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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with ultrasound of the esophagus and stomach

CPT 43237the billing code this page is about

A flexible scope with an ultrasound probe is passed through the mouth to image the wall of the esophagus, stomach and upper small intestine and nearby tissue.

Hospitals typically charge $2,201 cash for this outpatient procedure — the median across 911 hospitals that filed a usable cash price; the average of the middle 60% is $2,242. Most fall between $673 and $3,986 (20th–80th percentile).

Hospitals
911
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 911 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
$415$956$2,201$3,675$5,672

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($415 vs $5,672).

How the prices are spread

$322 – $438: 56 hospitals$322$438 – $597: 58 hospitals$597 – $814: 54 hospitals$597$814 – $1,109: 40 hospitals$1,109 – $1,511: 70 hospitals$1,109$1,511 – $2,058: 110 hospitals$2,058 – $2,804: 128 hospitals$2,058$2,804 – $3,820: 150 hospitals$3,820 – $5,204: 94 hospitals$3,820$5,204 – $7,090: 61 hospitals$5,204median $2,201price bands are equal on a log scale
Hospitals per price band (821 of 911 — the bands cover the 5th to 95th percentile)
FromToHospitals
$322$43856
$438$59758
$597$81454
$814$1,10940
$1,109$1,51170
$1,511$2,058110
$2,058$2,804128
$2,804$3,820150
$3,820$5,20494
$5,204$7,09061

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,201
Cash as a multiple of Medicare1.12×

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 $2,201.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 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 $3,116 across 13 hospitalsWA$3,116Idaho: median $4,483 across 10 hospitalsID$4,483Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,779 across 34 hospitalsMN$1,779Illinois: median $1,998 across 33 hospitalsIL$1,998Wisconsin: median $2,687 across 28 hospitalsWI$2,687Michigan: median $758 across 34 hospitalsMI$758New York: median $2,245 across 56 hospitalsNY$2,245Massachusetts: median $2,812 across 29 hospitalsMA$2,812Oregon: median $539 across 17 hospitalsOR$539Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $494 across 20 hospitalsIA$494Indiana: median $2,020 across 16 hospitalsIN$2,020Ohio: median $3,622 across 73 hospitalsOH$3,622Pennsylvania: median $2,267 across 48 hospitalsPA$2,267New Jersey: median $2,531 across 37 hospitalsNJ$2,531Connecticut: median $3,839 across 11 hospitalsCT$3,839Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,125 across 69 hospitalsCA$3,125Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,632 across 19 hospitalsCO$1,632Nebraska: median $464 across 10 hospitalsNE$464Missouri: median $2,243 across 18 hospitalsMO$2,243Kentucky: median $4,876 across 10 hospitalsKY$4,876West Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,353 across 16 hospitalsVA$2,353Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,922 across 11 hospitalsNM$1,922Kansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $956 across 17 hospitalsTN$956North Carolina: median $2,173 across 11 hospitalsNC$2,173South Carolina: median $1,618 across 28 hospitalsSC$1,618Oklahoma: median $408 across 16 hospitalsOK$408Louisiana: median $846 across 17 hospitalsLA$846Mississippi: median $2,666 across 12 hospitalsMS$2,666Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,794 across 27 hospitalsGA$1,794Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 54 hospitalsTX$1,138Florida: median $2,757 across 34 hospitalsFL$2,757
Cash price by state, most expensive first. National median $2,201. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY10$4,876+122%$377 – $7,617
Idaho ID10$4,483+104%$1,600 – $4,686
Connecticut CT11$3,839+74%$2,334 – $6,602
Ohio OH73$3,622+65%$3,194 – $5,672
California CA69$3,125+42%$1,924 – $4,242
Washington WA13$3,116+42%$400 – $4,305
Massachusetts MA29$2,812+28%$1,542 – $5,323
Florida FL34$2,757+25%$1,955 – $3,702
Wisconsin WI28$2,687+22%$1,090 – $3,894
Mississippi MS12$2,666+21%$956 – $3,119
New Jersey NJ37$2,531+15%$2,201 – $5,410
Virginia VA16$2,353+7%$1,380 – $3,908
Pennsylvania PA48$2,267+3%$1,139 – $4,816
New York NY56$2,245+2%$659 – $3,675
Missouri MO18$2,243+2%$941 – $4,080
North Carolina NC11$2,173−1%$1,285 – $2,173
Indiana IN16$2,020−8%$377 – $7,617
Illinois IL33$1,998−9%$415 – $3,359
New Mexico NM11$1,922−13%$1,645 – $2,986
Georgia GA27$1,794−18%$1,763 – $3,120
Minnesota MN34$1,779−19%$496 – $3,473
Colorado CO19$1,632−26%$476 – $3,212
South Carolina SC28$1,618−26%$1,618 – $3,875
Texas TX54$1,138−48%$783 – $1,918
Tennessee TN17$956−57%$218 – $1,093
Louisiana LA17$846−62%$574 – $1,227
Michigan MI34$758−66%$666 – $2,639
Oregon OR17$539−76%$351 – $2,096
Iowa IA20$494−78%$356 – $494
Nebraska NE10$464−79%$434 – $2,057
Oklahoma OK16$408−81%$408 – $3,131
New Hampshire NH9not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
South Dakota SD1not 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 $2,201.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care770$2,245$783 – $4,034
Children’s19fewer than 20 hospitals
Critical access117$1,090$432 – $3,679
Ownership
For-profit88$1,763$944 – $3,932
Government121$2,049$593 – $3,679
Non-profit697$2,258$680 – $4,035
System affiliation
Part of a system780$2,245$763 – $3,994
Independent131$1,712$442 – $3,705

Cash price vs list price

Median list price (chargemaster)$3,947
Median cash price$2,201
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

607 hospitals filed a usable inpatient cash price for this code. The median is $1,924 and the average of the middle 60% is $2,072; most fall between $628 and $3,880.

Cash price percentiles, inpatient, across 607 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
$377$783$1,924$3,473$5,411

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($377 vs $5,411).

Of the 659 hospitals that filed this code inpatient, 607 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 33 a list price only.

How complete is this

911 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 983 hospitals that filed this code at all gave us
Usable cash price — counted911
Cash price carrying a plausibility flag — shown on the compare tool, excluded here46
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded20
Hospitals that filed this code983

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 US Scope W/Adj Strxrs.

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 ultrasound of the esophagus and stomach (CPT 43237) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43237-upper-endoscopy-with-ultrasound-of-the-esophagus-and-stomach