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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with injection into the stomach lining

CPT 43236the billing code this page is about

A flexible scope is passed through the mouth to view the esophagus, stomach and upper small intestine, and a substance is injected into the wall lining during the exam.

Hospitals typically charge $1,317 cash for this outpatient procedure — the median across 1,299 hospitals that filed a usable cash price; the average of the middle 60% is $1,459. Most fall between $577 and $2,974 (20th–80th percentile).

Hospitals
1,299
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 1,299 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
$345$697$1,317$2,526$4,595

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($345 vs $4,595).

How the prices are spread

$262 – $359: 78 hospitals$262$359 – $492: 78 hospitals$492 – $674: 89 hospitals$492$674 – $924: 148 hospitals$924 – $1,265: 173 hospitals$924$1,265 – $1,733: 166 hospitals$1,733 – $2,374: 154 hospitals$1,733$2,374 – $3,252: 136 hospitals$3,252 – $4,455: 75 hospitals$3,252$4,455 – $6,102: 74 hospitals$4,455median $1,317price bands are equal on a log scale
Hospitals per price band (1,171 of 1,299 — the bands cover the 5th to 95th percentile)
FromToHospitals
$262$35978
$359$49278
$492$67489
$674$924148
$924$1,265173
$1,265$1,733166
$1,733$2,374154
$2,374$3,252136
$3,252$4,45575
$4,455$6,10274

Against Medicare

Medicare pays (OPPS 2026, national rate)$927
Median cash price$1,317
Cash as a multiple of Medicare1.42×

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 $1,317.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $486 across 12 hospitalsNH$486Washington: median $857 across 28 hospitalsWA$857Idaho: median $2,526 across 13 hospitalsID$2,526Montana: median $1,328 across 11 hospitalsMT$1,328North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,520 across 54 hospitalsMN$1,520Illinois: median $1,166 across 42 hospitalsIL$1,166Wisconsin: median $1,523 across 38 hospitalsWI$1,523Michigan: median $556 across 37 hospitalsMI$556New York: median $1,109 across 67 hospitalsNY$1,109Massachusetts: median $1,786 across 33 hospitalsMA$1,786Oregon: median $585 across 20 hospitalsOR$585Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $917 across 35 hospitalsIA$917Indiana: median $1,222 across 27 hospitalsIN$1,222Ohio: median $2,803 across 81 hospitalsOH$2,803Pennsylvania: median $1,615 across 75 hospitalsPA$1,615New Jersey: median $2,538 across 40 hospitalsNJ$2,538Connecticut: median $3,288 across 13 hospitalsCT$3,288Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,872 across 89 hospitalsCA$1,872Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,551 across 28 hospitalsCO$1,551Nebraska: median $928 across 17 hospitalsNE$928Missouri: median $903 across 35 hospitalsMO$903Kentucky: median $692 across 17 hospitalsKY$692West Virginia: median $344 across 22 hospitalsWV$344Virginia: median $1,665 across 25 hospitalsVA$1,665Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $2,408 across 17 hospitalsNM$2,408Kansas: median $619 across 20 hospitalsKS$619Arkansas: median $732 across 15 hospitalsAR$732Tennessee: median $1,093 across 23 hospitalsTN$1,093North Carolina: median $1,230 across 19 hospitalsNC$1,230South Carolina: median $1,537 across 25 hospitalsSC$1,537Oklahoma: median $895 across 22 hospitalsOK$895Louisiana: median $636 across 32 hospitalsLA$636Mississippi: median $1,162 across 24 hospitalsMS$1,162Alabama: median $2,468 across 21 hospitalsAL$2,468Georgia: median $1,180 across 31 hospitalsGA$1,180Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $732 across 72 hospitalsTX$732Florida: median $2,171 across 38 hospitalsFL$2,171
Cash price by state, most expensive first. National median $1,317. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT13$3,288+150%$1,312 – $3,583
Ohio OH81$2,803+113%$1,315 – $4,201
New Jersey NJ40$2,538+93%$1,051 – $5,110
Idaho ID13$2,526+92%$1,082 – $2,750
Alabama AL21$2,468+87%$978 – $7,752
New Mexico NM17$2,408+83%$1,341 – $5,095
Florida FL38$2,171+65%$1,601 – $3,961
California CA89$1,872+42%$946 – $3,069
Massachusetts MA33$1,786+36%$1,191 – $2,819
Virginia VA25$1,665+26%$1,091 – $5,783
Pennsylvania PA75$1,615+23%$542 – $4,534
Colorado CO28$1,551+18%$759 – $1,937
South Carolina SC25$1,537+17%$855 – $2,752
Wisconsin WI38$1,523+16%$862 – $2,587
Minnesota MN54$1,520+15%$666 – $1,892
Montana MT11$1,328+1%$629 – $1,784
North Carolina NC19$1,230−7%$813 – $2,120
Indiana IN27$1,222−7%$376 – $5,506
Georgia GA31$1,180−10%$909 – $2,149
Illinois IL42$1,166−12%$628 – $2,269
Mississippi MS24$1,162−12%$645 – $1,549
New York NY67$1,109−16%$402 – $4,595
Tennessee TN23$1,093−17%$445 – $1,274
Nebraska NE17$928−30%$643 – $1,094
Iowa IA35$917−30%$468 – $928
Missouri MO35$903−31%$667 – $4,313
Oklahoma OK22$895−32%$477 – $2,326
Washington WA28$857−35%$358 – $2,400
Arkansas AR15$732−44%$612 – $2,855
Texas TX72$732−44%$596 – $2,043
Kentucky KY17$692−47%$368 – $3,765
Louisiana LA32$636−52%$396 – $1,275
Kansas KS20$619−53%$375 – $854
Oregon OR20$585−56%$311 – $1,549
Michigan MI37$556−58%$342 – $1,523
New Hampshire NH12$486−63%$153 – $1,380
West Virginia WV22$344−74%$142 – $1,651
Arizona AZ9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Maryland MD3not 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 $1,317.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,010$1,463$667 – $3,069
Children’s19fewer than 20 hospitals
Critical access265$900$376 – $1,892
Ownership
For-profit142$1,341$722 – $3,340
Government227$1,109$517 – $2,246
Non-profit925$1,441$596 – $3,069
System affiliation
Part of a system1,049$1,468$645 – $3,069
Independent250$1,022$406 – $2,082

Cash price vs list price

Median list price (chargemaster)$2,365
Median cash price$1,317
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

789 hospitals filed a usable inpatient cash price for this code. The median is $1,410 and the average of the middle 60% is $1,449; most fall between $565 and $2,752.

Cash price percentiles, inpatient, across 789 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
$347$670$1,410$2,408$3,516

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($347 vs $3,516).

Of the 861 hospitals that filed this code inpatient, 789 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 49 a list price only.

How complete is this

1,299 of the 3,956 hospitals with a price file in our corpus (33%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,400 hospitals that filed this code at all gave us
Usable cash price — counted1,299
Cash price carrying a plausibility flag — shown on the compare tool, excluded here52
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded42
Hospitals that filed this code1,400

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 Submucosal Injection.

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 injection into the stomach lining (CPT 43236) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43236-upper-endoscopy-with-injection-into-the-stomach-lining