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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Esophagus scope exam with destruction of a growth

CPT 43229the billing code this page is about

A flexible scope is passed through the mouth and a tumor, polyp or other lesion in the esophagus is destroyed, for example with heat or laser energy; includes dilation if done.

Hospitals typically charge $3,173 cash for this outpatient procedure — the median across 647 hospitals that filed a usable cash price; the average of the middle 60% is $3,285. Most fall between $1,065 and $5,520 (20th–80th percentile).

Hospitals
647
States
50
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 647 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
$656$1,480$3,173$5,180$8,338

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($656 vs $8,338).

How the prices are spread

$346 – $489: 14 hospitals$346$489 – $691: 21 hospitals$691 – $977: 33 hospitals$691$977 – $1,381: 55 hospitals$1,381 – $1,952: 61 hospitals$1,381$1,952 – $2,759: 73 hospitals$2,759 – $3,899: 85 hospitals$2,759$3,899 – $5,511: 143 hospitals$5,511 – $7,790: 57 hospitals$5,511$7,790 – $11,012: 41 hospitals$7,790median $3,173price bands are equal on a log scale
Hospitals per price band (583 of 647 — the bands cover the 5th to 95th percentile)
FromToHospitals
$346$48914
$489$69121
$691$97733
$977$1,38155
$1,381$1,95261
$1,952$2,75973
$2,759$3,89985
$3,899$5,511143
$5,511$7,79057
$7,790$11,01241

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,939
Median cash price$3,173
Cash as a multiple of Medicare0.81×

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 $3,173.

Alaska: 2 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: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $5,180 across 13 hospitalsWA$5,180Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,245 across 13 hospitalsMN$2,245Illinois: median $1,765 across 25 hospitalsIL$1,765Wisconsin: median $1,040 across 22 hospitalsWI$1,040Michigan: median $817 across 27 hospitalsMI$817New York: median $4,502 across 27 hospitalsNY$4,502Massachusetts: median $5,040 across 12 hospitalsMA$5,040Oregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 4 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $1,991 across 15 hospitalsIN$1,991Ohio: median $2,951 across 51 hospitalsOH$2,951Pennsylvania: median $4,555 across 32 hospitalsPA$4,555New Jersey: median $4,988 across 38 hospitalsNJ$4,988Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,888 across 63 hospitalsCA$4,888Utah: 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: median $2,643 across 14 hospitalsMO$2,643Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $3,648 across 10 hospitalsVA$3,648Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $8,555 across 12 hospitalsAZ$8,555New Mexico: median $6,640 across 10 hospitalsNM$6,640Kansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $933 across 11 hospitalsTN$933North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $5,500 across 19 hospitalsSC$5,500Oklahoma: median $322 across 14 hospitalsOK$322Louisiana: median $2,866 across 11 hospitalsLA$2,866Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,589 across 26 hospitalsGA$1,589Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,283 across 49 hospitalsTX$2,283Florida: median $4,597 across 29 hospitalsFL$4,597
Cash price by state, most expensive first. National median $3,173. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ12$8,555+170%$4,731 – $8,555
New Mexico NM10$6,640+109%$1,915 – $9,809
South Carolina SC19$5,500+73%$5,401 – $5,500
Washington WA13$5,180+63%$1,482 – $6,762
Massachusetts MA12$5,040+59%$2,730 – $9,966
New Jersey NJ38$4,988+57%$4,215 – $5,855
California CA63$4,888+54%$2,262 – $6,502
Florida FL29$4,597+45%$1,894 – $9,170
Pennsylvania PA32$4,555+44%$2,224 – $8,193
New York NY27$4,502+42%$555 – $4,502
Virginia VA10$3,648+15%$2,594 – $4,719
Ohio OH51$2,951−7%$2,090 – $5,448
Louisiana LA11$2,866−10%$1,130 – $3,511
Missouri MO14$2,643−17%$1,364 – $2,998
Texas TX49$2,283−28%$1,153 – $3,557
Minnesota MN13$2,245−29%$791 – $3,545
Indiana IN15$1,991−37%$1,717 – $2,817
Illinois IL25$1,765−44%$504 – $4,729
Georgia GA26$1,589−50%$1,589 – $4,991
Wisconsin WI22$1,040−67%$1,040 – $3,681
Tennessee TN11$933−71%$643 – $2,354
Michigan MI27$817−74%$526 – $3,006
Oklahoma OK14$322−90%$322 – $5,131
Alabama AL9not enough hospitals filed a usable price
Colorado CO9not enough hospitals filed a usable price
North Carolina NC9not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Iowa IA4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Vermont VT3not 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
Kansas KS2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $3,173.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care558$3,387$1,354 – $5,562
Children’s10fewer than 20 hospitals
Critical access75$1,991$845 – $5,786
Ownership
For-profit67$3,441$1,345 – $7,966
Government92$3,173$1,480 – $4,991
Non-profit484$3,020$1,040 – $5,741
System affiliation
Part of a system551$3,254$1,198 – $5,899
Independent96$2,470$721 – $4,991

Cash price vs list price

Median list price (chargemaster)$5,297
Median cash price$3,173
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

444 hospitals filed a usable inpatient cash price for this code. The median is $2,897 and the average of the middle 60% is $3,268; most fall between $1,040 and $6,502.

Cash price percentiles, inpatient, across 444 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
$504$1,354$2,897$5,257$8,555

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($504 vs $8,555).

Of the 481 hospitals that filed this code inpatient, 444 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

647 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 709 hospitals that filed this code at all gave us
Usable cash price — counted647
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
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 — excluded16
Hospitals that filed this code709

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 Esophagoscopy Flex Transoral Lesion Ablation.

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 destruction of a growth (CPT 43229) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43229-esophagus-scope-exam-with-destruction-of-a-growth