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Procedure price report · Other non-OR upper GI therapeutic procedures

Upper endoscopy with stretching of a narrowed stomach outlet

CPT 43245the billing code this page is about

A flexible scope is passed through the mouth and a narrowing of the stomach or upper small intestine is widened during the exam.

Hospitals typically charge $1,854 cash for this outpatient procedure — the median across 1,425 hospitals that filed a usable cash price; the average of the middle 60% is $1,937. Most fall between $706 and $3,786 (20th–80th percentile).

Hospitals
1,425
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 1,425 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
$402$853$1,854$3,205$5,672

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($402 vs $5,672).

How the prices are spread

$307 – $421: 82 hospitals$307$421 – $576: 71 hospitals$576 – $790: 103 hospitals$576$790 – $1,082: 95 hospitals$1,082 – $1,482: 146 hospitals$1,082$1,482 – $2,030: 195 hospitals$2,030 – $2,780: 223 hospitals$2,030$2,780 – $3,808: 157 hospitals$3,808 – $5,216: 106 hospitals$3,808$5,216 – $7,146: 121 hospitals$5,216median $1,854price bands are equal on a log scale
Hospitals per price band (1,299 of 1,425 — the bands cover the 5th to 95th percentile)
FromToHospitals
$307$42182
$421$57671
$576$790103
$790$1,08295
$1,082$1,482146
$1,482$2,030195
$2,030$2,780223
$2,780$3,808157
$3,808$5,216106
$5,216$7,146121

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,854
Cash as a multiple of Medicare0.95×

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 $1,854.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $586 across 12 hospitalsNH$586Washington: median $1,074 across 32 hospitalsWA$1,074Idaho: median $3,050 across 17 hospitalsID$3,050Montana: median $1,408 across 17 hospitalsMT$1,408North Dakota: median $2,283 across 12 hospitalsND$2,283Minnesota: median $1,781 across 57 hospitalsMN$1,781Illinois: median $1,084 across 46 hospitalsIL$1,084Wisconsin: median $1,774 across 44 hospitalsWI$1,774Michigan: median $834 across 45 hospitalsMI$834New York: median $1,960 across 55 hospitalsNY$1,960Massachusetts: median $3,133 across 35 hospitalsMA$3,133Oregon: median $503 across 22 hospitalsOR$503Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,737 across 10 hospitalsSD$1,737Iowa: median $1,432 across 57 hospitalsIA$1,432Indiana: median $1,289 across 27 hospitalsIN$1,289Ohio: median $3,455 across 81 hospitalsOH$3,455Pennsylvania: median $2,400 across 67 hospitalsPA$2,400New Jersey: median $2,531 across 40 hospitalsNJ$2,531Connecticut: median $6,602 across 14 hospitalsCT$6,602Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,455 across 85 hospitalsCA$2,455Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,983 across 30 hospitalsCO$1,983Nebraska: median $1,483 across 26 hospitalsNE$1,483Missouri: median $1,552 across 45 hospitalsMO$1,552Kentucky: median $607 across 20 hospitalsKY$607West Virginia: median $629 across 23 hospitalsWV$629Virginia: median $2,353 across 24 hospitalsVA$2,353Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $2,224 across 18 hospitalsNM$2,224Kansas: median $1,258 across 39 hospitalsKS$1,258Arkansas: median $1,240 across 13 hospitalsAR$1,240Tennessee: median $1,093 across 27 hospitalsTN$1,093North Carolina: median $1,909 across 23 hospitalsNC$1,909South Carolina: median $2,425 across 22 hospitalsSC$2,425Oklahoma: median $1,104 across 32 hospitalsOK$1,104Louisiana: median $813 across 32 hospitalsLA$813Mississippi: median $1,622 across 28 hospitalsMS$1,622Alabama: median $1,865 across 22 hospitalsAL$1,865Georgia: median $2,124 across 33 hospitalsGA$2,124Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 75 hospitalsTX$1,138Florida: median $2,757 across 42 hospitalsFL$2,757
Cash price by state, most expensive first. National median $1,854. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT14$6,602+256%$2,334 – $7,392
Ohio OH81$3,455+86%$2,456 – $5,672
Massachusetts MA35$3,133+69%$1,795 – $5,323
Idaho ID17$3,050+65%$972 – $4,686
Florida FL42$2,757+49%$2,091 – $5,037
New Jersey NJ40$2,531+37%$2,201 – $5,711
California CA85$2,455+32%$1,434 – $7,146
South Carolina SC22$2,425+31%$1,926 – $3,467
Pennsylvania PA67$2,400+29%$507 – $4,893
Virginia VA24$2,353+27%$822 – $4,832
North Dakota ND12$2,283+23%$414 – $3,199
New Mexico NM18$2,224+20%$1,645 – $3,105
Georgia GA33$2,124+15%$1,964 – $2,769
Colorado CO30$1,983+7%$1,240 – $2,911
New York NY55$1,960+6%$502 – $2,727
North Carolina NC23$1,909+3%$1,385 – $2,979
Alabama AL22$1,865+1%$1,470 – $7,324
Minnesota MN57$1,781−4%$701 – $2,832
Wisconsin WI44$1,774−4%$1,665 – $2,848
South Dakota SD10$1,737−6%$1,292 – $1,737
Mississippi MS28$1,622−12%$922 – $2,079
Missouri MO45$1,552−16%$853 – $4,434
Nebraska NE26$1,483−20%$948 – $1,972
Iowa IA57$1,432−23%$584 – $2,438
Montana MT17$1,408−24%$255 – $2,008
Indiana IN27$1,289−30%$464 – $4,558
Kansas KS39$1,258−32%$448 – $2,336
Arkansas AR13$1,240−33%$421 – $3,158
Texas TX75$1,138−39%$692 – $2,850
Oklahoma OK32$1,104−40%$706 – $2,727
Tennessee TN27$1,093−41%$492 – $2,914
Illinois IL46$1,084−41%$503 – $2,454
Washington WA32$1,074−42%$413 – $2,596
Michigan MI45$834−55%$359 – $2,639
Louisiana LA32$813−56%$578 – $1,498
West Virginia WV23$629−66%$184 – $2,436
Kentucky KY20$607−67%$375 – $5,785
New Hampshire NH12$586−68%$194 – $1,723
Oregon OR22$503−73%$319 – $1,659
Nevada NV9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Maryland MD3not 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 $1,854.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,035$2,124$868 – $4,201
Children’s25$2,899$606 – $5,521
Critical access360$1,237$464 – $2,404
Ownership
For-profit159$2,138$1,093 – $4,181
Government276$1,525$596 – $2,747
Non-profit985$1,918$706 – $4,087
System affiliation
Part of a system1,124$2,062$776 – $4,087
Independent301$1,361$448 – $2,732

Cash price vs list price

Median list price (chargemaster)$3,092
Median cash price$1,854
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

848 hospitals filed a usable inpatient cash price for this code. The median is $1,743 and the average of the middle 60% is $1,852; most fall between $706 and $3,414.

Cash price percentiles, inpatient, across 848 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
$413$827$1,743$3,133$5,521

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($413 vs $5,521).

Of the 922 hospitals that filed this code inpatient, 848 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 50 a list price only.

How complete is this

1,425 of the 3,956 hospitals with a price file in our corpus (36%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,542 hospitals that filed this code at all gave us
Usable cash price — counted1,425
Cash price carrying a plausibility flag — shown on the compare tool, excluded here61
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded9
A list price only, no cash figure — excluded46
Hospitals that filed this code1,542

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 Other non-OR upper GI therapeutic procedures family.

Hospitals file this code under descriptions such as Egd Dilation Gastric/Duodenal Stricture.

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 stretching of a narrowed stomach outlet (CPT 43245) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43245-upper-endoscopy-with-stretching-of-a-narrowed-stomach-outlet