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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with biopsy

CPT 43239the billing code this page is about

A flexible scope is passed through the mouth to examine the esophagus, stomach and start of the small intestine, and one or more tissue samples are taken.

Hospitals typically charge $1,380 cash for this outpatient procedure — the median across 2,090 hospitals that filed a usable cash price; the average of the middle 60% is $1,454. Most fall between $616 and $2,803 (20th–80th percentile).

Hospitals
2,090
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 2,090 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
$391$703$1,380$2,465$3,871

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($391 vs $3,871).

How the prices are spread

$299 – $400: 110 hospitals$299$400 – $537: 140 hospitals$537 – $720: 186 hospitals$537$720 – $966: 238 hospitals$966 – $1,296: 225 hospitals$966$1,296 – $1,739: 272 hospitals$1,739 – $2,332: 258 hospitals$1,739$2,332 – $3,128: 217 hospitals$3,128 – $4,196: 162 hospitals$3,128$4,196 – $5,628: 75 hospitals$4,196median $1,380price bands are equal on a log scale
Hospitals per price band (1,883 of 2,090 — the bands cover the 5th to 95th percentile)
FromToHospitals
$299$400110
$400$537140
$537$720186
$720$966238
$966$1,296225
$1,296$1,739272
$1,739$2,332258
$2,332$3,128217
$3,128$4,196162
$4,196$5,62875

Against Medicare

Medicare pays (OPPS 2026, national rate)$927
Median cash price$1,380
Cash as a multiple of Medicare1.49×

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 $1,380.

Alaska: median $1,610 across 14 hospitalsAK$1,610Maine: median $726 across 11 hospitalsME$726Vermont: median $820 across 12 hospitalsVT$820New Hampshire: median $963 across 20 hospitalsNH$963Washington: median $1,043 across 54 hospitalsWA$1,043Idaho: median $1,520 across 20 hospitalsID$1,520Montana: median $707 across 21 hospitalsMT$707North Dakota: median $1,050 across 23 hospitalsND$1,050Minnesota: median $985 across 82 hospitalsMN$985Illinois: median $1,314 across 73 hospitalsIL$1,314Wisconsin: median $1,581 across 62 hospitalsWI$1,581Michigan: median $867 across 61 hospitalsMI$867New York: median $1,117 across 91 hospitalsNY$1,117Massachusetts: median $1,819 across 41 hospitalsMA$1,819Oregon: median $765 across 49 hospitalsOR$765Nevada: median $986 across 10 hospitalsNV$986Wyoming: median $1,104 across 10 hospitalsWY$1,104South Dakota: median $1,112 across 19 hospitalsSD$1,112Iowa: median $914 across 78 hospitalsIA$914Indiana: median $1,680 across 54 hospitalsIN$1,680Ohio: median $2,769 across 104 hospitalsOH$2,769Pennsylvania: median $2,019 across 82 hospitalsPA$2,019New Jersey: median $1,523 across 42 hospitalsNJ$1,523Connecticut: median $3,288 across 20 hospitalsCT$3,288Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,768 across 119 hospitalsCA$1,768Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,232 across 41 hospitalsCO$1,232Nebraska: median $1,298 across 66 hospitalsNE$1,298Missouri: median $852 across 63 hospitalsMO$852Kentucky: median $917 across 32 hospitalsKY$917West Virginia: median $508 across 28 hospitalsWV$508Virginia: median $1,484 across 44 hospitalsVA$1,484Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,407 across 24 hospitalsAZ$2,407New Mexico: median $1,900 across 28 hospitalsNM$1,900Kansas: median $739 across 62 hospitalsKS$739Arkansas: median $694 across 29 hospitalsAR$694Tennessee: median $907 across 43 hospitalsTN$907North Carolina: median $1,385 across 28 hospitalsNC$1,385South Carolina: median $1,901 across 31 hospitalsSC$1,901Oklahoma: median $759 across 47 hospitalsOK$759Louisiana: median $842 across 37 hospitalsLA$842Mississippi: median $1,162 across 35 hospitalsMS$1,162Alabama: median $1,462 across 29 hospitalsAL$1,462Georgia: median $1,406 across 53 hospitalsGA$1,406Hawaii: median $1,432 across 13 hospitalsHI$1,432Texas: median $955 across 102 hospitalsTX$955Florida: median $2,592 across 57 hospitalsFL$2,592
Cash price by state, most expensive first. National median $1,380. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT20$3,288+138%$1,312 – $3,758
Ohio OH104$2,769+101%$1,235 – $3,732
Florida FL57$2,592+88%$1,894 – $4,166
Arizona AZ24$2,407+74%$1,106 – $4,685
Pennsylvania PA82$2,019+46%$1,069 – $3,973
South Carolina SC31$1,901+38%$1,671 – $2,738
New Mexico NM28$1,900+38%$898 – $3,030
Massachusetts MA41$1,819+32%$1,259 – $2,484
California CA119$1,768+28%$851 – $3,354
Indiana IN54$1,680+22%$632 – $3,657
Alaska AK14$1,610+17%$517 – $3,296
Wisconsin WI62$1,581+15%$870 – $2,287
New Jersey NJ42$1,523+10%$1,051 – $5,082
Idaho ID20$1,520+10%$732 – $2,526
Virginia VA44$1,484+8%$1,163 – $4,095
Alabama AL29$1,462+6%$665 – $5,678
Hawaii HI13$1,432+4%$484 – $2,239
Georgia GA53$1,406+2%$1,071 – $2,432
North Carolina NC28$1,3850%$813 – $2,618
Illinois IL73$1,314−5%$667 – $2,741
Nebraska NE66$1,298−6%$684 – $2,658
Colorado CO41$1,232−11%$711 – $1,937
Mississippi MS35$1,162−16%$664 – $2,850
New York NY91$1,117−19%$524 – $3,675
South Dakota SD19$1,112−19%$742 – $1,777
Wyoming WY10$1,104−20%$480 – $2,702
North Dakota ND23$1,050−24%$373 – $1,825
Washington WA54$1,043−24%$481 – $2,046
Nevada NV10$986−29%$650 – $1,784
Minnesota MN82$985−29%$475 – $2,011
New Hampshire NH20$963−30%$335 – $1,517
Texas TX102$955−31%$592 – $2,464
Kentucky KY32$917−34%$437 – $3,707
Iowa IA78$914−34%$674 – $1,925
Tennessee TN43$907−34%$385 – $1,797
Michigan MI61$867−37%$444 – $1,581
Missouri MO63$852−38%$515 – $2,125
Louisiana LA37$842−39%$491 – $1,816
Vermont VT12$820−41%$452 – $3,303
Oregon OR49$765−45%$355 – $1,548
Oklahoma OK47$759−45%$452 – $1,912
Kansas KS62$739−46%$503 – $1,494
Maine ME11$726−47%$570 – $1,156
Montana MT21$707−49%$381 – $1,753
Arkansas AR29$694−50%$623 – $1,550
West Virginia WV28$508−63%$247 – $1,347
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 MD5not 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 $1,380.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,378$1,541$708 – $3,218
Children’s32$1,243$733 – $2,966
Critical access674$958$484 – $2,035
Ownership
For-profit222$1,683$780 – $3,947
Government435$986$506 – $2,191
Non-profit1,427$1,406$633 – $2,850
System affiliation
Part of a system1,631$1,454$667 – $2,977
Independent459$1,015$465 – $2,171

Cash price vs list price

Median list price (chargemaster)$2,407
Median cash price$1,380
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

1,236 hospitals filed a usable inpatient cash price for this code. The median is $1,389 and the average of the middle 60% is $1,399; most fall between $567 and $2,500.

Cash price percentiles, inpatient, across 1,236 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
$376$670$1,389$2,241$3,160

The most expensive tenth of hospitals charges at least 8.4× what the cheapest tenth charges ($376 vs $3,160).

Of the 1,352 hospitals that filed this code inpatient, 1,236 gave a usable cash price; 39 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 77 a list price only.

How complete is this

2,090 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 2,252 hospitals that filed this code at all gave us
Usable cash price — counted2,090
Cash price carrying a plausibility flag — shown on the compare tool, excluded here76
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 — excluded76
Hospitals that filed this code2,252

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 Egd Transoral Biopsy Single/Multiple.

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 biopsy (CPT 43239) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43239-upper-endoscopy-with-biopsy