HRHospitalRates.comCompare prices

Procedure price report · Upper gastrointestinal endoscopy, biopsy

Small bowel endoscopy with biopsy

CPT 44361the billing code this page is about

A flexible scope is passed through the mouth past the stomach into the small intestine (not reaching the ileum) and one or more tissue samples are taken.

Hospitals typically charge $1,949 cash for this outpatient procedure — the median across 1,001 hospitals that filed a usable cash price; the average of the middle 60% is $1,922. Most fall between $548 and $3,786 (20th–80th percentile).

Hospitals
1,001
States
50
Filings dated
Aug 2022 – 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 1,001 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
$309$795$1,949$3,282$5,005

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($309 vs $5,005).

How the prices are spread

$219 – $307: 49 hospitals$219$307 – $429: 78 hospitals$429 – $600: 45 hospitals$429$600 – $840: 44 hospitals$840 – $1,176: 101 hospitals$840$1,176 – $1,646: 81 hospitals$1,646 – $2,303: 152 hospitals$1,646$2,303 – $3,223: 145 hospitals$3,223 – $4,510: 139 hospitals$3,223$4,510 – $6,311: 70 hospitals$4,510median $1,949price bands are equal on a log scale
Hospitals per price band (904 of 1,001 — the bands cover the 5th to 95th percentile)
FromToHospitals
$219$30749
$307$42978
$429$60045
$600$84044
$840$1,176101
$1,176$1,64681
$1,646$2,303152
$2,303$3,223145
$3,223$4,510139
$4,510$6,31170

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$1,949
Cash as a multiple of Medicare0.99×

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 $1,949.

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: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,139 across 10 hospitalsNH$1,139Washington: median $2,596 across 17 hospitalsWA$2,596Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,809 across 44 hospitalsMN$1,809Illinois: median $858 across 31 hospitalsIL$858Wisconsin: median $1,014 across 32 hospitalsWI$1,014Michigan: median $814 across 35 hospitalsMI$814New York: median $2,096 across 47 hospitalsNY$2,096Massachusetts: median $3,148 across 28 hospitalsMA$3,148Oregon: median $285 across 10 hospitalsOR$285Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $401 across 27 hospitalsIA$401Indiana: median $338 across 14 hospitalsIN$338Ohio: median $3,486 across 67 hospitalsOH$3,486Pennsylvania: median $2,267 across 56 hospitalsPA$2,267New Jersey: median $2,531 across 39 hospitalsNJ$2,531Connecticut: median $6,184 across 12 hospitalsCT$6,184Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,004 across 77 hospitalsCA$4,004Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,128 across 22 hospitalsCO$2,128Nebraska: median $371 across 11 hospitalsNE$371Missouri: median $1,184 across 31 hospitalsMO$1,184Kentucky: median $553 across 13 hospitalsKY$553West Virginia: median $335 across 17 hospitalsWV$335Virginia: median $2,004 across 16 hospitalsVA$2,004Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,504 across 12 hospitalsNM$1,504Kansas: median $1,086 across 10 hospitalsKS$1,086Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,016 across 16 hospitalsTN$1,016North Carolina: median $1,823 across 13 hospitalsNC$1,823South Carolina: median $2,131 across 20 hospitalsSC$2,131Oklahoma: median $219 across 17 hospitalsOK$219Louisiana: median $830 across 22 hospitalsLA$830Mississippi: median $2,075 across 13 hospitalsMS$2,075Alabama: median $2,346 across 16 hospitalsAL$2,346Georgia: median $1,278 across 29 hospitalsGA$1,278Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 58 hospitalsTX$1,138Florida: median $3,462 across 35 hospitalsFL$3,462
Cash price by state, most expensive first. National median $1,949. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT12$6,184+217%$1,958 – $6,602
California CA77$4,004+105%$1,949 – $4,178
Ohio OH67$3,486+79%$720 – $4,219
Florida FL35$3,462+78%$2,586 – $5,400
Massachusetts MA28$3,148+62%$2,099 – $5,323
Washington WA17$2,596+33%$332 – $3,914
New Jersey NJ39$2,531+30%$2,201 – $5,339
Alabama AL16$2,346+20%$1,130 – $5,933
Pennsylvania PA56$2,267+16%$483 – $3,574
South Carolina SC20$2,131+9%$1,331 – $2,131
Colorado CO22$2,128+9%$1,573 – $5,076
New York NY47$2,096+8%$419 – $2,413
Mississippi MS13$2,075+7%$905 – $2,079
Virginia VA16$2,004+3%$809 – $2,353
North Carolina NC13$1,823−6%$1,290 – $2,173
Minnesota MN44$1,809−7%$810 – $2,844
New Mexico NM12$1,504−23%$1,430 – $2,934
Georgia GA29$1,278−34%$1,278 – $3,153
Missouri MO31$1,184−39%$672 – $3,181
New Hampshire NH10$1,139−42%$175 – $1,891
Texas TX58$1,138−42%$1,067 – $1,918
Kansas KS10$1,086−44%$251 – $1,535
Tennessee TN16$1,016−48%$194 – $1,261
Wisconsin WI32$1,014−48%$841 – $3,282
Illinois IL31$858−56%$329 – $2,351
Louisiana LA22$830−57%$518 – $1,562
Michigan MI35$814−58%$593 – $2,639
Kentucky KY13$553−72%$241 – $7,617
Iowa IA27$401−79%$385 – $803
Nebraska NE11$371−81%$345 – $376
Indiana IN14$338−83%$318 – $4,442
West Virginia WV17$335−83%$163 – $1,032
Oregon OR10$285−85%$285 – $2,686
Oklahoma OK17$219−89%$219 – $2,517
Arkansas AR9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
South Dakota SD2not 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 $1,949.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care822$2,087$720 – $4,004
Children’s16fewer than 20 hospitals
Critical access158$841$318 – $2,550
Ownership
For-profit98$1,912$985 – $3,676
Government151$1,736$439 – $2,857
Non-profit747$2,038$518 – $4,004
System affiliation
Part of a system837$2,075$705 – $4,004
Independent164$1,290$338 – $2,864

Cash price vs list price

Median list price (chargemaster)$3,308
Median cash price$1,949
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

670 hospitals filed a usable inpatient cash price for this code. The median is $1,781 and the average of the middle 60% is $1,851; most fall between $445 and $3,599.

Cash price percentiles, inpatient, across 670 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
$308$718$1,781$3,282$4,686

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($308 vs $4,686).

Of the 723 hospitals that filed this code inpatient, 670 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 34 a list price only.

How complete is this

1,001 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,084 hospitals that filed this code at all gave us
Usable cash price — counted1,001
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded31
Hospitals that filed this code1,084

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 Upper gastrointestinal endoscopy, biopsy family.

Hospitals file this code under descriptions such as Endoscopy Upper Small Intestine W/Biopsy.

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, “Small bowel endoscopy with biopsy (CPT 44361) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44361-small-bowel-endoscopy-with-biopsy