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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with microscopic imaging of the lining

CPT 43252the billing code this page is about

A flexible scope is passed through the mouth and a specialized probe magnifies the tissue lining to view it at the cellular level during the exam.

Hospitals typically charge $2,267 cash for this outpatient procedure — the median across 313 hospitals that filed a usable cash price; the average of the middle 60% is $2,351. Most fall between $656 and $4,316 (20th–80th percentile).

Hospitals
313
States
42
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 313 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
$343$846$2,267$3,868$5,385

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($343 vs $5,385).

How the prices are spread

$271 – $378: 20 hospitals$271$378 – $528: 25 hospitals$528 – $736: 5 hospitals$528$736 – $1,027: 30 hospitals$1,027 – $1,434: 16 hospitals$1,027$1,434 – $2,001: 23 hospitals$2,001 – $2,792: 53 hospitals$2,001$2,792 – $3,897: 51 hospitals$3,897 – $5,438: 51 hospitals$3,897$5,438 – $7,589: 11 hospitals$5,438median $2,267price bands are equal on a log scale
Hospitals per price band (285 of 313 — the bands cover the 5th to 95th percentile)
FromToHospitals
$271$37820
$378$52825
$528$7365
$736$1,02730
$1,027$1,43416
$1,434$2,00123
$2,001$2,79253
$2,792$3,89751
$3,897$5,43851
$5,438$7,58911

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,267
Cash as a multiple of Medicare1.16×

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 $2,267.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,372 across 21 hospitalsIL$2,372Wisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 5 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $2,245 across 20 hospitalsNY$2,245Massachusetts: median $8,652 across 11 hospitalsMA$8,652Oregon: 2 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $798 across 15 hospitalsIA$798Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $2,267 across 17 hospitalsPA$2,267New Jersey: median $3,786 across 24 hospitalsNJ$3,786Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,354 across 50 hospitalsCA$3,354Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $276 across 12 hospitalsOK$276Louisiana: median $1,098 across 12 hospitalsLA$1,098Mississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $1,494 across 12 hospitalsTX$1,494Florida: median $4,597 across 18 hospitalsFL$4,597
Cash price by state, most expensive first. National median $2,267. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA11$8,652+282%$5,890 – $9,966
Florida FL18$4,597+103%$3,088 – $4,898
New Jersey NJ24$3,786+67%$2,100 – $5,741
California CA50$3,354+48%$2,529 – $4,316
Illinois IL21$2,372+5%$444 – $2,755
Pennsylvania PA17$2,2670%$1,286 – $3,574
New York NY20$2,245−1%$441 – $2,245
Texas TX12$1,494−34%$1,494 – $1,494
Louisiana LA12$1,098−52%$992 – $1,493
Iowa IA15$798−65%$607 – $798
Oklahoma OK12$276−88%$276 – $276
Ohio OH8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Michigan MI5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Oregon OR2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Wyoming WY1not 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 $2,267.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care266$2,278$798 – $4,316
Children’s6fewer than 20 hospitals
Critical access40$822$444 – $5,385
Ownership
For-profit27$1,475$444 – $3,653
Government44$2,245$880 – $4,597
Non-profit241$2,372$798 – $4,316
System affiliation
Part of a system277$2,267$798 – $4,350
Independent36$1,438$448 – $3,319

Cash price vs list price

Median list price (chargemaster)$4,598
Median cash price$2,267
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

229 hospitals filed a usable inpatient cash price for this code. The median is $2,267 and the average of the middle 60% is $2,434; most fall between $475 and $4,686.

Cash price percentiles, inpatient, across 229 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
$276$798$2,267$4,316$8,652

The most expensive tenth of hospitals charges at least 31× what the cheapest tenth charges ($276 vs $8,652).

Of the 265 hospitals that filed this code inpatient, 229 gave a usable cash price; 11 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

313 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 356 hospitals that filed this code at all gave us
Usable cash price — counted313
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded9
Hospitals that filed this code356

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 5, 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 PR Upr GI W/Optical Endomicroscopy.

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 microscopic imaging of the lining (CPT 43252) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43252-upper-endoscopy-with-microscopic-imaging-of-the-lining