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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with ultrasound needle biopsy, full exam

CPT 43242the billing code this page is about

A scope with an ultrasound probe surveys the esophagus, stomach and duodenum (or jejunum in an altered stomach) and guides a needle to sample tissue or fluid through the wall.

Hospitals typically charge $2,380 cash for this outpatient procedure — the median across 900 hospitals that filed a usable cash price; the average of the middle 60% is $2,472. Most fall between $937 and $4,689 (20th–80th percentile).

Hospitals
900
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 900 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
$549$1,138$2,380$3,880$5,725

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($549 vs $5,725).

How the prices are spread

$425 – $566: 51 hospitals$425$566 – $755: 52 hospitals$755 – $1,007: 53 hospitals$755$1,007 – $1,343: 79 hospitals$1,343 – $1,790: 44 hospitals$1,343$1,790 – $2,387: 130 hospitals$2,387 – $3,183: 112 hospitals$2,387$3,183 – $4,244: 123 hospitals$4,244 – $5,658: 106 hospitals$4,244$5,658 – $7,545: 61 hospitals$5,658median $2,380price bands are equal on a log scale
Hospitals per price band (811 of 900 — the bands cover the 5th to 95th percentile)
FromToHospitals
$425$56651
$566$75552
$755$1,00753
$1,007$1,34379
$1,343$1,79044
$1,790$2,387130
$2,387$3,183112
$3,183$4,244123
$4,244$5,658106
$5,658$7,54561

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,380
Cash as a multiple of Medicare1.21×

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 $2,380.

Alaska: 7 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: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,040 across 23 hospitalsWA$3,040Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 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 $1,962 across 30 hospitalsMN$1,962Illinois: median $2,386 across 29 hospitalsIL$2,386Wisconsin: median $2,848 across 29 hospitalsWI$2,848Michigan: median $1,170 across 34 hospitalsMI$1,170New York: median $2,245 across 36 hospitalsNY$2,245Massachusetts: median $3,377 across 23 hospitalsMA$3,377Oregon: median $3,194 across 24 hospitalsOR$3,194Nevada: 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 $666 across 19 hospitalsIA$666Indiana: median $1,049 across 22 hospitalsIN$1,049Ohio: median $4,733 across 71 hospitalsOH$4,733Pennsylvania: median $2,267 across 47 hospitalsPA$2,267New Jersey: median $2,531 across 38 hospitalsNJ$2,531Connecticut: median $6,602 across 11 hospitalsCT$6,602Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,205 across 83 hospitalsCA$3,205Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,572 across 16 hospitalsCO$2,572Nebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,522 across 21 hospitalsMO$2,522Kentucky: median $7,053 across 10 hospitalsKY$7,053West Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,004 across 18 hospitalsVA$2,004Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,922 across 13 hospitalsNM$1,922Kansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $990 across 18 hospitalsTN$990North Carolina: median $2,173 across 12 hospitalsNC$2,173South Carolina: median $2,076 across 21 hospitalsSC$2,076Oklahoma: median $549 across 15 hospitalsOK$549Louisiana: median $763 across 19 hospitalsLA$763Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,091 across 30 hospitalsGA$2,091Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 56 hospitalsTX$1,138Florida: median $2,544 across 33 hospitalsFL$2,544
Cash price by state, most expensive first. National median $2,380. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY10$7,053+196%$468 – $7,617
Connecticut CT11$6,602+177%$2,334 – $7,545
Ohio OH71$4,733+99%$3,429 – $6,163
Massachusetts MA23$3,377+42%$2,373 – $5,323
California CA83$3,205+35%$1,605 – $4,928
Oregon OR24$3,194+34%$471 – $3,537
Washington WA23$3,040+28%$637 – $3,441
Wisconsin WI29$2,848+20%$2,696 – $3,268
Colorado CO16$2,572+8%$1,417 – $3,253
Florida FL33$2,544+7%$1,904 – $4,004
New Jersey NJ38$2,531+6%$2,201 – $5,419
Missouri MO21$2,522+6%$1,646 – $5,725
Illinois IL29$2,3860%$666 – $4,375
Pennsylvania PA47$2,267−5%$374 – $3,880
New York NY36$2,245−6%$735 – $3,647
North Carolina NC12$2,173−9%$1,706 – $2,285
Georgia GA30$2,091−12%$2,064 – $4,252
South Carolina SC21$2,076−13%$2,076 – $5,041
Virginia VA18$2,004−16%$788 – $7,596
Minnesota MN30$1,962−18%$624 – $3,575
New Mexico NM13$1,922−19%$1,486 – $3,366
Michigan MI34$1,170−51%$851 – $2,696
Texas TX56$1,138−52%$942 – $2,019
Indiana IN22$1,049−56%$468 – $7,366
Tennessee TN18$990−58%$414 – $1,093
Louisiana LA19$763−68%$593 – $1,227
Iowa IA19$666−72%$666 – $4,325
Oklahoma OK15$549−77%$549 – $3,015
Idaho ID8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Kansas KS4not 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
Hawaii HI2not 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
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 $2,380.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care763$2,373$956 – $4,928
Children’s20$2,508$1,045 – $4,282
Critical access112$2,353$593 – $3,414
Ownership
For-profit81$1,961$873 – $4,844
Government115$2,245$942 – $4,177
Non-profit699$2,415$924 – $4,881
System affiliation
Part of a system787$2,404$948 – $4,766
Independent113$1,994$609 – $4,179

Cash price vs list price

Median list price (chargemaster)$4,204
Median cash price$2,380
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

613 hospitals filed a usable inpatient cash price for this code. The median is $2,404 and the average of the middle 60% is $2,429; most fall between $788 and $4,325.

Cash price percentiles, inpatient, across 613 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
$504$1,027$2,404$3,688$5,433

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($504 vs $5,433).

Of the 662 hospitals that filed this code inpatient, 613 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 34 a list price only.

How complete is this

900 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 960 hospitals that filed this code at all gave us
Usable cash price — counted900
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
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 — excluded19
Hospitals that filed this code960

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 Intrmural Needle Aspir/Biop Altered Anatomy.

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 needle biopsy, full exam (CPT 43242) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43242-upper-endoscopy-with-ultrasound-needle-biopsy-full-exam