HRHospitalRates.comCompare prices

Procedure price report · Other OR upper GI therapeutic procedures

Cutting of the lower esophagus muscle through the mouth

CPT 43497the billing code this page is about

An endoscope passed through the mouth is used to tunnel under the lining and cut the muscle at the lower end of the esophagus so food can pass more easily.

Hospitals typically charge $5,720 cash for this outpatient procedure — the median across 427 hospitals that filed a usable cash price; the average of the middle 60% is $5,547. Most fall between $2,255 and $7,886 (20th–80th percentile).

Hospitals
427
States
42
Filings dated
Nov 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 427 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
$1,183$3,264$5,720$7,436$10,439

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($1,183 vs $10,439).

How the prices are spread

$815 – $1,107: 17 hospitals$815$1,107 – $1,504: 26 hospitals$1,504 – $2,044: 16 hospitals$1,504$2,044 – $2,777: 19 hospitals$2,777 – $3,774: 35 hospitals$2,777$3,774 – $5,127: 44 hospitals$5,127 – $6,967: 98 hospitals$5,127$6,967 – $9,466: 105 hospitals$9,466 – $12,863: 19 hospitals$9,466$12,863 – $17,477: 7 hospitals$12,863median $5,720price bands are equal on a log scale
Hospitals per price band (386 of 427 — the bands cover the 5th to 95th percentile)
FromToHospitals
$815$1,10717
$1,107$1,50426
$1,504$2,04416
$2,044$2,77719
$2,777$3,77435
$3,774$5,12744
$5,127$6,96798
$6,967$9,466105
$9,466$12,86319
$12,863$17,4777

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,202
Median cash price$5,720
Cash as a multiple of Medicare0.92×

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 $5,720.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $5,365 across 20 hospitalsIL$5,365Wisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: median $1,347 across 10 hospitalsMI$1,347New York: median $7,044 across 22 hospitalsNY$7,044Massachusetts: median $18,483 across 13 hospitalsMA$18,483Oregon: 6 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: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $1,183 across 17 hospitalsIN$1,183Ohio: median $6,978 across 23 hospitalsOH$6,978Pennsylvania: median $7,173 across 24 hospitalsPA$7,173New Jersey: median $6,595 across 34 hospitalsNJ$6,595Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,922 across 47 hospitalsCA$6,922Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $4,013 across 12 hospitalsCO$4,013Nebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: median $2,250 across 10 hospitalsTN$2,250North Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $5,189 across 16 hospitalsSC$5,189Oklahoma: 3 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: median $3,267 across 21 hospitalsGA$3,267Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,704 across 46 hospitalsTX$4,704Florida: median $4,152 across 24 hospitalsFL$4,152
Cash price by state, most expensive first. National median $5,720. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA13$18,483+223%$5,990 – $18,483
Pennsylvania PA24$7,173+25%$920 – $11,217
New York NY22$7,044+23%$2,400 – $7,578
Ohio OH23$6,978+22%$3,455 – $6,978
California CA47$6,922+21%$5,720 – $6,923
New Jersey NJ34$6,595+15%$5,339 – $7,943
Illinois IL20$5,365−6%$786 – $7,436
South Carolina SC16$5,189−9%$5,189 – $7,740
Texas TX46$4,704−18%$4,230 – $9,290
Florida FL24$4,152−27%$1,940 – $6,637
Colorado CO12$4,013−30%$3,264 – $6,108
Georgia GA21$3,267−43%$2,513 – $9,131
Tennessee TN10$2,250−61%$1,032 – $2,475
Michigan MI10$1,347−76%$1,347 – $8,348
Indiana IN17$1,183−79%$786 – $1,599
Missouri MO9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Oklahoma OK3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Wisconsin WI1not 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 $5,720.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care389$5,720$2,678 – $7,865
Children’s5fewer than 20 hospitals
Critical access31$1,864$849 – $9,290
Ownership
For-profit43$3,662$1,183 – $7,283
Government61$6,637$3,136 – $8,075
Non-profit321$5,720$2,400 – $7,943
System affiliation
Part of a system391$5,720$2,513 – $7,865
Independent36$4,046$1,448 – $8,758

Cash price vs list price

Median list price (chargemaster)$9,304
Median cash price$5,720
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

301 hospitals filed a usable inpatient cash price for this code. The median is $5,552 and the average of the middle 60% is $5,257; most fall between $2,295 and $7,855.

Cash price percentiles, inpatient, across 301 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
$1,275$2,963$5,552$7,175$10,064

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($1,275 vs $10,064).

Of the 333 hospitals that filed this code inpatient, 301 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

427 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 466 hospitals that filed this code at all gave us
Usable cash price — counted427
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded11
Hospitals that filed this code466

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 Other OR upper GI therapeutic procedures family.

Hospitals file this code under descriptions such as Transoral Lower Esophageal Myotomy.

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, “Cutting of the lower esophagus muscle through the mouth (CPT 43497) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43497-cutting-of-the-lower-esophagus-muscle-through-the-mouth