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Procedure price report · Esophageal dilatation

Esophagus scope exam with balloon stretching under 30 mm

CPT 43220the billing code this page is about

A flexible scope is passed through the mouth and a narrowed esophagus is widened with a balloon smaller than 30 mm across.

Hospitals typically charge $1,766 cash for this outpatient procedure — the median across 1,039 hospitals that filed a usable cash price; the average of the middle 60% is $1,819. Most fall between $708 and $3,333 (20th–80th percentile).

Hospitals
1,039
States
50
Filings dated
Mar 2023 – 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 1,039 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
$325$821$1,766$2,795$5,105

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($325 vs $5,105).

How the prices are spread

$202 – $287: 45 hospitals$202$287 – $407: 33 hospitals$407 – $578: 37 hospitals$407$578 – $820: 87 hospitals$820 – $1,164: 105 hospitals$820$1,164 – $1,652: 124 hospitals$1,652 – $2,345: 179 hospitals$1,652$2,345 – $3,328: 167 hospitals$3,328 – $4,724: 101 hospitals$3,328$4,724 – $6,705: 60 hospitals$4,724median $1,766price bands are equal on a log scale
Hospitals per price band (938 of 1,039 — the bands cover the 5th to 95th percentile)
FromToHospitals
$202$28745
$287$40733
$407$57837
$578$82087
$820$1,164105
$1,164$1,652124
$1,652$2,345179
$2,345$3,328167
$3,328$4,724101
$4,724$6,70560

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,766
Cash as a multiple of Medicare0.90×

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 $1,766.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $872 across 32 hospitalsWA$872Idaho: median $4,546 across 10 hospitalsID$4,546Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,506 across 38 hospitalsMN$1,506Illinois: median $1,142 across 38 hospitalsIL$1,142Wisconsin: median $1,308 across 35 hospitalsWI$1,308Michigan: median $1,109 across 33 hospitalsMI$1,109New York: median $2,245 across 45 hospitalsNY$2,245Massachusetts: median $2,555 across 27 hospitalsMA$2,555Oregon: median $261 across 13 hospitalsOR$261Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,079 across 32 hospitalsIA$2,079Indiana: median $605 across 26 hospitalsIN$605Ohio: median $3,140 across 69 hospitalsOH$3,140Pennsylvania: median $2,361 across 55 hospitalsPA$2,361New Jersey: median $2,531 across 39 hospitalsNJ$2,531Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,484 across 81 hospitalsCA$3,484Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,417 across 20 hospitalsCO$1,417Nebraska: median $1,635 across 11 hospitalsNE$1,635Missouri: median $1,603 across 31 hospitalsMO$1,603Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $303 across 19 hospitalsWV$303Virginia: median $2,217 across 14 hospitalsVA$2,217Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,350 across 15 hospitalsKS$1,350Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $738 across 17 hospitalsTN$738North Carolina: median $1,588 across 14 hospitalsNC$1,588South Carolina: median $1,670 across 19 hospitalsSC$1,670Oklahoma: median $193 across 18 hospitalsOK$193Louisiana: median $891 across 29 hospitalsLA$891Mississippi: median $1,560 across 13 hospitalsMS$1,560Alabama: median $2,693 across 10 hospitalsAL$2,693Georgia: median $1,766 across 42 hospitalsGA$1,766Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 54 hospitalsTX$1,138Florida: median $2,707 across 32 hospitalsFL$2,707
Cash price by state, most expensive first. National median $1,766. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID10$4,546+158%$1,082 – $4,686
California CA81$3,484+97%$1,376 – $10,685
Ohio OH69$3,140+78%$1,823 – $5,672
Florida FL32$2,707+53%$1,813 – $4,398
Alabama AL10$2,693+53%$1,258 – $3,317
Massachusetts MA27$2,555+45%$882 – $5,492
New Jersey NJ39$2,531+43%$2,102 – $5,419
Pennsylvania PA55$2,361+34%$1,318 – $3,207
New York NY45$2,245+27%$340 – $2,921
Virginia VA14$2,217+26%$932 – $2,217
Iowa IA32$2,079+18%$704 – $2,460
Georgia GA42$1,7660%$1,448 – $2,742
South Carolina SC19$1,670−5%$796 – $1,936
Nebraska NE11$1,635−7%$267 – $2,268
Missouri MO31$1,603−9%$802 – $2,572
North Carolina NC14$1,588−10%$733 – $3,134
Mississippi MS13$1,560−12%$1,085 – $1,834
Minnesota MN38$1,506−15%$476 – $3,325
Colorado CO20$1,417−20%$1,043 – $2,495
Kansas KS15$1,350−24%$202 – $1,807
Wisconsin WI35$1,308−26%$752 – $2,167
Illinois IL38$1,142−35%$661 – $2,555
Texas TX54$1,138−36%$761 – $2,137
Michigan MI33$1,109−37%$589 – $1,902
Louisiana LA29$891−50%$574 – $1,833
Washington WA32$872−51%$621 – $2,439
Tennessee TN17$738−58%$145 – $2,294
Indiana IN26$605−66%$448 – $1,425
West Virginia WV19$303−83%$123 – $1,395
Oregon OR13$261−85%$215 – $2,510
Oklahoma OK18$193−89%$193 – $3,560
Arkansas AR9not enough hospitals filed a usable price
Connecticut CT9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Utah UT2not 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 $1,766.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care814$1,838$796 – $3,430
Children’s25$2,439$827 – $4,102
Critical access194$1,281$332 – $2,588
Ownership
For-profit105$1,866$902 – $3,649
Government168$1,451$706 – $2,715
Non-profit760$1,781$653 – $3,430
System affiliation
Part of a system871$1,816$761 – $3,430
Independent168$1,251$332 – $2,629

Cash price vs list price

Median list price (chargemaster)$2,898
Median cash price$1,766
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

736 hospitals filed a usable inpatient cash price for this code. The median is $1,766 and the average of the middle 60% is $1,856; most fall between $761 and $3,333.

Cash price percentiles, inpatient, across 736 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
$291$876$1,766$2,859$5,189

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($291 vs $5,189).

Of the 815 hospitals that filed this code inpatient, 736 gave a usable cash price; 37 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 42 a list price only.

How complete is this

1,039 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,144 hospitals that filed this code at all gave us
Usable cash price — counted1,039
Cash price carrying a plausibility flag — shown on the compare tool, excluded here62
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded40
Hospitals that filed this code1,144

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 Esophageal dilatation family.

Hospitals file this code under descriptions such as Esophagoscopy Flex Balloon Dilat <30 Mm Diam.

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 balloon stretching under 30 mm (CPT 43220) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43220-esophagus-scope-exam-with-balloon-stretching-under-30-mm