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Procedure price report · Other OR upper GI therapeutic procedures

Closure of an esophageal opening or fistula through the neck

CPT 43420the billing code this page is about

Surgery through an incision in the neck to close an abnormal opening or channel in the esophagus.

Hospitals typically charge $3,590 cash for this outpatient procedure — the median across 234 hospitals that filed a usable cash price; the average of the middle 60% is $3,333. Most fall between $1,677 and $5,855 (20th–80th percentile).

Hospitals
234
States
39
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 234 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
$1,261$1,728$3,590$5,036$8,820

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($1,261 vs $8,820).

How the prices are spread

$937 – $1,172: 11 hospitals$937$1,172 – $1,467: 19 hospitals$1,467 – $1,835: 25 hospitals$1,467$1,835 – $2,297: 12 hospitals$2,297 – $2,874: 24 hospitals$2,297$2,874 – $3,597: 19 hospitals$3,597 – $4,501: 45 hospitals$3,597$4,501 – $5,632: 20 hospitals$5,632 – $7,048: 9 hospitals$5,632$7,048 – $8,820: 29 hospitals$7,048median $3,590price bands are equal on a log scale
Hospitals per price band (213 of 234 — the bands cover the 5th to 95th percentile)
FromToHospitals
$937$1,17211
$1,172$1,46719
$1,467$1,83525
$1,835$2,29712
$2,297$2,87424
$2,874$3,59719
$3,597$4,50145
$4,501$5,63220
$5,632$7,0489
$7,048$8,82029

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$3,590
Cash as a multiple of Medicare1.06×

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 $3,590.

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: 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: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $1,463 across 11 hospitalsIL$1,463Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $2,219 across 11 hospitalsMI$2,219New York: median $3,838 across 21 hospitalsNY$3,838Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals 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: median $2,524 across 15 hospitalsIA$2,524Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,981 across 19 hospitalsPA$1,981New Jersey: median $4,290 across 23 hospitalsNJ$4,290Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,820 across 21 hospitalsCA$8,820Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 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: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,685 across 12 hospitalsOK$1,685Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $3,688 across 19 hospitalsTX$3,688Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,590. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA21$8,820+146%$8,820 – $8,820
New Jersey NJ23$4,290+20%$3,590 – $5,741
New York NY21$3,838+7%$3,125 – $3,838
Texas TX19$3,688+3%$3,688 – $3,688
Iowa IA15$2,524−30%$2,524 – $2,524
Michigan MI11$2,219−38%$2,219 – $4,559
Pennsylvania PA19$1,981−45%$629 – $5,483
Oklahoma OK12$1,685−53%$1,685 – $1,685
Illinois IL11$1,463−59%$1,273 – $2,524
Florida FL8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Virginia VA1not 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 $3,590.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care205$3,688$1,685 – $5,855
Children’s6fewer than 20 hospitals
Critical access22$2,524$1,273 – $8,795
Ownership
For-profit22$3,556$1,273 – $5,269
Government33$3,838$1,824 – $7,172
Non-profit178$3,590$1,677 – $5,855
System affiliation
Part of a system196$3,688$1,685 – $6,634
Independent38$2,155$1,619 – $4,290

Cash price vs list price

Median list price (chargemaster)$3,594
Median cash price$3,590
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

132 hospitals filed a usable inpatient cash price for this code. The median is $2,524 and the average of the middle 60% is $3,412; most fall between $1,676 and $8,795.

Cash price percentiles, inpatient, across 132 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
$1,273$1,685$2,524$6,111$8,820

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($1,273 vs $8,820).

Of the 146 hospitals that filed this code inpatient, 132 gave a usable cash price; 13 carried a plausibility flag, 0 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

234 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 255 hospitals that filed this code at all gave us
Usable cash price — counted234
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) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded1
Hospitals that filed this code255

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 5, 2026 and September 23, 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 Other OR upper GI therapeutic procedures family.

Hospitals file this code under descriptions such as PR Repair Esophagus Opening,Cerv Apprch.

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, “Closure of an esophageal opening or fistula through the neck (CPT 43420) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43420-closure-of-an-esophageal-opening-or-fistula-through-the-neck