CPT 43254 · 1,109 hospitals reporting

Removal of tissue lining of esophagus; stomach; and/or upper small bowel using a flexible endoscope

The same procedure costs $218 at one hospital and $28,933 at another — a 133× spread for what's billed under the same code. Median: $1,940.

Cheapest published

$218

Lowest published price across all reporting hospitals.

Median across 1,109 hospitals

$1,940

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

Most expensive

$28,933

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

Price distribution

282 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
DALLAS MEDICAL CENTER	TX	$1,740	$1,918	$113	$1,740	5 insurers
HARLINGEN MEDICAL CENTER	TX	$7,417	$1,918	$374	$5,933	5 insurers
MOUNT GRANT GENERAL HOSPITAL	NV	$3,575	$1,961	$622	$3,575	5 insurers
ROXBOROUGH MEMORIAL HOSPITAL	PA	$3,575	$1,961	$622	$3,575	5 insurers
GARDEN CITY HOSPITAL	MI	$7,310	$1,903	$1,020	$7,310	5 insurers
M HEALTH FAIRVIEW RIDGES HOSPITAL	MN	$4,441	$1,887	—	—	5 insurers
LOWER BUCKS HOSPITAL	PA	$3,575	$1,887	$622	$3,575	5 insurers
CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL	KY	$4,354	$1,847	$3,178	$3,962	5 insurers
CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL	KY	$4,354	$1,847	$768	$3,962	5 insurers
SAINT JOSEPH HOSPITAL	KY	$4,313	$2,032	$3,925	$3,925	1 insurers
SAINT JOSEPH HOSPITAL	KY	$4,313	$2,032	$1,013	$3,925	5 insurers
UCHEALTH HIGHLANDS RANCH HOSPITAL	CO	$6,050	$1,815	—	—	5 insurers
UCHEALTH PIKES PEAK REGIONAL HOSPITAL	CO	$2,266	$1,813	—	—	5 insurers
NORTH VISTA HOSPITAL	NV	$2,659	$2,087	$476	$2,659	5 insurers
SIGNATURE HEALTHCARE BROCKTON HOSPITAL	MA	$2,552	$1,786	—	—	5 insurers
FAIRVIEW LAKES HEALTH SERVICES	MN	$4,441	$1,781	—	—	5 insurers
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL	MN	$4,441	$1,781	—	—	5 insurers
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER	MN	$4,441	$1,781	—	—	5 insurers
FAIRVIEW NORTHLAND REGIONAL HOSPITAL	MN	$4,441	$1,781	—	—	5 insurers
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL	MN	$4,441	$1,781	—	—	5 insurers
M HEALTH FAIRVIEW WOODWINDS HOSPITAL	MN	$4,441	$1,781	—	—	5 insurers
CHI SAINT JOSEPH BEREA NF	KY	$4,354	$2,099	$2,003	$3,962	5 insurers
CHI SAINT JOSEPH BEREA NF	KY	$4,354	$2,099	$1,201	$3,962	5 insurers
KAISER FOUNDATION HOSPITAL - PANORAMA CITY	CA	$5,054	$1,769	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - LOS ANGELES	CA	$5,054	$1,769	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - DOWNEY	CA	$5,054	$1,769	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO	CA	$5,054	$1,769	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - SAN DIEGO	CA	$5,054	$1,769	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - WEST LA	CA	$5,054	$1,769	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS	CA	$5,054	$1,769	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL, RIVERSIDE	CA	$5,054	$1,769	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - BALDWIN PARK	CA	$5,054	$1,769	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL-MORENO VALLEY	CA	$5,054	$1,769	$1,635	$4,420	3 insurers
UCH-MEMORIAL HEALTH SYSTEM	CO	$6,050	$2,118	—	—	5 insurers
UCHEALTH BROOMFIELD HOSPITAL	CO	$6,050	$2,118	—	—	5 insurers
UCHEALTH GRANDVIEW HOSPITAL	CO	$6,050	$2,118	—	—	5 insurers
KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO	CA	$5,008	$1,753	$1,930	$5,362	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA CLARA	CA	$5,008	$1,753	$1,930	$5,362	3 insurers
KAISER FOUNDATION HOSPITAL AND REHAB CENTER	CA	$5,008	$1,753	$1,930	$5,362	3 insurers
KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	CA	$5,008	$1,753	$1,930	$5,362	3 insurers