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Procedure price report · Upper gastrointestinal endoscopy, biopsy

Small bowel endoscopy including the ileum, with biopsy

CPT 44377the billing code this page is about

A flexible scope is passed through the mouth into the small intestine as far as the ileum and one or more tissue samples are taken.

Hospitals typically charge $2,037 cash for this outpatient procedure — the median across 690 hospitals that filed a usable cash price; the average of the middle 60% is $1,990. Most fall between $744 and $3,868 (20th–80th percentile).

Hospitals
690
States
49
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 690 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
$519$823$2,037$3,153$4,686

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($519 vs $4,686).

How the prices are spread

$414 – $540: 54 hospitals$414$540 – $704: 40 hospitals$704 – $918: 57 hospitals$704$918 – $1,197: 39 hospitals$1,197 – $1,561: 43 hospitals$1,197$1,561 – $2,036: 76 hospitals$2,036 – $2,655: 117 hospitals$2,036$2,655 – $3,463: 67 hospitals$3,463 – $4,516: 82 hospitals$3,463$4,516 – $5,890: 47 hospitals$4,516median $2,037price bands are equal on a log scale
Hospitals per price band (622 of 690 — the bands cover the 5th to 95th percentile)
FromToHospitals
$414$54054
$540$70440
$704$91857
$918$1,19739
$1,197$1,56143
$1,561$2,03676
$2,036$2,655117
$2,655$3,46367
$3,463$4,51682
$4,516$5,89047

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,037
Cash as a multiple of Medicare1.04×

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 $2,037.

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: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,153 across 10 hospitalsWA$3,153Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,311 across 13 hospitalsMN$1,311Illinois: median $1,022 across 27 hospitalsIL$1,022Wisconsin: median $2,729 across 27 hospitalsWI$2,729Michigan: median $796 across 32 hospitalsMI$796New York: median $2,245 across 23 hospitalsNY$2,245Massachusetts: median $5,302 across 20 hospitalsMA$5,302Oregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $757 across 20 hospitalsIA$757Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,872 across 44 hospitalsOH$2,872Pennsylvania: median $2,267 across 37 hospitalsPA$2,267New Jersey: median $2,531 across 37 hospitalsNJ$2,531Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,952 across 62 hospitalsCA$3,952Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,937 across 11 hospitalsCO$1,937Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,949 across 21 hospitalsMO$1,949Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $478 across 14 hospitalsWV$478Virginia: median $2,004 across 10 hospitalsVA$2,004Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,045 across 12 hospitalsNM$1,045Kansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $905 across 11 hospitalsTN$905North Carolina: median $1,587 across 11 hospitalsNC$1,587South Carolina: median $2,079 across 18 hospitalsSC$2,079Oklahoma: median $414 across 18 hospitalsOK$414Louisiana: median $801 across 14 hospitalsLA$801Mississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,899 across 23 hospitalsGA$1,899Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,138 across 42 hospitalsTX$1,138Florida: median $2,757 across 29 hospitalsFL$2,757
Cash price by state, most expensive first. National median $2,037. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA20$5,302+160%$3,286 – $5,890
California CA62$3,952+94%$1,657 – $4,413
Washington WA10$3,153+55%$1,343 – $4,003
Ohio OH44$2,872+41%$1,838 – $4,736
Florida FL29$2,757+35%$1,605 – $4,243
Wisconsin WI27$2,729+34%$2,601 – $2,848
New Jersey NJ37$2,531+24%$2,201 – $5,741
Pennsylvania PA37$2,267+11%$148 – $2,946
New York NY23$2,245+10%$811 – $2,395
South Carolina SC18$2,079+2%$2,079 – $2,153
Virginia VA10$2,004−2%$734 – $2,353
Missouri MO21$1,949−4%$491 – $2,606
Colorado CO11$1,937−5%$1,417 – $1,999
Georgia GA23$1,899−7%$1,626 – $3,153
North Carolina NC11$1,587−22%$1,315 – $2,173
Minnesota MN13$1,311−36%$529 – $2,284
Texas TX42$1,138−44%$632 – $1,808
New Mexico NM12$1,045−49%$764 – $3,564
Illinois IL27$1,022−50%$611 – $4,685
Tennessee TN11$905−56%$582 – $1,261
Louisiana LA14$801−61%$526 – $1,636
Michigan MI32$796−61%$624 – $2,639
Iowa IA20$757−63%$678 – $757
West Virginia WV14$478−77%$299 – $1,200
Oklahoma OK18$414−80%$414 – $1,835
Alabama AL9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Maryland MD1not 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 $2,037.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care581$2,079$796 – $3,952
Children’s12fewer than 20 hospitals
Critical access93$1,317$556 – $2,848
Ownership
For-profit71$1,657$744 – $3,302
Government103$1,899$711 – $3,619
Non-profit512$2,079$757 – $3,952
System affiliation
Part of a system590$2,079$757 – $3,952
Independent100$1,332$610 – $2,886

Cash price vs list price

Median list price (chargemaster)$3,588
Median cash price$2,037
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

473 hospitals filed a usable inpatient cash price for this code. The median is $1,915 and the average of the middle 60% is $2,060; most fall between $671 and $3,952.

Cash price percentiles, inpatient, across 473 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
$495$761$1,915$3,456$4,586

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($495 vs $4,586).

Of the 517 hospitals that filed this code inpatient, 473 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

690 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 751 hospitals that filed this code at all gave us
Usable cash price — counted690
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded19
Hospitals that filed this code751

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 Enterosc >2nd Prtn W/Ileum W/Bx Single/Multiple.

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 including the ileum, with biopsy (CPT 44377) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44377-small-bowel-endoscopy-including-the-ileum-with-biopsy