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Procedure price report · Other non-OR upper GI therapeutic procedures

Esophagus scope exam with growth removal by cautery

CPT 43216the billing code this page is about

A flexible scope is passed through the mouth and a polyp, tumor or other lesion is removed using heat from a hot biopsy forceps or cautery device.

Hospitals typically charge $1,542 cash for this outpatient procedure — the median across 407 hospitals that filed a usable cash price; the average of the middle 60% is $1,746. Most fall between $411 and $3,779 (20th–80th percentile).

Hospitals
407
States
44
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 407 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
$230$597$1,542$3,484$5,323

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($230 vs $5,323).

How the prices are spread

$153 – $219: 16 hospitals$153$219 – $313: 21 hospitals$313 – $448: 31 hospitals$313$448 – $640: 19 hospitals$640 – $914: 39 hospitals$640$914 – $1,307: 50 hospitals$1,307 – $1,868: 17 hospitals$1,307$1,868 – $2,670: 77 hospitals$2,670 – $3,816: 44 hospitals$2,670$3,816 – $5,454: 55 hospitals$3,816median $1,542price bands are equal on a log scale
Hospitals per price band (369 of 407 — the bands cover the 5th to 95th percentile)
FromToHospitals
$153$21916
$219$31321
$313$44831
$448$64019
$640$91439
$914$1,30750
$1,307$1,86817
$1,868$2,67077
$2,670$3,81644
$3,816$5,45455

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,542
Cash as a multiple of Medicare0.79×

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 $1,542.

Alaska: 3 hospitals 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: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $840 across 11 hospitalsWA$840Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: median $3,527 across 23 hospitalsIL$3,527Wisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: median $651 across 22 hospitalsMI$651New York: median $2,245 across 20 hospitalsNY$2,245Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 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: no hospital in the corpus filed a usable priceSDIowa: median $962 across 18 hospitalsIA$962Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,739 across 29 hospitalsOH$3,739Pennsylvania: median $931 across 25 hospitalsPA$931New Jersey: median $3,986 across 26 hospitalsNJ$3,986Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $3,908 across 51 hospitalsCA$3,908Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 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: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $218 across 12 hospitalsOK$218Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $809 across 17 hospitalsGA$809Hawaii: no hospital in the corpus filed a usable priceHITexas: median $915 across 18 hospitalsTX$915Florida: median $2,281 across 15 hospitalsFL$2,281
Cash price by state, most expensive first. National median $1,542. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ26$3,986+158%$2,102 – $5,419
California CA51$3,908+153%$2,455 – $5,454
Ohio OH29$3,739+142%$598 – $3,779
Illinois IL23$3,527+129%$403 – $3,876
Florida FL15$2,281+48%$2,244 – $2,281
New York NY20$2,245+46%$380 – $2,245
Iowa IA18$962−38%$589 – $962
Pennsylvania PA25$931−40%$86 – $2,768
Texas TX18$915−41%$718 – $915
Washington WA11$840−46%$417 – $3,253
Georgia GA17$809−48%$809 – $809
Michigan MI22$651−58%$651 – $1,902
Oklahoma OK12$218−86%$218 – $218
Missouri MO9not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,542.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care356$1,842$414 – $3,739
Children’s8fewer than 20 hospitals
Critical access43$915$403 – $3,910
Ownership
For-profit44$1,222$403 – $3,779
Government70$1,319$677 – $2,245
Non-profit293$1,704$380 – $3,876
System affiliation
Part of a system334$1,918$450 – $3,786
Independent73$1,046$338 – $2,355

Cash price vs list price

Median list price (chargemaster)$2,746
Median cash price$1,542
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

275 hospitals filed a usable inpatient cash price for this code. The median is $1,116 and the average of the middle 60% is $1,705; most fall between $403 and $3,779.

Cash price percentiles, inpatient, across 275 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
$218$491$1,116$3,527$5,454

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($218 vs $5,454).

Of the 300 hospitals that filed this code inpatient, 275 gave a usable cash price; 10 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

407 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 438 hospitals that filed this code at all gave us
Usable cash price — counted407
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) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded14
Hospitals that filed this code438

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 Other non-OR upper GI therapeutic procedures family.

Hospitals file this code under descriptions such as Esphagoscopy Flex Lesion Removal Hot Bx Forceps.

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 growth removal by cautery (CPT 43216) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43216-esophagus-scope-exam-with-growth-removal-by-cautery