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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with destruction of a growth

CPT 43270the billing code this page is about

A scope is passed through the mouth and a tumor, polyp or other abnormal tissue in the esophagus, stomach or upper small intestine is destroyed with heat, laser or similar energy.

Hospitals typically charge $2,102 cash for this outpatient procedure — the median across 1,133 hospitals that filed a usable cash price; the average of the middle 60% is $2,249. Most fall between $898 and $4,206 (20th–80th percentile).

Hospitals
1,133
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 1,133 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$1,138$2,102$3,561$5,739

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($522 vs $5,739).

How the prices are spread

$326 – $446: 37 hospitals$326$446 – $610: 45 hospitals$610 – $834: 62 hospitals$610$834 – $1,140: 102 hospitals$1,140 – $1,558: 101 hospitals$1,140$1,558 – $2,130: 166 hospitals$2,130 – $2,911: 195 hospitals$2,130$2,911 – $3,980: 133 hospitals$3,980 – $5,440: 104 hospitals$3,980$5,440 – $7,437: 76 hospitals$5,440median $2,102price bands are equal on a log scale
Hospitals per price band (1,021 of 1,133 — the bands cover the 5th to 95th percentile)
FromToHospitals
$326$44637
$446$61045
$610$83462
$834$1,140102
$1,140$1,558101
$1,558$2,130166
$2,130$2,911195
$2,911$3,980133
$3,980$5,440104
$5,440$7,43776

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,102
Cash as a multiple of Medicare1.07×

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 $2,102.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $953 across 12 hospitalsNH$953Washington: median $1,872 across 22 hospitalsWA$1,872Idaho: median $3,083 across 12 hospitalsID$3,083Montana: 8 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 $1,907 across 46 hospitalsMN$1,907Illinois: median $1,885 across 37 hospitalsIL$1,885Wisconsin: median $2,506 across 37 hospitalsWI$2,506Michigan: median $1,164 across 37 hospitalsMI$1,164New York: median $1,854 across 51 hospitalsNY$1,854Massachusetts: median $4,713 across 30 hospitalsMA$4,713Oregon: median $1,340 across 20 hospitalsOR$1,340Nevada: 5 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 $1,750 across 26 hospitalsIA$1,750Indiana: median $641 across 33 hospitalsIN$641Ohio: median $3,635 across 69 hospitalsOH$3,635Pennsylvania: median $2,835 across 70 hospitalsPA$2,835New Jersey: median $2,531 across 40 hospitalsNJ$2,531Connecticut: median $2,648 across 13 hospitalsCT$2,648Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,850 across 76 hospitalsCA$3,850Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,879 across 16 hospitalsCO$1,879Nebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,660 across 37 hospitalsMO$1,660Kentucky: median $760 across 18 hospitalsKY$760West Virginia: median $519 across 17 hospitalsWV$519Virginia: median $2,353 across 19 hospitalsVA$2,353Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,939 across 14 hospitalsNM$1,939Kansas: median $1,154 across 11 hospitalsKS$1,154Arkansas: median $1,662 across 12 hospitalsAR$1,662Tennessee: median $1,197 across 17 hospitalsTN$1,197North Carolina: median $1,750 across 19 hospitalsNC$1,750South Carolina: median $4,574 across 23 hospitalsSC$4,574Oklahoma: median $1,083 across 21 hospitalsOK$1,083Louisiana: median $860 across 27 hospitalsLA$860Mississippi: median $1,560 across 19 hospitalsMS$1,560Alabama: median $2,266 across 22 hospitalsAL$2,266Georgia: median $1,342 across 30 hospitalsGA$1,342Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 68 hospitalsTX$1,138Florida: median $2,636 across 37 hospitalsFL$2,636
Cash price by state, most expensive first. National median $2,102. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA30$4,713+124%$1,975 – $7,197
South Carolina SC23$4,574+118%$2,964 – $4,574
California CA76$3,850+83%$1,297 – $4,813
Ohio OH69$3,635+73%$2,660 – $5,672
Idaho ID12$3,083+47%$2,163 – $4,686
Pennsylvania PA70$2,835+35%$686 – $4,913
Connecticut CT13$2,648+26%$1,945 – $3,211
Florida FL37$2,636+25%$1,824 – $3,322
New Jersey NJ40$2,531+20%$2,102 – $5,298
Wisconsin WI37$2,506+19%$1,400 – $3,470
Virginia VA19$2,353+12%$771 – $3,716
Alabama AL22$2,266+8%$1,616 – $8,276
New Mexico NM14$1,939−8%$1,645 – $2,775
Minnesota MN46$1,907−9%$1,217 – $2,885
Illinois IL37$1,885−10%$795 – $3,679
Colorado CO16$1,879−11%$1,609 – $3,167
Washington WA22$1,872−11%$607 – $3,950
New York NY51$1,854−12%$661 – $2,395
Iowa IA26$1,750−17%$699 – $1,750
North Carolina NC19$1,750−17%$1,385 – $2,519
Arkansas AR12$1,662−21%$979 – $1,856
Missouri MO37$1,660−21%$1,016 – $4,269
Mississippi MS19$1,560−26%$920 – $1,864
Georgia GA30$1,342−36%$1,342 – $3,605
Oregon OR20$1,340−36%$1,285 – $3,784
Tennessee TN17$1,197−43%$643 – $2,354
Michigan MI37$1,164−45%$320 – $2,639
Kansas KS11$1,154−45%$614 – $1,807
Texas TX68$1,138−46%$659 – $2,826
Oklahoma OK21$1,083−48%$868 – $2,906
New Hampshire NH12$953−55%$253 – $1,723
Louisiana LA27$860−59%$593 – $1,693
Kentucky KY18$760−64%$641 – $7,617
Indiana IN33$641−70%$383 – $4,544
West Virginia WV17$519−75%$232 – $835
Nebraska NE9not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Wyoming WY3not 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 $2,102.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care905$2,234$1,037 – $4,305
Children’s16fewer than 20 hospitals
Critical access208$1,467$559 – $3,093
Ownership
For-profit118$2,091$1,138 – $4,686
Government177$1,979$932 – $3,322
Non-profit834$2,147$868 – $4,206
System affiliation
Part of a system945$2,186$953 – $4,206
Independent188$1,806$607 – $3,083

Cash price vs list price

Median list price (chargemaster)$3,783
Median cash price$2,102
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

723 hospitals filed a usable inpatient cash price for this code. The median is $2,182 and the average of the middle 60% is $2,311; most fall between $920 and $4,206.

Cash price percentiles, inpatient, across 723 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
$611$1,138$2,182$3,673$5,672

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($611 vs $5,672).

Of the 790 hospitals that filed this code inpatient, 723 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 43 a list price only.

How complete is this

1,133 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,227 hospitals that filed this code at all gave us
Usable cash price — counted1,133
Cash price carrying a plausibility flag — shown on the compare tool, excluded here53
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded35
Hospitals that filed this code1,227

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 Ablate Tumor Polyp/Lesion W/Dilation& Wire.

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 destruction of a growth (CPT 43270) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43270-upper-endoscopy-with-destruction-of-a-growth