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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with drainage of a pancreatic fluid cyst

CPT 43240the billing code this page is about

A flexible scope passed through the mouth is used to drain a fluid collection next to the stomach or intestine by making an opening through the wall from the inside.

Hospitals typically charge $3,806 cash for this outpatient procedure — the median across 741 hospitals that filed a usable cash price; the average of the middle 60% is $3,854. Most fall between $863 and $7,173 (20th–80th percentile).

Hospitals
741
States
49
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 741 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
$701$994$3,806$6,930$9,357

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($701 vs $9,357).

How the prices are spread

$537 – $750: 69 hospitals$537$750 – $1,049: 95 hospitals$1,049 – $1,466: 45 hospitals$1,049$1,466 – $2,049: 22 hospitals$2,049 – $2,865: 32 hospitals$2,049$2,865 – $4,006: 81 hospitals$4,006 – $5,600: 101 hospitals$4,006$5,600 – $7,828: 150 hospitals$7,828 – $10,944: 45 hospitals$7,828$10,944 – $15,300: 27 hospitals$10,944median $3,806price bands are equal on a log scale
Hospitals per price band (667 of 741 — the bands cover the 5th to 95th percentile)
FromToHospitals
$537$75069
$750$1,04995
$1,049$1,46645
$1,466$2,04922
$2,049$2,86532
$2,865$4,00681
$4,006$5,600101
$5,600$7,828150
$7,828$10,94445
$10,944$15,30027

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,202
Median cash price$3,806
Cash as a multiple of Medicare0.61×

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 $3,806.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $5,320 across 13 hospitalsWA$5,320Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,238 across 22 hospitalsMN$3,238Illinois: median $2,608 across 26 hospitalsIL$2,608Wisconsin: median $3,734 across 30 hospitalsWI$3,734Michigan: median $773 across 30 hospitalsMI$773New York: median $3,710 across 31 hospitalsNY$3,710Massachusetts: median $16,017 across 18 hospitalsMA$16,017Oregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $994 across 17 hospitalsIA$994Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,500 across 51 hospitalsOH$4,500Pennsylvania: median $6,340 across 37 hospitalsPA$6,340New Jersey: median $5,990 across 37 hospitalsNJ$5,990Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,665 across 66 hospitalsCA$6,665Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $3,258 across 14 hospitalsCO$3,258Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $5,151 across 13 hospitalsMO$5,151Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $4,113 across 12 hospitalsVA$4,113Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $2,671 across 10 hospitalsNM$2,671Kansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,099 across 11 hospitalsTN$1,099North Carolina: median $2,350 across 12 hospitalsNC$2,350South Carolina: median $4,531 across 19 hospitalsSC$4,531Oklahoma: median $817 across 15 hospitalsOK$817Louisiana: median $1,227 across 16 hospitalsLA$1,227Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,051 across 27 hospitalsGA$1,051Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $1,333 across 78 hospitalsTX$1,333Florida: median $6,324 across 33 hospitalsFL$6,324
Cash price by state, most expensive first. National median $3,806. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA18$16,017+321%$4,775 – $18,483
California CA66$6,665+75%$3,136 – $7,162
Pennsylvania PA37$6,340+67%$281 – $8,758
Florida FL33$6,324+66%$3,584 – $9,136
New Jersey NJ37$5,990+57%$5,419 – $7,943
Washington WA13$5,320+40%$794 – $10,273
Missouri MO13$5,151+35%$3,526 – $12,750
South Carolina SC19$4,531+19%$873 – $7,696
Ohio OH51$4,500+18%$3,296 – $6,737
Virginia VA12$4,113+8%$847 – $7,384
Wisconsin WI30$3,734−2%$3,546 – $7,563
New York NY31$3,710−3%$819 – $7,044
Colorado CO14$3,258−14%$904 – $4,731
Minnesota MN22$3,238−15%$930 – $7,824
New Mexico NM10$2,671−30%$589 – $2,936
Illinois IL26$2,608−31%$609 – $4,375
North Carolina NC12$2,350−38%$1,524 – $3,814
Texas TX78$1,333−65%$701 – $3,572
Louisiana LA16$1,227−68%$763 – $2,493
Tennessee TN11$1,099−71%$722 – $1,344
Georgia GA27$1,051−72%$810 – $6,428
Iowa IA17$994−74%$994 – $994
Oklahoma OK15$817−79%$817 – $5,489
Michigan MI30$773−80%$477 – $3,546
Indiana IN9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Utah UT1not 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 $3,806.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care633$3,916$898 – $7,162
Children’s16fewer than 20 hospitals
Critical access88$3,546$734 – $7,803
Ownership
For-profit73$3,258$722 – $6,665
Government96$3,687$1,051 – $7,044
Non-profit568$3,814$847 – $7,206
System affiliation
Part of a system654$3,986$906 – $7,173
Independent87$1,917$756 – $7,450

Cash price vs list price

Median list price (chargemaster)$5,877
Median cash price$3,806
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

543 hospitals filed a usable inpatient cash price for this code. The median is $3,546 and the average of the middle 60% is $3,501; most fall between $817 and $7,162.

Cash price percentiles, inpatient, across 543 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
$701$983$3,546$6,616$10,111

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($701 vs $10,111).

Of the 590 hospitals that filed this code inpatient, 543 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 27 a list price only.

How complete is this

741 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 798 hospitals that filed this code at all gave us
Usable cash price — counted741
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
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 — excluded18
Hospitals that filed this code798

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 Egd Transoral Transmural Drainage Pseudocyst.

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 drainage of a pancreatic fluid cyst (CPT 43240) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43240-upper-endoscopy-with-drainage-of-a-pancreatic-fluid-cyst