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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with ultrasound of the esophagus and stomach

CPT 43259the billing code this page is about

A flexible scope is passed through the mouth into the esophagus, stomach and upper small intestine, with an ultrasound probe on the tip used to image those walls and nearby structures.

Hospitals typically charge $2,234 cash for this outpatient procedure — the median across 873 hospitals that filed a usable cash price; the average of the middle 60% is $2,276. Most fall between $708 and $3,875 (20th–80th percentile).

Hospitals
873
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 873 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
$482$1,074$2,234$3,632$5,323

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($482 vs $5,323).

How the prices are spread

$375 – $501: 47 hospitals$375$501 – $670: 69 hospitals$670 – $895: 37 hospitals$670$895 – $1,196: 64 hospitals$1,196 – $1,599: 41 hospitals$1,196$1,599 – $2,137: 116 hospitals$2,137 – $2,856: 126 hospitals$2,137$2,856 – $3,818: 149 hospitals$3,818 – $5,102: 82 hospitals$3,818$5,102 – $6,820: 56 hospitals$5,102median $2,234price bands are equal on a log scale
Hospitals per price band (787 of 873 — the bands cover the 5th to 95th percentile)
FromToHospitals
$375$50147
$501$67069
$670$89537
$895$1,19664
$1,196$1,59941
$1,599$2,137116
$2,137$2,856126
$2,856$3,818149
$3,818$5,10282
$5,102$6,82056

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,234
Cash as a multiple of Medicare1.14×

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 $2,234.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 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 $2,609 across 13 hospitalsWA$2,609Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,003 across 40 hospitalsMN$2,003Illinois: median $2,386 across 31 hospitalsIL$2,386Wisconsin: median $2,934 across 30 hospitalsWI$2,934Michigan: median $822 across 35 hospitalsMI$822New York: median $2,245 across 47 hospitalsNY$2,245Massachusetts: median $3,668 across 24 hospitalsMA$3,668Oregon: median $621 across 16 hospitalsOR$621Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $573 across 20 hospitalsIA$573Indiana: median $2,381 across 14 hospitalsIN$2,381Ohio: median $3,706 across 61 hospitalsOH$3,706Pennsylvania: median $2,267 across 43 hospitalsPA$2,267New Jersey: median $2,531 across 40 hospitalsNJ$2,531Connecticut: median $6,602 across 11 hospitalsCT$6,602Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,397 across 68 hospitalsCA$3,397Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,889 across 16 hospitalsCO$1,889Nebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,177 across 19 hospitalsMO$2,177Kentucky: median $6,002 across 11 hospitalsKY$6,002West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,004 across 18 hospitalsVA$2,004Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,922 across 11 hospitalsNM$1,922Kansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,093 across 18 hospitalsTN$1,093North Carolina: median $2,173 across 13 hospitalsNC$2,173South Carolina: median $3,914 across 26 hospitalsSC$3,914Oklahoma: median $470 across 15 hospitalsOK$470Louisiana: median $645 across 21 hospitalsLA$645Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,131 across 26 hospitalsGA$2,131Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 50 hospitalsTX$1,138Florida: median $3,269 across 35 hospitalsFL$3,269
Cash price by state, most expensive first. National median $2,234. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT11$6,602+196%$2,334 – $7,545
Kentucky KY11$6,002+169%$536 – $7,617
South Carolina SC26$3,914+75%$3,296 – $4,474
Ohio OH61$3,706+66%$2,853 – $5,672
Massachusetts MA24$3,668+64%$2,537 – $5,323
California CA68$3,397+52%$1,547 – $4,742
Florida FL35$3,269+46%$2,070 – $3,806
Wisconsin WI30$2,934+31%$1,258 – $3,463
Washington WA13$2,609+17%$453 – $4,731
New Jersey NJ40$2,531+13%$2,201 – $5,741
Illinois IL31$2,386+7%$954 – $3,702
Indiana IN14$2,381+7%$536 – $7,440
Pennsylvania PA43$2,267+1%$169 – $4,057
New York NY47$2,2450%$684 – $3,675
Missouri MO19$2,177−3%$1,022 – $3,468
North Carolina NC13$2,173−3%$1,706 – $3,277
Georgia GA26$2,131−5%$2,131 – $3,632
Virginia VA18$2,004−10%$1,041 – $4,127
Minnesota MN40$2,003−10%$1,237 – $3,156
New Mexico NM11$1,922−14%$1,645 – $2,986
Colorado CO16$1,889−15%$1,417 – $2,612
Texas TX50$1,138−49%$537 – $1,838
Tennessee TN18$1,093−51%$297 – $1,867
Michigan MI35$822−63%$708 – $2,639
Louisiana LA21$645−71%$574 – $1,054
Oregon OR16$621−72%$407 – $2,536
Iowa IA20$573−74%$573 – $746
Oklahoma OK15$470−79%$470 – $2,802
Nebraska NE9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $2,234.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care750$2,245$822 – $3,914
Children’s16fewer than 20 hospitals
Critical access103$1,675$536 – $3,463
Ownership
For-profit83$1,889$822 – $3,896
Government106$2,245$920 – $3,784
Non-profit680$2,245$708 – $3,914
System affiliation
Part of a system752$2,267$856 – $3,914
Independent121$1,815$521 – $3,647

Cash price vs list price

Median list price (chargemaster)$3,889
Median cash price$2,234
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

575 hospitals filed a usable inpatient cash price for this code. The median is $2,080 and the average of the middle 60% is $2,205; most fall between $578 and $3,806.

Cash price percentiles, inpatient, across 575 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
$455$844$2,080$3,629$4,889

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($455 vs $4,889).

Of the 626 hospitals that filed this code inpatient, 575 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 36 a list price only.

How complete is this

873 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 940 hospitals that filed this code at all gave us
Usable cash price — counted873
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded25
Hospitals that filed this code940

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 Edg US Exam Surgical Alter Stom Duodenum/Jejunum.

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 of the esophagus and stomach (CPT 43259) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43259-upper-endoscopy-with-ultrasound-of-the-esophagus-and-stomach