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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with growth removal by wire snare

CPT 43251the 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 with a wire loop.

Hospitals typically charge $1,723 cash for this outpatient procedure — the median across 1,604 hospitals that filed a usable cash price; the average of the middle 60% is $1,816. Most fall between $674 and $3,385 (20th–80th percentile).

Hospitals
1,604
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 1,604 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
$455$818$1,723$3,125$5,082

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($455 vs $5,082).

How the prices are spread

$337 – $456: 89 hospitals$337$456 – $616: 119 hospitals$616 – $834: 126 hospitals$616$834 – $1,128: 148 hospitals$1,128 – $1,525: 177 hospitals$1,128$1,525 – $2,063: 180 hospitals$2,063 – $2,790: 221 hospitals$2,063$2,790 – $3,773: 185 hospitals$3,773 – $5,103: 119 hospitals$3,773$5,103 – $6,901: 80 hospitals$5,103median $1,723price bands are equal on a log scale
Hospitals per price band (1,444 of 1,604 — the bands cover the 5th to 95th percentile)
FromToHospitals
$337$45689
$456$616119
$616$834126
$834$1,128148
$1,128$1,525177
$1,525$2,063180
$2,063$2,790221
$2,790$3,773185
$3,773$5,103119
$5,103$6,90180

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,723
Cash as a multiple of Medicare0.88×

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 $1,723.

Alaska: median $1,979 across 10 hospitalsAK$1,979Maine: median $821 across 11 hospitalsME$821Vermont: median $1,124 across 10 hospitalsVT$1,124New Hampshire: median $657 across 16 hospitalsNH$657Washington: median $1,014 across 39 hospitalsWA$1,014Idaho: median $2,352 across 17 hospitalsID$2,352Montana: median $712 across 20 hospitalsMT$712North Dakota: median $2,398 across 15 hospitalsND$2,398Minnesota: median $1,452 across 71 hospitalsMN$1,452Illinois: median $1,514 across 59 hospitalsIL$1,514Wisconsin: median $1,754 across 47 hospitalsWI$1,754Michigan: median $983 across 50 hospitalsMI$983New York: median $1,756 across 60 hospitalsNY$1,756Massachusetts: median $3,119 across 36 hospitalsMA$3,119Oregon: median $765 across 32 hospitalsOR$765Nevada: 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 $1,433 across 10 hospitalsSD$1,433Iowa: median $1,170 across 63 hospitalsIA$1,170Indiana: median $2,020 across 34 hospitalsIN$2,020Ohio: median $3,121 across 84 hospitalsOH$3,121Pennsylvania: median $2,476 across 71 hospitalsPA$2,476New Jersey: median $2,531 across 40 hospitalsNJ$2,531Connecticut: median $6,226 across 15 hospitalsCT$6,226Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,276 across 92 hospitalsCA$3,276Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,637 across 34 hospitalsCO$1,637Nebraska: median $1,242 across 34 hospitalsNE$1,242Missouri: median $1,267 across 48 hospitalsMO$1,267Kentucky: median $670 across 21 hospitalsKY$670West Virginia: median $689 across 25 hospitalsWV$689Virginia: median $2,353 across 30 hospitalsVA$2,353Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,586 across 14 hospitalsAZ$3,586New Mexico: median $2,241 across 22 hospitalsNM$2,241Kansas: median $917 across 48 hospitalsKS$917Arkansas: median $692 across 24 hospitalsAR$692Tennessee: median $1,093 across 28 hospitalsTN$1,093North Carolina: median $1,921 across 25 hospitalsNC$1,921South Carolina: median $3,250 across 28 hospitalsSC$3,250Oklahoma: median $1,423 across 28 hospitalsOK$1,423Louisiana: median $879 across 31 hospitalsLA$879Mississippi: median $1,622 across 27 hospitalsMS$1,622Alabama: median $1,909 across 23 hospitalsAL$1,909Georgia: median $1,159 across 38 hospitalsGA$1,159Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 86 hospitalsTX$1,138Florida: median $2,757 across 44 hospitalsFL$2,757
Cash price by state, most expensive first. National median $1,723. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT15$6,226+261%$2,178 – $6,602
Arizona AZ14$3,586+108%$1,151 – $6,726
California CA92$3,276+90%$937 – $4,249
South Carolina SC28$3,250+89%$3,250 – $3,888
Ohio OH84$3,121+81%$1,102 – $6,705
Massachusetts MA36$3,119+81%$1,714 – $5,323
Florida FL44$2,757+60%$1,894 – $4,633
New Jersey NJ40$2,531+47%$2,201 – $5,181
Pennsylvania PA71$2,476+44%$687 – $3,632
North Dakota ND15$2,398+39%$799 – $2,992
Virginia VA30$2,353+37%$749 – $5,121
Idaho ID17$2,352+36%$1,139 – $4,686
New Mexico NM22$2,241+30%$1,645 – $3,020
Indiana IN34$2,020+17%$455 – $4,753
Alaska AK10$1,979+15%$440 – $3,518
North Carolina NC25$1,921+11%$1,385 – $2,526
Alabama AL23$1,909+11%$1,277 – $8,096
New York NY60$1,756+2%$548 – $3,158
Wisconsin WI47$1,754+2%$1,141 – $2,437
Colorado CO34$1,637−5%$905 – $3,222
Mississippi MS27$1,622−6%$780 – $2,023
Illinois IL59$1,514−12%$598 – $2,977
Minnesota MN71$1,452−16%$701 – $2,221
South Dakota SD10$1,433−17%$853 – $1,433
Oklahoma OK28$1,423−17%$592 – $3,303
Missouri MO48$1,267−27%$818 – $4,454
Nebraska NE34$1,242−28%$788 – $2,730
Iowa IA63$1,170−32%$695 – $2,658
Georgia GA38$1,159−33%$1,159 – $3,120
Texas TX86$1,138−34%$616 – $2,675
Vermont VT10$1,124−35%$464 – $3,832
Tennessee TN28$1,093−37%$456 – $2,422
Washington WA39$1,014−41%$450 – $2,726
Michigan MI50$983−43%$372 – $2,639
Kansas KS48$917−47%$516 – $1,962
Louisiana LA31$879−49%$593 – $1,334
Maine ME11$821−52%$483 – $1,363
Oregon OR32$765−56%$443 – $1,340
Montana MT20$712−59%$285 – $1,762
Arkansas AR24$692−60%$488 – $1,268
West Virginia WV25$689−60%$412 – $2,954
Kentucky KY21$670−61%$455 – $7,617
New Hampshire NH16$657−62%$219 – $1,812
Nevada NV9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Delaware DE4not 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 $1,723.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,089$2,103$837 – $4,059
Children’s21$1,447$871 – $2,871
Critical access489$1,056$519 – $2,272
Ownership
For-profit179$2,271$1,083 – $4,689
Government336$1,307$616 – $2,643
Non-profit1,084$1,754$687 – $3,444
System affiliation
Part of a system1,243$1,915$744 – $3,600
Independent361$1,141$478 – $2,623

Cash price vs list price

Median list price (chargemaster)$2,708
Median cash price$1,723
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

892 hospitals filed a usable inpatient cash price for this code. The median is $1,674 and the average of the middle 60% is $1,724; most fall between $608 and $3,274.

Cash price percentiles, inpatient, across 892 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
$442$744$1,674$3,040$4,249

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($442 vs $4,249).

Of the 976 hospitals that filed this code inpatient, 892 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 56 a list price only.

How complete is this

1,604 of the 3,956 hospitals with a price file in our corpus (41%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,730 hospitals that filed this code at all gave us
Usable cash price — counted1,604
Cash price carrying a plausibility flag — shown on the compare tool, excluded here64
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded54
Hospitals that filed this code1,730

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 Removal Tumor Polyp/Other Lesion Snare.

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 by wire snare (CPT 43251) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43251-upper-endoscopy-with-growth-removal-by-wire-snare