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Procedure price report · Esophageal dilatation

Stretching of the esophagus over a guide wire

CPT 43453the billing code this page is about

The narrowed esophagus is widened by passing dilators over a guide wire that has been placed through the mouth into the esophagus.

Hospitals typically charge $1,715 cash for this outpatient procedure — the median across 750 hospitals that filed a usable cash price; the average of the middle 60% is $1,780. Most fall between $611 and $3,554 (20th–80th percentile).

Hospitals
750
States
49
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 750 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
$327$729$1,715$2,808$5,110

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($327 vs $5,110).

How the prices are spread

$161 – $231: 28 hospitals$161$231 – $333: 17 hospitals$333 – $479: 31 hospitals$333$479 – $689: 58 hospitals$689 – $992: 70 hospitals$689$992 – $1,427: 83 hospitals$1,427 – $2,054: 102 hospitals$1,427$2,054 – $2,956: 144 hospitals$2,956 – $4,253: 83 hospitals$2,956$4,253 – $6,120: 62 hospitals$4,253median $1,715price bands are equal on a log scale
Hospitals per price band (678 of 750 — the bands cover the 5th to 95th percentile)
FromToHospitals
$161$23128
$231$33317
$333$47931
$479$68958
$689$99270
$992$1,42783
$1,427$2,054102
$2,054$2,956144
$2,956$4,25383
$4,253$6,12062

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,715
Cash as a multiple of Medicare0.87×

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 $1,715.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals 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: median $673 across 14 hospitalsWA$673Idaho: median $3,986 across 11 hospitalsID$3,986Montana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,503 across 21 hospitalsMN$1,503Illinois: median $1,238 across 35 hospitalsIL$1,238Wisconsin: median $1,021 across 24 hospitalsWI$1,021Michigan: median $185 across 30 hospitalsMI$185New York: median $2,245 across 40 hospitalsNY$2,245Massachusetts: median $2,786 across 18 hospitalsMA$2,786Oregon: median $2,160 across 13 hospitalsOR$2,160Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,142 across 19 hospitalsIA$2,142Indiana: median $729 across 25 hospitalsIN$729Ohio: median $999 across 18 hospitalsOH$999Pennsylvania: median $2,946 across 25 hospitalsPA$2,946New Jersey: median $4,350 across 39 hospitalsNJ$4,350Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,808 across 63 hospitalsCA$2,808Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,141 across 19 hospitalsMO$2,141Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,564 across 15 hospitalsVA$1,564Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $460 across 10 hospitalsAZ$460New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $1,350 across 12 hospitalsAR$1,350Tennessee: median $721 across 13 hospitalsTN$721North Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $1,637 across 22 hospitalsSC$1,637Oklahoma: median $142 across 13 hospitalsOK$142Louisiana: median $838 across 18 hospitalsLA$838Mississippi: median $788 across 10 hospitalsMS$788Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $3,554 across 35 hospitalsGA$3,554Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,107 across 57 hospitalsTX$1,107Florida: median $1,904 across 39 hospitalsFL$1,904
Cash price by state, most expensive first. National median $1,715. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ39$4,350+154%$2,102 – $5,339
Idaho ID11$3,986+132%$783 – $4,686
Georgia GA35$3,554+107%$2,003 – $3,949
Pennsylvania PA25$2,946+72%$2,224 – $3,880
California CA63$2,808+64%$1,761 – $5,163
Massachusetts MA18$2,786+62%$1,815 – $5,890
New York NY40$2,245+31%$353 – $3,168
Oregon OR13$2,160+26%$157 – $2,294
Iowa IA19$2,142+25%$606 – $2,142
Missouri MO19$2,141+25%$944 – $3,910
Florida FL39$1,904+11%$1,023 – $2,525
South Carolina SC22$1,637−5%$1,637 – $1,934
Virginia VA15$1,564−9%$554 – $2,353
Minnesota MN21$1,503−12%$776 – $2,518
Arkansas AR12$1,350−21%$686 – $1,715
Illinois IL35$1,238−28%$669 – $3,380
Texas TX57$1,107−35%$963 – $1,642
Wisconsin WI24$1,021−40%$1,021 – $3,639
Ohio OH18$999−42%$367 – $2,717
Louisiana LA18$838−51%$577 – $1,693
Mississippi MS10$788−54%$438 – $1,480
Indiana IN25$729−57%$483 – $1,028
Tennessee TN13$721−58%$327 – $1,293
Washington WA14$673−61%$523 – $2,472
Arizona AZ10$460−73%$395 – $778
Michigan MI30$185−89%$161 – $1,021
Oklahoma OK13$142−92%$142 – $2,294
Alabama AL9not enough hospitals filed a usable price
Kansas KS9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not 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 $1,715.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care616$1,934$667 – $3,554
Children’s21$1,471$490 – $3,576
Critical access113$1,021$436 – $2,531
Ownership
For-profit73$1,904$690 – $3,554
Government118$1,560$665 – $2,525
Non-profit559$1,715$600 – $3,639
System affiliation
Part of a system630$1,838$665 – $3,605
Independent120$1,286$331 – $2,732

Cash price vs list price

Median list price (chargemaster)$2,736
Median cash price$1,715
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

514 hospitals filed a usable inpatient cash price for this code. The median is $1,642 and the average of the middle 60% is $1,788; most fall between $686 and $3,605.

Cash price percentiles, inpatient, across 514 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
$327$781$1,642$3,038$5,163

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($327 vs $5,163).

Of the 581 hospitals that filed this code inpatient, 514 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 38 a list price only.

How complete is this

750 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 830 hospitals that filed this code at all gave us
Usable cash price — counted750
Cash price carrying a plausibility flag — shown on the compare tool, excluded here44
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded34
Hospitals that filed this code830

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 Esophageal dilatation family.

Hospitals file this code under descriptions such as Dilation Esophagus Guide 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, “Stretching of the esophagus over a guide wire (CPT 43453) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43453-stretching-of-the-esophagus-over-a-guide-wire