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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with removal of a lesion from the lining

CPT 43254the billing code this page is about

A flexible scope is passed through the mouth and an area of abnormal lining is lifted and cut away from the esophagus, stomach or upper small intestine.

Hospitals typically charge $2,118 cash for this outpatient procedure — the median across 907 hospitals that filed a usable cash price; the average of the middle 60% is $2,171. Most fall between $687 and $4,084 (20th–80th percentile).

Hospitals
907
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 907 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
$509$980$2,118$3,550$5,672

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($509 vs $5,672).

How the prices are spread

$369 – $493: 42 hospitals$369$493 – $660: 77 hospitals$660 – $884: 46 hospitals$660$884 – $1,183: 63 hospitals$1,183 – $1,583: 77 hospitals$1,183$1,583 – $2,119: 106 hospitals$2,119 – $2,836: 132 hospitals$2,119$2,836 – $3,796: 121 hospitals$3,796 – $5,080: 76 hospitals$3,796$5,080 – $6,800: 77 hospitals$5,080median $2,118price bands are equal on a log scale
Hospitals per price band (817 of 907 — the bands cover the 5th to 95th percentile)
FromToHospitals
$369$49342
$493$66077
$660$88446
$884$1,18363
$1,183$1,58377
$1,583$2,119106
$2,119$2,836132
$2,836$3,796121
$3,796$5,08076
$5,080$6,80077

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,118
Cash as a multiple of Medicare1.08×

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 $2,118.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $985 across 15 hospitalsWA$985Idaho: median $3,688 across 12 hospitalsID$3,688Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,771 across 40 hospitalsMN$1,771Illinois: median $1,558 across 28 hospitalsIL$1,558Wisconsin: median $2,369 across 31 hospitalsWI$2,369Michigan: median $687 across 35 hospitalsMI$687New York: median $2,245 across 40 hospitalsNY$2,245Massachusetts: median $2,588 across 27 hospitalsMA$2,588Oregon: 9 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 $684 across 19 hospitalsIA$684Indiana: median $2,020 across 29 hospitalsIN$2,020Ohio: median $4,084 across 66 hospitalsOH$4,084Pennsylvania: median $2,267 across 49 hospitalsPA$2,267New Jersey: median $3,986 across 41 hospitalsNJ$3,986Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,430 across 73 hospitalsCA$2,430Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,815 across 17 hospitalsCO$1,815Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,550 across 22 hospitalsMO$2,550Kentucky: median $1,847 across 18 hospitalsKY$1,847West Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,004 across 11 hospitalsVA$2,004Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $2,408 across 11 hospitalsNM$2,408Kansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,693 across 18 hospitalsTN$1,693North Carolina: median $2,434 across 12 hospitalsNC$2,434South Carolina: median $3,550 across 25 hospitalsSC$3,550Oklahoma: median $563 across 17 hospitalsOK$563Louisiana: median $976 across 17 hospitalsLA$976Mississippi: median $1,507 across 11 hospitalsMS$1,507Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,272 across 26 hospitalsGA$1,272Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 59 hospitalsTX$1,138Florida: median $2,740 across 33 hospitalsFL$2,740
Cash price by state, most expensive first. National median $2,118. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH66$4,084+93%$3,157 – $5,672
New Jersey NJ41$3,986+88%$2,100 – $5,181
Idaho ID12$3,688+74%$1,803 – $4,686
South Carolina SC25$3,550+68%$2,328 – $3,550
Florida FL33$2,740+29%$1,918 – $4,009
Massachusetts MA27$2,588+22%$1,690 – $5,629
Missouri MO22$2,550+20%$1,299 – $4,537
North Carolina NC12$2,434+15%$1,706 – $3,128
California CA73$2,430+15%$793 – $5,222
New Mexico NM11$2,408+14%$1,645 – $5,095
Wisconsin WI31$2,369+12%$1,490 – $3,155
Pennsylvania PA49$2,267+7%$480 – $4,628
New York NY40$2,245+6%$548 – $3,211
Indiana IN29$2,020−5%$1,082 – $3,959
Virginia VA11$2,004−5%$510 – $2,353
Kentucky KY18$1,847−13%$392 – $7,617
Colorado CO17$1,815−14%$1,257 – $2,118
Minnesota MN40$1,771−16%$641 – $3,043
Tennessee TN18$1,693−20%$509 – $2,399
Illinois IL28$1,558−26%$457 – $3,125
Mississippi MS11$1,507−29%$1,414 – $1,560
Georgia GA26$1,272−40%$1,272 – $4,378
Texas TX59$1,138−46%$583 – $1,854
Washington WA15$985−54%$537 – $3,192
Louisiana LA17$976−54%$730 – $1,196
Michigan MI35$687−68%$359 – $2,639
Iowa IA19$684−68%$522 – $1,428
Oklahoma OK17$563−73%$563 – $2,862
Alabama AL9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Delaware DE1not 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 $2,118.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care770$2,186$754 – $4,327
Children’s12fewer than 20 hospitals
Critical access120$1,833$522 – $3,254
Ownership
For-profit95$1,961$928 – $4,450
Government117$1,904$687 – $3,458
Non-profit690$2,186$684 – $4,108
System affiliation
Part of a system794$2,211$754 – $4,323
Independent113$1,558$535 – $3,273

Cash price vs list price

Median list price (chargemaster)$4,056
Median cash price$2,118
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

610 hospitals filed a usable inpatient cash price for this code. The median is $1,854 and the average of the middle 60% is $1,980; most fall between $684 and $3,570.

Cash price percentiles, inpatient, across 610 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
$509$870$1,854$3,341$5,222

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($509 vs $5,222).

Of the 655 hospitals that filed this code inpatient, 610 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

907 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 968 hospitals that filed this code at all gave us
Usable cash price — counted907
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded16
Hospitals that filed this code968

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 Transoral Endoscopic Mucosal Resection.

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 removal of a lesion from the lining (CPT 43254) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43254-upper-endoscopy-with-removal-of-a-lesion-from-the-lining