CPT 43198 · 997 hospitals reporting

Esophagosc flex trnsn biopsy

The same procedure costs $108 at one hospital and $31,867 at another — a 295× spread for what's billed under the same code. Median: $1,564.

Cheapest published

$108

7 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 997 hospitals

$1,564

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$31,867

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

156 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
ANIMAS SURGICAL HOSPITAL, LLC	CO	—	$1,590	$603	$3,000	3 insurers
ST LUKE'S WARREN HOSPITAL	NJ	$1,853	$1,538	—	—	3 insurers
ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS	PA	$1,853	$1,538	—	—	3 insurers
ST LUKES HOSPITAL BETHLEHEM	PA	$1,853	$1,538	—	—	3 insurers
ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS	PA	$1,853	$1,538	—	—	3 insurers
ST LUKE'S HOSPITAL - EASTON CAMPUS	PA	$1,853	$1,538	—	—	3 insurers
ST LUKE'S MINERS MEMORIAL HOSPITAL	PA	$1,853	$1,538	—	—	3 insurers
ST LUKE'S HOSPITAL - ANDERSON CAMPUS	PA	$1,853	$1,538	—	—	3 insurers
ST LUKE'S HOSPITAL - MONROE CAMPUS	PA	$1,853	$1,538	—	—	3 insurers
GEISINGER ST. LUKE'S HOSPITAL	PA	$1,853	$1,538	—	—	3 insurers
ST LUKE'S HOSPITAL - CARBON CAMPUS	PA	$1,853	$1,538	—	—	3 insurers
JOHN H STROGER JR HOSPITAL	IL	$2,317	$1,622	—	—	5 insurers
PROVIDENT HOSPITAL OF CHICAGO	IL	$2,317	$1,622	—	—	5 insurers
UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER	OH	$2,230	$1,673	—	—	0 insurers
VIRGINIA MASON MEDICAL CENTER	WA	$2,758	$1,407	—	—	4 insurers
BRIDGEPORT HOSPITAL	CT	$3,407	$1,737	—	—	5 insurers
BALDWIN HEALTH	AL	$3,400	$1,768	—	—	3 insurers
PIH HEALTH DOWNEY HOSPITAL	CA	$3,400	$1,768	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - SOUTH BAY	CA	$3,400	$1,768	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM	CA	$3,400	$1,768	—	—	3 insurers
LOS ANGELES COMMUNITY HOSPITAL	CA	$3,400	$1,768	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - SAN MARCOS	CA	$3,400	$1,768	—	—	3 insurers
GREENWICH HOSPITAL ASSOCIATION -	CT	$3,407	$1,771	—	—	5 insurers
SURGICAL INSTITUTE OF READING	PA	$2,691	$1,308	$78.93	$125,939	5 insurers
KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA CLARA	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL AND REHAB CENTER	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL - SACRAMENTO	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL - FREMONT	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL-SAN JOSE	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSP SO SACRAMENTO	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA ROSA	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL - FRESNO	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL - ANTIOCH	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL - VACAVILLE	CA	$5,363	$1,877	$962	$2,672	3 insurers
KAISER FOUNDATION HOSPITAL - ROSEVILLE	CA	$5,363	$1,877	$962	$2,672	3 insurers
COPPER QUEEN COMMUNITY HOSPITAL	AZ	$2,778	$1,945	—	—	5 insurers