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Procedure price report · Gastrostomy, temporary and permanent

Upper endoscopy with placement of a stomach feeding tube

CPT 43246the billing code this page is about

A flexible scope is passed through the mouth and a feeding tube is placed through the abdominal wall directly into the stomach.

Hospitals typically charge $1,925 cash for this outpatient procedure — the median across 1,960 hospitals that filed a usable cash price; the average of the middle 60% is $1,910. Most fall between $616 and $3,435 (20th–80th percentile).

Hospitals
1,960
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 1,960 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
$416$791$1,925$3,109$5,068

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($416 vs $5,068).

How the prices are spread

$287 – $395: 81 hospitals$287$395 – $545: 161 hospitals$545 – $751: 123 hospitals$545$751 – $1,035: 113 hospitals$1,035 – $1,426: 183 hospitals$1,035$1,426 – $1,964: 240 hospitals$1,964 – $2,707: 370 hospitals$1,964$2,707 – $3,730: 247 hospitals$3,730 – $5,139: 153 hospitals$3,730$5,139 – $7,081: 94 hospitals$5,139median $1,925price bands are equal on a log scale
Hospitals per price band (1,765 of 1,960 — the bands cover the 5th to 95th percentile)
FromToHospitals
$287$39581
$395$545161
$545$751123
$751$1,035113
$1,035$1,426183
$1,426$1,964240
$1,964$2,707370
$2,707$3,730247
$3,730$5,139153
$5,139$7,08194

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,925
Cash as a multiple of Medicare0.98×

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 $1,925.

Alaska: median $2,429 across 11 hospitalsAK$2,429Maine: median $1,022 across 11 hospitalsME$1,022Vermont: median $436 across 11 hospitalsVT$436New Hampshire: median $487 across 13 hospitalsNH$487Washington: median $1,686 across 53 hospitalsWA$1,686Idaho: median $3,050 across 17 hospitalsID$3,050Montana: median $994 across 15 hospitalsMT$994North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,880 across 65 hospitalsMN$1,880Illinois: median $1,317 across 65 hospitalsIL$1,317Wisconsin: median $1,820 across 69 hospitalsWI$1,820Michigan: median $1,713 across 62 hospitalsMI$1,713New York: median $2,245 across 73 hospitalsNY$2,245Massachusetts: median $2,892 across 42 hospitalsMA$2,892Oregon: median $806 across 43 hospitalsOR$806Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,121 across 11 hospitalsSD$1,121Iowa: median $673 across 57 hospitalsIA$673Indiana: median $701 across 49 hospitalsIN$701Ohio: median $3,029 across 100 hospitalsOH$3,029Pennsylvania: median $2,361 across 82 hospitalsPA$2,361New Jersey: median $2,531 across 45 hospitalsNJ$2,531Connecticut: median $1,385 across 16 hospitalsCT$1,385Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,455 across 140 hospitalsCA$2,455Utah: median $2,134 across 25 hospitalsUT$2,134Colorado: median $1,918 across 35 hospitalsCO$1,918Nebraska: median $905 across 29 hospitalsNE$905Missouri: median $1,290 across 59 hospitalsMO$1,290Kentucky: median $1,444 across 33 hospitalsKY$1,444West Virginia: median $1,391 across 26 hospitalsWV$1,391Virginia: median $2,104 across 34 hospitalsVA$2,104Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,355 across 14 hospitalsAZ$2,355New Mexico: median $2,076 across 22 hospitalsNM$2,076Kansas: median $985 across 49 hospitalsKS$985Arkansas: median $1,194 across 30 hospitalsAR$1,194Tennessee: median $1,093 across 45 hospitalsTN$1,093North Carolina: median $2,434 across 35 hospitalsNC$2,434South Carolina: median $2,547 across 29 hospitalsSC$2,547Oklahoma: median $1,265 across 39 hospitalsOK$1,265Louisiana: median $1,005 across 41 hospitalsLA$1,005Mississippi: median $1,403 across 43 hospitalsMS$1,403Alabama: median $2,527 across 27 hospitalsAL$2,527Georgia: median $3,109 across 67 hospitalsGA$3,109Hawaii: median $1,311 across 13 hospitalsHI$1,311Texas: median $1,468 across 103 hospitalsTX$1,468Florida: median $3,322 across 72 hospitalsFL$3,322
Cash price by state, most expensive first. National median $1,925. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL72$3,322+73%$1,904 – $4,801
Georgia GA67$3,109+61%$1,306 – $4,037
Idaho ID17$3,050+58%$524 – $4,686
Ohio OH100$3,029+57%$1,742 – $5,672
Massachusetts MA42$2,892+50%$1,825 – $5,273
South Carolina SC29$2,547+32%$1,210 – $3,977
New Jersey NJ45$2,531+31%$2,102 – $5,181
Alabama AL27$2,527+31%$1,130 – $5,736
California CA140$2,455+28%$1,087 – $7,168
North Carolina NC35$2,434+26%$1,433 – $2,636
Alaska AK11$2,429+26%$2,143 – $3,969
Pennsylvania PA82$2,361+23%$1,000 – $3,574
Arizona AZ14$2,355+22%$739 – $9,441
New York NY73$2,245+17%$575 – $4,056
Utah UT25$2,134+11%$2,022 – $2,246
Virginia VA34$2,104+9%$1,426 – $2,906
New Mexico NM22$2,076+8%$620 – $4,157
Colorado CO35$1,9180%$429 – $3,301
Minnesota MN65$1,880−2%$557 – $2,718
Wisconsin WI69$1,820−5%$1,237 – $2,541
Michigan MI62$1,713−11%$491 – $2,639
Washington WA53$1,686−12%$515 – $3,270
Texas TX103$1,468−24%$949 – $3,173
Kentucky KY33$1,444−25%$473 – $3,689
Mississippi MS43$1,403−27%$777 – $2,756
West Virginia WV26$1,391−28%$405 – $2,341
Connecticut CT16$1,385−28%$1,045 – $2,648
Illinois IL65$1,317−32%$502 – $3,216
Hawaii HI13$1,311−32%$203 – $2,084
Missouri MO59$1,290−33%$740 – $2,380
Oklahoma OK39$1,265−34%$278 – $2,803
Arkansas AR30$1,194−38%$606 – $1,726
South Dakota SD11$1,121−42%$527 – $2,060
Tennessee TN45$1,093−43%$457 – $2,023
Maine ME11$1,022−47%$462 – $1,396
Louisiana LA41$1,005−48%$618 – $1,570
Montana MT15$994−48%$385 – $2,275
Kansas KS49$985−49%$371 – $2,370
Nebraska NE29$905−53%$457 – $1,981
Oregon OR43$806−58%$416 – $3,266
Indiana IN49$701−64%$202 – $2,070
Iowa IA57$673−65%$493 – $2,569
New Hampshire NH13$487−75%$224 – $1,646
Vermont VT11$436−77%$351 – $2,533
North Dakota ND9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Delaware DE3not 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 $1,925.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,440$2,109$911 – $3,977
Children’s31$2,171$622 – $3,748
Critical access484$1,020$438 – $2,475
Ownership
For-profit209$2,521$1,222 – $5,129
Government378$1,417$522 – $2,699
Non-profit1,368$1,975$619 – $3,478
System affiliation
Part of a system1,573$2,020$751 – $3,675
Independent387$1,238$456 – $2,699

Cash price vs list price

Median list price (chargemaster)$3,320
Median cash price$1,925
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

1,278 hospitals filed a usable inpatient cash price for this code. The median is $1,969 and the average of the middle 60% is $1,973; most fall between $702 and $3,457.

Cash price percentiles, inpatient, across 1,278 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
$440$941$1,969$3,124$4,930

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($440 vs $4,930).

Of the 1,410 hospitals that filed this code inpatient, 1,278 gave a usable cash price; 63 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 69 a list price only.

How complete is this

1,960 of the 3,956 hospitals with a price file in our corpus (50%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,118 hospitals that filed this code at all gave us
Usable cash price — counted1,960
Cash price carrying a plausibility flag — shown on the compare tool, excluded here73
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 — excluded79
Hospitals that filed this code2,118

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 Gastrostomy, temporary and permanent family.

Hospitals file this code under descriptions such as Egd Percutaneous Placement Gastrostomy Tube.

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 placement of a stomach feeding tube (CPT 43246) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43246-upper-endoscopy-with-placement-of-a-stomach-feeding-tube