price$6,685
Cash as a multiple of Medicare0.62×

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 $6,685.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 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: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $9,373 across 29 hospitalsIL$9,373Wisconsin: median $2,240 across 23 hospitalsWI$2,240Michigan: median $2,240 across 14 hospitalsMI$2,240New York: median $12,320 across 20 hospitalsNY$12,320Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 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 $1,078 across 15 hospitalsIA$1,078Indiana: median $1,068 across 20 hospitalsIN$1,068Ohio: median $9,563 across 37 hospitalsOH$9,563Pennsylvania: median $12,754 across 20 hospitalsPA$12,754New Jersey: median $11,534 across 35 hospitalsNJ$11,534Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,230 across 53 hospitalsCA$7,230Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $2,671 across 10 hospitalsNM$2,671Kansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: median $743 across 10 hospitalsTN$743North Carolina: median $5,345 across 10 hospitalsNC$5,345South Carolina: median $14,070 across 17 hospitalsSC$14,070Oklahoma: median $704 across 12 hospitalsOK$704Louisiana: median $2,956 across 10 hospitalsLA$2,956Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $3,067 across 16 hospitalsGA$3,067Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,094 across 27 hospitalsTX$2,094Florida: median $18,408 across 25 hospitalsFL$18,408
Cash price by state, most expensive first. National median $6,685. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL25$18,408+175%$6,828 – $22,618
South Carolina SC17$14,070+110%$14,070 – $14,070
Pennsylvania PA20$12,754+91%$6,841 – $17,602
New York NY20$12,320+84%$1,230 – $12,320
New Jersey NJ35$11,534+73%$5,339 – $13,893
Ohio OH37$9,563+43%$6,448 – $11,934
Illinois IL29$9,373+40%$780 – $9,675
California CA53$7,230+8%$7,020 – $9,469
North Carolina NC10$5,345−20%$3,871 – $21,866
Georgia GA16$3,067−54%$3,067 – $3,067
Louisiana LA10$2,956−56%$1,857 – $4,467
New Mexico NM10$2,671−60%$1,939 – $13,055
Michigan MI14$2,240−66%$665 – $14,616
Wisconsin WI23$2,240−66%$2,240 – $2,699
Texas TX27$2,094−69%$2,050 – $6,992
Iowa IA15$1,078−84%$1,078 – $1,078
Indiana IN20$1,068−84%$691 – $1,443
Tennessee TN10$743−89%$399 – $6,204
Oklahoma OK12$704−89%$704 – $704
Colorado CO9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not 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
Virginia VA1not 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 $6,685.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care419$7,020$1,398 – $14,070
Children’s4fewer than 20 hospitals
Critical access80$2,219$759 – $9,563
Ownership
For-profit44$5,373$691 – $18,115
Government75$8,412$909 – $16,649
Non-profit384$6,311$1,127 – $13,147
System affiliation
Part of a system445$6,839$1,443 – $13,269
Independent61$2,692$752 – $15,335

Cash price vs list price

Median list price (chargemaster)$10,654
Median cash price$6,685
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

365 hospitals filed a usable inpatient cash price for this code. The median is $6,710 and the average of the middle 60% is $5,950; most fall between $1,078 and $13,332.

Cash price percentiles, inpatient, across 365 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
$691$1,922$6,710$11,934$19,618

The most expensive tenth of hospitals charges at least 28× what the cheapest tenth charges ($691 vs $19,618).

Of the 409 hospitals that filed this code inpatient, 365 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 21 a list price only.

How complete is this

506 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 550 hospitals that filed this code at all gave us
Usable cash price — counted506
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
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 — excluded12
Hospitals that filed this code550

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 Egd Partial/Compl Esophagogastric Fundoplasty.

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 with anti-reflux valve repair (CPT 43210) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43210-upper-endoscopy-with-anti-reflux-valve-repair