CPT 43220 · 1,147 hospitals reporting

Balloon dilat esoph w/ endoscope

The same procedure costs $121 at one hospital and $37,561 at another — a 312× spread for what's billed under the same code. Median: $2,092.

Cheapest published

$121

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

Median across 1,147 hospitals

$2,092

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

Most expensive

$37,561

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

Price distribution

346 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
KAISER FOUNDATION HOSPITAL - PANORAMA CITY	CA	$5,978	$2,092	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - LOS ANGELES	CA	$5,978	$2,092	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - DOWNEY	CA	$5,978	$2,092	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO	CA	$5,978	$2,092	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - SAN DIEGO	CA	$5,978	$2,092	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - WEST LA	CA	$5,978	$2,092	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS	CA	$5,978	$2,092	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL, RIVERSIDE	CA	$5,978	$2,092	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - BALDWIN PARK	CA	$5,978	$2,092	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL-MORENO VALLEY	CA	$5,978	$2,092	$1,635	$4,420	3 insurers
NORTH VISTA HOSPITAL	NV	$2,731	$2,087	$476	$2,731	5 insurers
COOKEVILLE REGIONAL MEDICAL CENTER	TN	$3,394	$2,081	—	—	2 insurers
SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF	CA	$2,080	$2,080	—	—	0 insurers
SHRINERS HOSPITAL FOR CHILDREN	IL	$2,080	$2,080	—	—	0 insurers
THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON	MA	$2,080	$2,080	—	—	1 insurers
SHRINERS HOSPITALS FOR CHILDREN	MO	$2,080	$2,080	—	—	0 insurers
SHRINERS HOSPITALS FOR CHILDREN	OH	$2,080	$2,080	—	—	0 insurers
SHRINERS HOSPITAL FOR CHILDREN - PORTLAND	OR	$2,080	$2,080	—	—	0 insurers
SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA	PA	$2,080	$2,080	—	—	0 insurers
SHRINERS HOSPITALS FOR CHILDREN	SC	$2,080	$2,080	—	—	0 insurers
SHRINERS HOSPITALS FOR CHILDREN	TX	$2,080	$2,080	—	—	0 insurers
SHRINERS HOSPITAL FOR CHILDREN	WA	$2,080	$2,080	—	—	0 insurers
DALLAS COUNTY MEDICAL CENTER	AR	$3,198	$2,079	—	—	5 insurers
CHRISTIAN HOSPITAL NORTHEAST	MO	$3,420	$2,052	$1,607	$15,234	5 insurers
UCHEALTH GREELEY HOSPITAL	CO	$3,564	$2,138	—	—	5 insurers
LANDMARK MEDICAL CENTER	RI	$5,440	$2,146	$520	$5,440	5 insurers
BAYLOR MEDICAL CENTER AT TROPHY CLUB	TX	$3,363	$2,018	$1,659	$8,427	5 insurers
SANFORD MEDICAL CENTER FARGO	ND	$2,761	$2,209	—	—	2 insurers
CARILION MEDICAL CENTER	VA	$6,334	$2,217	—	—	5 insurers
CARILION NEW RIVER VALLEY MEDICAL CENTER	VA	$6,334	$2,217	—	—	5 insurers
CARILION FRANKLIN MEMORIAL HOSPITAL	VA	$6,334	$2,217	—	—	5 insurers
CARILION TAZEWELL COMMUNITY HOSPITAL	VA	$6,334	$2,217	—	—	5 insurers
CARILION GILES COMMUNITY HOSPITAL	VA	$6,334	$2,217	—	—	5 insurers
MOUNT GRANT GENERAL HOSPITAL	NV	$3,575	$1,961	$118	$3,575	5 insurers
ROXBOROUGH MEMORIAL HOSPITAL	PA	$3,575	$1,961	$118	$3,575	5 insurers
JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL	PA	—	$2,224	—	—	5 insurers
JEFFERSON EINSTEIN MONTGOMERY HOSPITAL	PA	—	$2,224	—	—	5 insurers
SAINT MICHAEL'S MEDICAL CENTER	NJ	$3,575	$2,225	$21.83	$3,575	5 insurers
O U MEDICAL CENTER	OK	$22,325	$2,233	$1,529	$18,307	5 insurers
PARKLAND HEALTH CENTER	MO	$3,248	$1,949	$1,357	$4,587	5 insurers