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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with control of bleeding

CPT 43255the billing code this page is about

A flexible scope is passed through the mouth and bleeding in the esophagus, stomach or upper small intestine is stopped using heat, clips or injection.

Hospitals typically charge $1,909 cash for this outpatient procedure — the median across 1,517 hospitals that filed a usable cash price; the average of the middle 60% is $1,988. Most fall between $770 and $3,764 (20th–80th percentile).

Hospitals
1,517
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 1,517 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
$522$938$1,909$3,233$5,332

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($522 vs $5,332).

How the prices are spread

$377 – $501: 63 hospitals$377$501 – $667: 102 hospitals$667 – $888: 118 hospitals$667$888 – $1,183: 152 hospitals$1,183 – $1,574: 124 hospitals$1,183$1,574 – $2,096: 200 hospitals$2,096 – $2,790: 214 hospitals$2,096$2,790 – $3,715: 158 hospitals$3,715 – $4,945: 140 hospitals$3,715$4,945 – $6,583: 96 hospitals$4,945median $1,909price bands are equal on a log scale
Hospitals per price band (1,367 of 1,517 — the bands cover the 5th to 95th percentile)
FromToHospitals
$377$50163
$501$667102
$667$888118
$888$1,183152
$1,183$1,574124
$1,574$2,096200
$2,096$2,790214
$2,790$3,715158
$3,715$4,945140
$4,945$6,58396

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,909
Cash as a multiple of Medicare0.97×

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 $1,909.

Alaska: median $2,424 across 10 hospitalsAK$2,424Maine: median $1,141 across 10 hospitalsME$1,141Vermont: median $1,298 across 10 hospitalsVT$1,298New Hampshire: median $1,380 across 15 hospitalsNH$1,380Washington: median $1,097 across 36 hospitalsWA$1,097Idaho: median $2,414 across 17 hospitalsID$2,414Montana: median $1,104 across 15 hospitalsMT$1,104North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,780 across 63 hospitalsMN$1,780Illinois: median $1,544 across 48 hospitalsIL$1,544Wisconsin: median $1,923 across 49 hospitalsWI$1,923Michigan: median $1,137 across 48 hospitalsMI$1,137New York: median $2,245 across 60 hospitalsNY$2,245Massachusetts: median $3,148 across 36 hospitalsMA$3,148Oregon: median $1,529 across 35 hospitalsOR$1,529Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,830 across 11 hospitalsSD$1,830Iowa: median $1,458 across 52 hospitalsIA$1,458Indiana: median $2,020 across 33 hospitalsIN$2,020Ohio: median $3,359 across 89 hospitalsOH$3,359Pennsylvania: median $2,400 across 73 hospitalsPA$2,400New Jersey: median $2,531 across 40 hospitalsNJ$2,531Connecticut: median $3,028 across 16 hospitalsCT$3,028Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,867 across 95 hospitalsCA$2,867Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,914 across 31 hospitalsCO$1,914Nebraska: median $1,454 across 23 hospitalsNE$1,454Missouri: median $1,102 across 45 hospitalsMO$1,102Kentucky: median $711 across 22 hospitalsKY$711West Virginia: median $578 across 25 hospitalsWV$578Virginia: median $1,779 across 29 hospitalsVA$1,779Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,401 across 11 hospitalsAZ$3,401New Mexico: median $2,408 across 20 hospitalsNM$2,408Kansas: median $747 across 30 hospitalsKS$747Arkansas: median $692 across 15 hospitalsAR$692Tennessee: median $1,093 across 35 hospitalsTN$1,093North Carolina: median $1,909 across 22 hospitalsNC$1,909South Carolina: median $3,764 across 27 hospitalsSC$3,764Oklahoma: median $746 across 26 hospitalsOK$746Louisiana: median $986 across 35 hospitalsLA$986Mississippi: median $1,473 across 30 hospitalsMS$1,473Alabama: median $1,909 across 24 hospitalsAL$1,909Georgia: median $1,472 across 38 hospitalsGA$1,472Hawaii: median $1,519 across 10 hospitalsHI$1,519Texas: median $1,468 across 77 hospitalsTX$1,468Florida: median $2,757 across 43 hospitalsFL$2,757
Cash price by state, most expensive first. National median $1,909. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC27$3,764+97%$1,852 – $3,983
Arizona AZ11$3,401+78%$739 – $5,753
Ohio OH89$3,359+76%$2,038 – $5,672
Massachusetts MA36$3,148+65%$1,825 – $5,458
Connecticut CT16$3,028+59%$1,947 – $6,602
California CA95$2,867+50%$1,870 – $4,337
Florida FL43$2,757+44%$1,596 – $3,841
New Jersey NJ40$2,531+33%$2,201 – $5,110
Alaska AK10$2,424+27%$417 – $4,274
Idaho ID17$2,414+27%$1,251 – $4,686
New Mexico NM20$2,408+26%$1,412 – $3,864
Pennsylvania PA73$2,400+26%$871 – $3,880
New York NY60$2,245+18%$565 – $3,907
Indiana IN33$2,020+6%$546 – $5,212
Wisconsin WI49$1,923+1%$1,252 – $2,342
Colorado CO31$1,9140%$1,062 – $3,295
Alabama AL24$1,9090%$915 – $5,842
North Carolina NC22$1,9090%$1,283 – $2,888
South Dakota SD11$1,830−4%$1,112 – $1,830
Minnesota MN63$1,780−7%$726 – $2,309
Virginia VA29$1,779−7%$1,028 – $4,427
Illinois IL48$1,544−19%$693 – $3,081
Oregon OR35$1,529−20%$569 – $3,784
Hawaii HI10$1,519−20%$799 – $3,071
Mississippi MS30$1,473−23%$941 – $3,064
Georgia GA38$1,472−23%$1,472 – $3,201
Texas TX77$1,468−23%$981 – $3,734
Iowa IA52$1,458−24%$719 – $2,113
Nebraska NE23$1,454−24%$967 – $1,836
New Hampshire NH15$1,380−28%$224 – $1,980
Vermont VT10$1,298−32%$499 – $3,303
Maine ME10$1,141−40%$629 – $2,755
Michigan MI48$1,137−40%$938 – $2,639
Montana MT15$1,104−42%$291 – $2,133
Missouri MO45$1,102−42%$701 – $2,981
Washington WA36$1,097−43%$577 – $2,790
Tennessee TN35$1,093−43%$806 – $2,612
Louisiana LA35$986−48%$618 – $1,743
Kansas KS30$747−61%$521 – $1,594
Oklahoma OK26$746−61%$746 – $2,950
Kentucky KY22$711−63%$414 – $6,207
Arkansas AR15$692−64%$630 – $1,070
West Virginia WV25$578−70%$208 – $1,345
North Dakota ND8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Utah UT3not 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 $1,909.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,112$2,201$941 – $4,138
Children’s21$1,830$890 – $5,128
Critical access378$1,137$577 – $2,342
Ownership
For-profit165$2,252$1,132 – $4,815
Government291$1,468$681 – $2,785
Non-profit1,055$1,923$806 – $3,798
System affiliation
Part of a system1,187$2,048$898 – $4,087
Independent330$1,336$521 – $2,753

Cash price vs list price

Median list price (chargemaster)$3,245
Median cash price$1,909
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

915 hospitals filed a usable inpatient cash price for this code. The median is $1,887 and the average of the middle 60% is $1,952; most fall between $746 and $3,589.

Cash price percentiles, inpatient, across 915 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
$505$940$1,887$3,199$4,686

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($505 vs $4,686).

Of the 992 hospitals that filed this code inpatient, 915 gave a usable cash price; 31 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 46 a list price only.

How complete is this

1,517 of the 3,956 hospitals with a price file in our corpus (38%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,633 hospitals that filed this code at all gave us
Usable cash price — counted1,517
Cash price carrying a plausibility flag — shown on the compare tool, excluded here62
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded45
Hospitals that filed this code1,633

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 Transoral Control Bleeding Any Method.

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 control of bleeding (CPT 43255) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43255-upper-endoscopy-with-control-of-bleeding