HRHospitalRates.comCompare prices

Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with ultrasound-guided injection

CPT 43253the billing code this page is about

A scope with an ultrasound probe guides a needle through the wall of the esophagus, stomach or small intestine to inject medication, such as a nerve block near the celiac plexus.

Hospitals typically charge $2,245 cash for this outpatient procedure — the median across 719 hospitals that filed a usable cash price; the average of the middle 60% is $2,412. Most fall between $713 and $4,424 (20th–80th percentile).

Hospitals
719
States
50
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 719 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
$466$969$2,245$3,855$5,956

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($466 vs $5,956).

How the prices are spread

$378 – $508: 50 hospitals$378$508 – $683: 57 hospitals$683 – $917: 30 hospitals$683$917 – $1,233: 32 hospitals$1,233 – $1,657: 41 hospitals$1,233$1,657 – $2,227: 105 hospitals$2,227 – $2,993: 108 hospitals$2,227$2,993 – $4,022: 91 hospitals$4,022 – $5,405: 73 hospitals$4,022$5,405 – $7,263: 62 hospitals$5,405median $2,245price bands are equal on a log scale
Hospitals per price band (649 of 719 — the bands cover the 5th to 95th percentile)
FromToHospitals
$378$50850
$508$68357
$683$91730
$917$1,23332
$1,233$1,65741
$1,657$2,227105
$2,227$2,993108
$2,993$4,02291
$4,022$5,40573
$5,405$7,26362

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,245
Cash as a multiple of Medicare1.15×

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 $2,245.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,967 across 13 hospitalsWA$1,967Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,602 across 27 hospitalsMN$1,602Illinois: median $1,558 across 25 hospitalsIL$1,558Wisconsin: median $2,568 across 25 hospitalsWI$2,568Michigan: median $1,902 across 18 hospitalsMI$1,902New York: median $2,245 across 29 hospitalsNY$2,245Massachusetts: median $4,259 across 15 hospitalsMA$4,259Oregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $666 across 16 hospitalsIA$666Indiana: median $459 across 23 hospitalsIN$459Ohio: median $4,424 across 63 hospitalsOH$4,424Pennsylvania: median $2,267 across 45 hospitalsPA$2,267New Jersey: median $2,531 across 37 hospitalsNJ$2,531Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,484 across 59 hospitalsCA$3,484Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,191 across 17 hospitalsCO$2,191Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,912 across 15 hospitalsMO$1,912Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 8 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,093 across 13 hospitalsTN$1,093North Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $3,381 across 23 hospitalsSC$3,381Oklahoma: median $429 across 16 hospitalsOK$429Louisiana: median $1,272 across 16 hospitalsLA$1,272Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,837 across 24 hospitalsGA$1,837Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,854 across 48 hospitalsTX$1,854Florida: median $3,046 across 32 hospitalsFL$3,046
Cash price by state, most expensive first. National median $2,245. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH63$4,424+97%$3,103 – $5,672
Massachusetts MA15$4,259+90%$2,720 – $5,323
California CA59$3,484+55%$1,014 – $6,188
South Carolina SC23$3,381+51%$3,381 – $4,150
Florida FL32$3,046+36%$1,904 – $3,785
Wisconsin WI25$2,568+14%$2,568 – $2,848
New Jersey NJ37$2,531+13%$2,201 – $5,419
Pennsylvania PA45$2,267+1%$196 – $4,698
New York NY29$2,2450%$735 – $3,647
Colorado CO17$2,191−2%$1,417 – $3,695
Washington WA13$1,967−12%$471 – $4,950
Missouri MO15$1,912−15%$900 – $4,250
Michigan MI18$1,902−15%$662 – $2,639
Texas TX48$1,854−17%$561 – $2,127
Georgia GA24$1,837−18%$1,416 – $4,252
Minnesota MN27$1,602−29%$1,069 – $1,887
Illinois IL25$1,558−31%$443 – $2,839
Louisiana LA16$1,272−43%$782 – $2,038
Tennessee TN13$1,093−51%$250 – $1,093
Iowa IA16$666−70%$666 – $666
Indiana IN23$459−80%$378 – $6,777
Oklahoma OK16$429−81%$429 – $2,993
Kentucky KY9not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $2,245.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care612$2,245$772 – $4,424
Children’s15fewer than 20 hospitals
Critical access88$2,127$497 – $4,080
Ownership
For-profit67$1,837$656 – $4,252
Government95$2,245$903 – $3,941
Non-profit553$2,362$666 – $4,424
System affiliation
Part of a system630$2,267$733 – $4,424
Independent89$1,880$512 – $4,007

Cash price vs list price

Median list price (chargemaster)$4,437
Median cash price$2,245
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

499 hospitals filed a usable inpatient cash price for this code. The median is $2,391 and the average of the middle 60% is $2,428; most fall between $666 and $4,595.

Cash price percentiles, inpatient, across 499 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
$429$793$2,391$4,252$6,188

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($429 vs $6,188).

Of the 543 hospitals that filed this code inpatient, 499 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 30 a list price only.

How complete is this

719 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 771 hospitals that filed this code at all gave us
Usable cash price — counted719
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded15
Hospitals that filed this code771

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 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 Egd US Guided Transmural Injxn/Fiducial Marker.

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 ultrasound-guided injection (CPT 43253) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43253-upper-endoscopy-with-ultrasound-guided-injection