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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Diagnostic upper endoscopy

CPT 43235the billing code this page is about

A flexible scope is passed through the mouth to examine the esophagus, stomach and first part of the small intestine, including collecting cells by brushing or washing if done.

Hospitals typically charge $1,246 cash for this outpatient procedure — the median across 2,104 hospitals that filed a usable cash price; the average of the middle 60% is $1,314. Most fall between $524 and $2,515 (20th–80th percentile).

Hospitals
2,104
States
50
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 2,104 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
$349$635$1,246$2,187$3,675

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($349 vs $3,675).

How the prices are spread

$267 – $356: 115 hospitals$267$356 – $475: 140 hospitals$475 – $634: 163 hospitals$475$634 – $845: 212 hospitals$845 – $1,127: 230 hospitals$845$1,127 – $1,502: 268 hospitals$1,502 – $2,004: 296 hospitals$1,502$2,004 – $2,672: 213 hospitals$2,672 – $3,563: 137 hospitals$2,672$3,563 – $4,751: 120 hospitals$3,563median $1,246price bands are equal on a log scale
Hospitals per price band (1,894 of 2,104 — the bands cover the 5th to 95th percentile)
FromToHospitals
$267$356115
$356$475140
$475$634163
$634$845212
$845$1,127230
$1,127$1,502268
$1,502$2,004296
$2,004$2,672213
$2,672$3,563137
$3,563$4,751120

Against Medicare

Medicare pays (OPPS 2026, national rate)$927
Median cash price$1,246
Cash as a multiple of Medicare1.34×

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 $1,246.

Alaska: median $1,421 across 14 hospitalsAK$1,421Maine: median $621 across 11 hospitalsME$621Vermont: median $644 across 12 hospitalsVT$644New Hampshire: median $1,228 across 18 hospitalsNH$1,228Washington: median $997 across 67 hospitalsWA$997Idaho: median $1,750 across 19 hospitalsID$1,750Montana: median $577 across 22 hospitalsMT$577North Dakota: median $1,021 across 23 hospitalsND$1,021Minnesota: median $1,069 across 79 hospitalsMN$1,069Illinois: median $1,152 across 70 hospitalsIL$1,152Wisconsin: median $1,458 across 68 hospitalsWI$1,458Michigan: median $787 across 60 hospitalsMI$787New York: median $1,109 across 91 hospitalsNY$1,109Massachusetts: median $1,581 across 45 hospitalsMA$1,581Oregon: median $802 across 48 hospitalsOR$802Nevada: median $1,129 across 11 hospitalsNV$1,129Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,091 across 16 hospitalsSD$1,091Iowa: median $773 across 72 hospitalsIA$773Indiana: median $771 across 55 hospitalsIN$771Ohio: median $2,515 across 103 hospitalsOH$2,515Pennsylvania: median $1,509 across 90 hospitalsPA$1,509New Jersey: median $1,750 across 46 hospitalsNJ$1,750Connecticut: median $1,488 across 20 hospitalsCT$1,488Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,872 across 119 hospitalsCA$1,872Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,202 across 41 hospitalsCO$1,202Nebraska: median $1,059 across 63 hospitalsNE$1,059Missouri: median $1,129 across 67 hospitalsMO$1,129Kentucky: median $921 across 35 hospitalsKY$921West Virginia: median $584 across 26 hospitalsWV$584Virginia: median $1,373 across 41 hospitalsVA$1,373Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,765 across 17 hospitalsAZ$1,765New Mexico: median $1,781 across 27 hospitalsNM$1,781Kansas: median $686 across 65 hospitalsKS$686Arkansas: median $584 across 26 hospitalsAR$584Tennessee: median $941 across 41 hospitalsTN$941North Carolina: median $1,431 across 27 hospitalsNC$1,431South Carolina: median $1,473 across 31 hospitalsSC$1,473Oklahoma: median $962 across 42 hospitalsOK$962Louisiana: median $826 across 40 hospitalsLA$826Mississippi: median $973 across 35 hospitalsMS$973Alabama: median $1,659 across 30 hospitalsAL$1,659Georgia: median $1,534 across 52 hospitalsGA$1,534Hawaii: median $820 across 12 hospitalsHI$820Texas: median $1,609 across 108 hospitalsTX$1,609Florida: median $2,288 across 66 hospitalsFL$2,288
Cash price by state, most expensive first. National median $1,246. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH103$2,515+102%$1,344 – $2,899
Florida FL66$2,288+84%$1,635 – $3,504
California CA119$1,872+50%$869 – $3,707
New Mexico NM27$1,781+43%$578 – $3,597
Arizona AZ17$1,765+42%$973 – $4,445
Idaho ID19$1,750+40%$682 – $2,526
New Jersey NJ46$1,750+40%$1,051 – $5,110
Alabama AL30$1,659+33%$679 – $3,679
Texas TX108$1,609+29%$658 – $2,799
Massachusetts MA45$1,581+27%$862 – $1,970
Georgia GA52$1,534+23%$718 – $2,363
Pennsylvania PA90$1,509+21%$504 – $2,978
Connecticut CT20$1,488+19%$645 – $3,288
South Carolina SC31$1,473+18%$1,473 – $1,952
Wisconsin WI68$1,458+17%$843 – $1,820
North Carolina NC27$1,431+15%$813 – $2,624
Alaska AK14$1,421+14%$392 – $3,468
Virginia VA41$1,373+10%$1,163 – $1,925
New Hampshire NH18$1,228−1%$304 – $1,704
Colorado CO41$1,202−4%$546 – $1,937
Illinois IL70$1,152−8%$592 – $2,240
Nevada NV11$1,129−9%$641 – $1,825
Missouri MO67$1,129−9%$577 – $1,784
New York NY91$1,109−11%$524 – $3,675
South Dakota SD16$1,091−12%$850 – $1,668
Minnesota MN79$1,069−14%$478 – $1,955
Nebraska NE63$1,059−15%$514 – $2,500
North Dakota ND23$1,021−18%$332 – $1,762
Washington WA67$997−20%$519 – $2,515
Mississippi MS35$973−22%$608 – $1,958
Oklahoma OK42$962−23%$344 – $1,700
Tennessee TN41$941−25%$419 – $1,609
Kentucky KY35$921−26%$317 – $3,033
Louisiana LA40$826−34%$491 – $1,390
Hawaii HI12$820−34%$371 – $1,984
Oregon OR48$802−36%$390 – $1,306
Michigan MI60$787−37%$376 – $1,370
Iowa IA72$773−38%$518 – $1,875
Indiana IN55$771−38%$410 – $2,374
Kansas KS65$686−45%$418 – $1,490
Vermont VT12$644−48%$450 – $2,880
Maine ME11$621−50%$229 – $856
West Virginia WV26$584−53%$362 – $2,000
Arkansas AR26$584−53%$501 – $1,445
Montana MT22$577−54%$243 – $1,700
Wyoming WY9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Utah UT7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Maryland MD3not 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 $1,246.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,408$1,438$650 – $2,744
Children’s33$1,822$686 – $3,909
Critical access658$826$410 – $1,820
Ownership
For-profit219$1,569$759 – $3,380
Government432$950$460 – $1,963
Non-profit1,448$1,310$528 – $2,562
System affiliation
Part of a system1,639$1,349$596 – $2,618
Independent465$906$363 – $2,020

Cash price vs list price

Median list price (chargemaster)$2,189
Median cash price$1,246
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

1,257 hospitals filed a usable inpatient cash price for this code. The median is $1,314 and the average of the middle 60% is $1,311; most fall between $527 and $2,327.

Cash price percentiles, inpatient, across 1,257 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
$338$643$1,314$2,028$3,288

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($338 vs $3,288).

Of the 1,405 hospitals that filed this code inpatient, 1,257 gave a usable cash price; 72 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 76 a list price only.

How complete is this

2,104 of the 3,956 hospitals with a price file in our corpus (53%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,277 hospitals that filed this code at all gave us
Usable cash price — counted2,104
Cash price carrying a plausibility flag — shown on the compare tool, excluded here80
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded10
A list price only, no cash figure — excluded83
Hospitals that filed this code2,277

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 Esophagogastroduodenoscopy Transoral Diagnostic.

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, “Diagnostic upper endoscopy (CPT 43235) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43235-diagnostic-upper-endoscopy