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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with growth removal using heated forceps

CPT 43250the billing code this page is about

A flexible scope is passed through the mouth and a tumor, polyp or other lesion is removed from the esophagus, stomach or upper small intestine using hot biopsy forceps.

Hospitals typically charge $1,553 cash for this outpatient procedure — the median across 1,140 hospitals that filed a usable cash price; the average of the middle 60% is $1,626. Most fall between $606 and $3,093 (20th–80th percentile).

Hospitals
1,140
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 1,140 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
$364$746$1,553$2,704$4,539

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($364 vs $4,539).

How the prices are spread

$279 – $378: 79 hospitals$279$378 – $512: 72 hospitals$512 – $695: 64 hospitals$512$695 – $942: 101 hospitals$942 – $1,277: 128 hospitals$942$1,277 – $1,732: 128 hospitals$1,732 – $2,348: 152 hospitals$1,732$2,348 – $3,184: 154 hospitals$3,184 – $4,318: 83 hospitals$3,184$4,318 – $5,855: 70 hospitals$4,318median $1,553price bands are equal on a log scale
Hospitals per price band (1,031 of 1,140 — the bands cover the 5th to 95th percentile)
FromToHospitals
$279$37879
$378$51272
$512$69564
$695$942101
$942$1,277128
$1,277$1,732128
$1,732$2,348152
$2,348$3,184154
$3,184$4,31883
$4,318$5,85570

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,553
Cash as a multiple of Medicare0.79×

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 $1,553.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $801 across 25 hospitalsWA$801Idaho: median $3,050 across 11 hospitalsID$3,050Montana: median $1,323 across 11 hospitalsMT$1,323North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,156 across 37 hospitalsMN$1,156Illinois: median $892 across 40 hospitalsIL$892Wisconsin: median $1,704 across 35 hospitalsWI$1,704Michigan: median $717 across 36 hospitalsMI$717New York: median $1,361 across 51 hospitalsNY$1,361Massachusetts: median $4,989 across 21 hospitalsMA$4,989Oregon: median $486 across 18 hospitalsOR$486Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,046 across 40 hospitalsIA$1,046Indiana: median $661 across 18 hospitalsIN$661Ohio: median $2,785 across 68 hospitalsOH$2,785Pennsylvania: median $2,267 across 55 hospitalsPA$2,267New Jersey: median $2,531 across 40 hospitalsNJ$2,531Connecticut: 7 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 $2,704 across 77 hospitalsCA$2,704Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,368 across 22 hospitalsCO$1,368Nebraska: median $1,116 across 24 hospitalsNE$1,116Missouri: median $900 across 29 hospitalsMO$900Kentucky: median $1,596 across 22 hospitalsKY$1,596West Virginia: median $506 across 19 hospitalsWV$506Virginia: median $2,004 across 15 hospitalsVA$2,004Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,941 across 11 hospitalsAZ$2,941New Mexico: median $2,174 across 16 hospitalsNM$2,174Kansas: median $1,104 across 33 hospitalsKS$1,104Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,093 across 23 hospitalsTN$1,093North Carolina: median $1,706 across 20 hospitalsNC$1,706South Carolina: median $3,096 across 19 hospitalsSC$3,096Oklahoma: median $1,591 across 23 hospitalsOK$1,591Louisiana: median $890 across 30 hospitalsLA$890Mississippi: median $1,622 across 17 hospitalsMS$1,622Alabama: median $1,909 across 18 hospitalsAL$1,909Georgia: median $1,108 across 31 hospitalsGA$1,108Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 68 hospitalsTX$1,138Florida: median $2,355 across 34 hospitalsFL$2,355
Cash price by state, most expensive first. National median $1,553. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA21$4,989+221%$2,168 – $5,537
South Carolina SC19$3,096+99%$873 – $3,096
Idaho ID11$3,050+96%$1,082 – $4,686
Arizona AZ11$2,941+89%$1,393 – $5,892
Ohio OH68$2,785+79%$1,806 – $4,488
California CA77$2,704+74%$1,010 – $6,490
New Jersey NJ40$2,531+63%$2,201 – $5,110
Florida FL34$2,355+52%$1,477 – $3,785
Pennsylvania PA55$2,267+46%$379 – $3,606
New Mexico NM16$2,174+40%$1,254 – $2,997
Virginia VA15$2,004+29%$113 – $2,353
Alabama AL18$1,909+23%$955 – $4,539
North Carolina NC20$1,706+10%$845 – $2,173
Wisconsin WI35$1,704+10%$1,079 – $1,943
Mississippi MS17$1,622+4%$863 – $1,746
Kentucky KY22$1,596+3%$441 – $5,785
Oklahoma OK23$1,591+2%$279 – $2,727
Colorado CO22$1,368−12%$845 – $2,747
New York NY51$1,361−12%$485 – $2,245
Montana MT11$1,323−15%$641 – $1,641
Minnesota MN37$1,156−26%$512 – $1,781
Texas TX68$1,138−27%$639 – $2,366
Nebraska NE24$1,116−28%$606 – $1,948
Georgia GA31$1,108−29%$1,108 – $2,670
Kansas KS33$1,104−29%$446 – $2,048
Tennessee TN23$1,093−30%$357 – $1,334
Iowa IA40$1,046−33%$623 – $1,059
Missouri MO29$900−42%$620 – $2,435
Illinois IL40$892−43%$441 – $2,141
Louisiana LA30$890−43%$442 – $1,403
Washington WA25$801−48%$339 – $2,204
Michigan MI36$717−54%$364 – $1,902
Indiana IN18$661−57%$441 – $2,020
West Virginia WV19$506−67%$177 – $1,681
Oregon OR18$486−69%$307 – $1,001
New Hampshire NH9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maryland MD1not 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 $1,553.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care816$1,805$737 – $3,302
Children’s16fewer than 20 hospitals
Critical access304$1,058$441 – $2,059
Ownership
For-profit120$1,712$845 – $3,227
Government238$1,368$574 – $2,698
Non-profit778$1,525$574 – $3,103
System affiliation
Part of a system890$1,704$683 – $3,207
Independent250$1,106$456 – $2,355

Cash price vs list price

Median list price (chargemaster)$2,621
Median cash price$1,553
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

723 hospitals filed a usable inpatient cash price for this code. The median is $1,641 and the average of the middle 60% is $1,723; most fall between $632 and $3,326.

Cash price percentiles, inpatient, across 723 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
$368$819$1,641$2,945$5,093

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($368 vs $5,093).

Of the 795 hospitals that filed this code inpatient, 723 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 48 a list price only.

How complete is this

1,140 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,246 hospitals that filed this code at all gave us
Usable cash price — counted1,140
Cash price carrying a plausibility flag — shown on the compare tool, excluded here53
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded50
Hospitals that filed this code1,246

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 Flex Removal Lesion(S) by Hot Biopsy Forceps.

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 growth removal using heated forceps (CPT 43250) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43250-upper-endoscopy-with-growth-removal-using-heated-forceps