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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Upper endoscopy with placement of a stomach balloon

CPT 43290the billing code this page is about

A flexible scope passed through the mouth into the stomach to insert and fill a weight-loss balloon.

Hospitals typically charge $2,267 cash for this outpatient procedure — the median across 252 hospitals that filed a usable cash price; the average of the middle 60% is $2,454. Most fall between $1,096 and $3,679 (20th–80th percentile).

Hospitals
252
States
38
Filings dated
Jan 2025 – 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 252 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
$394$1,677$2,267$3,207$4,807

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($394 vs $4,807).

How the prices are spread

$296 – $399: 22 hospitals$296$399 – $538: 4 hospitals$538 – $725: 1 hospitals$538$725 – $977: 16 hospitals$977 – $1,317: 9 hospitals$977$1,317 – $1,775: 7 hospitals$1,775 – $2,392: 80 hospitals$1,775$2,392 – $3,223: 45 hospitals$3,223 – $4,344: 29 hospitals$3,223$4,344 – $5,855: 22 hospitals$4,344median $2,267price bands are equal on a log scale
Hospitals per price band (235 of 252 — the bands cover the 5th to 95th percentile)
FromToHospitals
$296$39922
$399$5384
$538$7251
$725$97716
$977$1,3179
$1,317$1,7757
$1,775$2,39280
$2,392$3,22345
$3,223$4,34429
$4,344$5,85522

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,267
Cash as a multiple of Medicare1.16×

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 $2,267.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,822 across 11 hospitalsMN$1,822Illinois: 7 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 4 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $2,245 across 22 hospitalsNY$2,245Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 1 hospital filed a usable price — fewer than 10, so no figureIAIndiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $2,267 across 13 hospitalsPA$2,267New Jersey: median $3,986 across 26 hospitalsNJ$3,986Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,679 across 24 hospitalsCA$3,679Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: median $2,704 across 10 hospitalsVA$2,704Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $296 across 13 hospitalsOK$296Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: median $1,966 across 21 hospitalsGA$1,966Hawaii: no hospital in the corpus filed a usable priceHITexas: median $924 across 10 hospitalsTX$924Florida: median $2,509 across 12 hospitalsFL$2,509
Cash price by state, most expensive first. National median $2,267. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ26$3,986+76%$2,102 – $5,855
California CA24$3,679+62%$3,679 – $3,679
Virginia VA10$2,704+19%$2,287 – $2,704
Florida FL12$2,509+11%$1,904 – $2,509
Pennsylvania PA13$2,2670%$2,213 – $3,574
New York NY22$2,245−1%$2,245 – $2,395
Georgia GA21$1,966−13%$1,677 – $4,807
Minnesota MN11$1,822−20%$1,822 – $2,068
Texas TX10$924−59%$455 – $924
Oklahoma OK13$296−87%$296 – $2,397
Wisconsin WI8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Illinois IL7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Michigan MI4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Iowa IA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
West Virginia WV1not 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 $2,267.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care229$2,287$1,006 – $3,679
Children’s1fewer than 20 hospitals
Critical access21$2,130$1,822 – $3,148
Ownership
For-profit19fewer than 20 hospitals
Government34$2,245$1,822 – $3,251
Non-profit198$2,287$924 – $3,679
System affiliation
Part of a system223$2,267$1,173 – $3,679
Independent29$2,397$320 – $4,458

Cash price vs list price

Median list price (chargemaster)$5,056
Median cash price$2,267
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

157 hospitals filed a usable inpatient cash price for this code. The median is $2,267 and the average of the middle 60% is $2,383; most fall between $924 and $3,679.

Cash price percentiles, inpatient, across 157 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
$320$1,096$2,267$3,251$4,337

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($320 vs $4,337).

Of the 175 hospitals that filed this code inpatient, 157 gave a usable cash price; 15 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

252 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 274 hospitals that filed this code at all gave us
Usable cash price — counted252
Cash price carrying a plausibility flag — shown on the compare tool, excluded here18
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 — excluded1
Hospitals that filed this code274

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 Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo.

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 placement of a stomach balloon (CPT 43290) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43290-upper-endoscopy-with-placement-of-a-stomach-balloon