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Procedure price report · Gastrostomy, temporary and permanent

Keyhole placement of a stomach feeding tube opening

CPT 43653the billing code this page is about

Laparoscopic creation of an opening from the skin into the stomach for a feeding tube, without building a tube out of stomach tissue.

Hospitals typically charge $3,000 cash for this outpatient procedure — the median across 532 hospitals that filed a usable cash price; the average of the middle 60% is $3,499. Most fall between $977 and $7,788 (20th–80th percentile).

Hospitals
532
States
48
Filings dated
Mar 2023 – 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 532 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
$601$1,149$3,000$7,176$13,026

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($601 vs $13,026).

How the prices are spread

$447 – $640: 33 hospitals$447$640 – $918: 37 hospitals$918 – $1,317: 77 hospitals$918$1,317 – $1,889: 56 hospitals$1,889 – $2,709: 31 hospitals$1,889$2,709 – $3,886: 39 hospitals$3,886 – $5,573: 51 hospitals$3,886$5,573 – $7,993: 82 hospitals$7,993 – $11,464: 38 hospitals$7,993$11,464 – $16,442: 40 hospitals$11,464median $3,000price bands are equal on a log scale
Hospitals per price band (484 of 532 — the bands cover the 5th to 95th percentile)
FromToHospitals
$447$64033
$640$91837
$918$1,31777
$1,317$1,88956
$1,889$2,70931
$2,709$3,88639
$3,886$5,57351
$5,573$7,99382
$7,993$11,46438
$11,464$16,44240

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$3,000
Cash as a multiple of Medicare0.49×

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 $3,000.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,268 across 10 hospitalsWA$1,268Idaho: median $15,131 across 11 hospitalsID$15,131Montana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,095 across 26 hospitalsMN$2,095Illinois: median $1,114 across 21 hospitalsIL$1,114Wisconsin: median $3,000 across 28 hospitalsWI$3,000Michigan: median $1,289 across 32 hospitalsMI$1,289New York: median $1,768 across 38 hospitalsNY$1,768Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,070 across 10 hospitalsOR$1,070Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,409 across 19 hospitalsIA$1,409Indiana: median $551 across 10 hospitalsIN$551Ohio: median $2,205 across 18 hospitalsOH$2,205Pennsylvania: median $7,316 across 17 hospitalsPA$7,316New Jersey: median $6,458 across 32 hospitalsNJ$6,458Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,696 across 47 hospitalsCA$7,696Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,118 across 14 hospitalsMO$1,118Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $881 across 10 hospitalsKS$881Arkansas: median $3,577 across 10 hospitalsAR$3,577Tennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $10,290 across 12 hospitalsSC$10,290Oklahoma: median $1,211 across 13 hospitalsOK$1,211Louisiana: median $4,009 across 13 hospitalsLA$4,009Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $4,857 across 11 hospitalsAL$4,857Georgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,384 across 23 hospitalsTX$4,384Florida: median $5,856 across 10 hospitalsFL$5,856
Cash price by state, most expensive first. National median $3,000. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID11$15,131+404%$5,150 – $15,131
South Carolina SC12$10,290+243%$9,860 – $10,290
California CA47$7,696+157%$2,020 – $16,442
Pennsylvania PA17$7,316+144%$910 – $10,994
New Jersey NJ32$6,458+115%$5,339 – $7,788
Florida FL10$5,856+95%$2,205 – $8,000
Alabama AL11$4,857+62%$1,615 – $8,713
Texas TX23$4,384+46%$3,908 – $5,192
Louisiana LA13$4,009+34%$2,276 – $9,329
Arkansas AR10$3,577+19%$1,272 – $6,150
Wisconsin WI28$3,0000%$3,000 – $5,554
Ohio OH18$2,205−27%$935 – $15,338
Minnesota MN26$2,095−30%$1,201 – $4,076
New York NY38$1,768−41%$855 – $6,904
Iowa IA19$1,409−53%$1,280 – $1,409
Michigan MI32$1,289−57%$1,088 – $3,000
Washington WA10$1,268−58%$1,102 – $25,934
Oklahoma OK13$1,211−60%$1,211 – $9,790
Missouri MO14$1,118−63%$825 – $10,952
Illinois IL21$1,114−63%$551 – $3,043
Oregon OR10$1,070−64%$1,070 – $1,658
Kansas KS10$881−71%$257 – $1,241
Indiana IN10$551−82%$551 – $1,360
Nebraska NE8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
North Dakota ND1not 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 $3,000.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care418$3,786$1,070 – $8,471
Children’s14fewer than 20 hospitals
Critical access99$1,450$881 – $3,908
Ownership
For-profit44$5,337$957 – $9,860
Government80$1,491$884 – $6,904
Non-profit407$3,000$980 – $7,788
System affiliation
Part of a system421$3,634$1,070 – $7,870
Independent111$1,421$915 – $5,856

Cash price vs list price

Median list price (chargemaster)$2,503
Median cash price$3,000
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

302 hospitals filed a usable inpatient cash price for this code. The median is $1,514 and the average of the middle 60% is $2,481; most fall between $699 and $7,696.

Cash price percentiles, inpatient, across 302 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
$516$841$1,514$5,337$15,131

The most expensive tenth of hospitals charges at least 29× what the cheapest tenth charges ($516 vs $15,131).

Of the 343 hospitals that filed this code inpatient, 302 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 19 a list price only.

How complete is this

532 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 608 hospitals that filed this code at all gave us
Usable cash price — counted532
Cash price carrying a plausibility flag — shown on the compare tool, excluded here57
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded15
Hospitals that filed this code608

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 Gastrostomy, temporary and permanent family.

Hospitals file this code under descriptions such as Laps Surg Gastrostomy W/O Constj Gstr Tube Spx.

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, “Keyhole placement of a stomach feeding tube opening (CPT 43653) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43653-keyhole-placement-of-a-stomach-feeding-tube-opening