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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with heat treatment of the lower esophagus

CPT 43257the billing code this page is about

A flexible scope is passed through the mouth and thermal energy is applied to the muscle at the junction of the esophagus and stomach to treat reflux.

Hospitals typically charge $2,906 cash for this outpatient procedure — the median across 468 hospitals that filed a usable cash price; the average of the middle 60% is $2,862. Most fall between $589 and $5,401 (20th–80th percentile).

Hospitals
468
States
44
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 468 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
$410$723$2,906$4,881$7,006

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($410 vs $7,006).

How the prices are spread

$311 – $440: 31 hospitals$311$440 – $622: 54 hospitals$622 – $880: 30 hospitals$622$880 – $1,245: 12 hospitals$1,245 – $1,761: 14 hospitals$1,245$1,761 – $2,491: 60 hospitals$2,491 – $3,523: 34 hospitals$2,491$3,523 – $4,982: 95 hospitals$4,982 – $7,046: 70 hospitals$4,982$7,046 – $9,966: 24 hospitals$7,046median $2,906price bands are equal on a log scale
Hospitals per price band (424 of 468 — the bands cover the 5th to 95th percentile)
FromToHospitals
$311$44031
$440$62254
$622$88030
$880$1,24512
$1,245$1,76114
$1,761$2,49160
$2,491$3,52334
$3,523$4,98295
$4,982$7,04670
$7,046$9,96624

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,939
Median cash price$2,906
Cash as a multiple of Medicare0.74×

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 $2,906.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $908 across 20 hospitalsIL$908Wisconsin: median $589 across 13 hospitalsWI$589Michigan: median $589 across 13 hospitalsMI$589New York: median $4,502 across 23 hospitalsNY$4,502Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $587 across 15 hospitalsIA$587Indiana: median $2,896 across 15 hospitalsIN$2,896Ohio: median $5,043 across 22 hospitalsOH$5,043Pennsylvania: median $6,312 across 24 hospitalsPA$6,312New Jersey: median $4,881 across 28 hospitalsNJ$4,881Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,160 across 47 hospitalsCA$4,160Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,422 across 12 hospitalsVA$2,422Maryland: 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: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $3,659 across 17 hospitalsSC$3,659Oklahoma: median $383 across 13 hospitalsOK$383Louisiana: median $1,623 across 19 hospitalsLA$1,623Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,868 across 21 hospitalsGA$1,868Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,283 across 28 hospitalsTX$2,283Florida: median $3,819 across 22 hospitalsFL$3,819
Cash price by state, most expensive first. National median $2,906. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA24$6,312+117%$3,424 – $7,782
Ohio OH22$5,043+74%$3,429 – $6,387
New Jersey NJ28$4,881+68%$4,211 – $6,839
New York NY23$4,502+55%$655 – $4,502
California CA47$4,160+43%$2,455 – $5,499
Florida FL22$3,819+31%$2,149 – $11,573
South Carolina SC17$3,659+26%$3,659 – $4,454
Indiana IN15$2,8960%$2,165 – $3,914
Virginia VA12$2,422−17%$154 – $4,719
Texas TX28$2,283−21%$828 – $2,463
Georgia GA21$1,868−36%$1,868 – $3,731
Louisiana LA19$1,623−44%$1,001 – $4,061
Illinois IL20$908−69%$181 – $4,687
Michigan MI13$589−80%$484 – $5,301
Wisconsin WI13$589−80%$589 – $589
Iowa IA15$587−80%$587 – $587
Oklahoma OK13$383−87%$383 – $3,413
Tennessee TN9not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
South Dakota SD1not 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 $2,906.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care397$3,392$595 – $5,401
Children’s10fewer than 20 hospitals
Critical access61$808$535 – $4,564
Ownership
For-profit45$2,293$484 – $5,710
Government65$2,953$691 – $4,731
Non-profit358$3,139$589 – $5,339
System affiliation
Part of a system413$3,182$589 – $5,419
Independent55$1,130$410 – $4,731

Cash price vs list price

Median list price (chargemaster)$5,261
Median cash price$2,906
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

350 hospitals filed a usable inpatient cash price for this code. The median is $2,380 and the average of the middle 60% is $2,700; most fall between $587 and $5,499.

Cash price percentiles, inpatient, across 350 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
$383$589$2,380$5,043$8,663

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($383 vs $8,663).

Of the 400 hospitals that filed this code inpatient, 350 gave a usable cash price; 24 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

468 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 520 hospitals that filed this code at all gave us
Usable cash price — counted468
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) — excluded3
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded14
Hospitals that filed this code520

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 Deliver Thermal Energy Sphnctr/Cardia Gerd.

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 heat treatment of the lower esophagus (CPT 43257) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43257-upper-endoscopy-with-heat-treatment-of-the-lower-esophagus