CPT 43453 · 1,051 hospitals reporting

Xr-dilate esophagus over gwre

The same procedure costs $86 at one hospital and $36,042 at another — a 419× spread for what's billed under the same code. Median: $1,686.

Cheapest published

$86

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

Median across 1,051 hospitals

$1,686

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

Most expensive

$36,042

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

Price distribution

245 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	$4,818	$1,686	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - LOS ANGELES	CA	$4,818	$1,686	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - DOWNEY	CA	$4,818	$1,686	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO	CA	$4,818	$1,686	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - SAN DIEGO	CA	$4,818	$1,686	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - WEST LA	CA	$4,818	$1,686	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS	CA	$4,818	$1,686	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL, RIVERSIDE	CA	$4,818	$1,686	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL - BALDWIN PARK	CA	$4,818	$1,686	$1,635	$4,420	3 insurers
KAISER FOUNDATION HOSPITAL-MORENO VALLEY	CA	$4,818	$1,686	$1,635	$4,420	3 insurers
CALIFORNIA HOSPITAL MEDICAL CENTER LA	CA	$3,630	$1,761	$2,505	$2,868	4 insurers
CALIFORNIA HOSPITAL MEDICAL CENTER LA	CA	$3,630	$1,761	$115	$8,818	5 insurers
M HEALTH FAIRVIEW RIDGES HOSPITAL	MN	$3,747	$1,592	—	—	5 insurers
SIOUX FALLS SPECIALTY HOSPITAL	SD	$2,088	$1,566	$752	$3,645	5 insurers
SAINT JOHN HOSPITAL	KS	$9,976	$1,807	$309	$7,981	5 insurers
MONROE HOSPITAL	IN	$1,559	$1,559	—	—	5 insurers
CEDAR-SINAI MARINA DEL REY HOSPITAL	CA	$2,386	$1,551	—	—	5 insurers
NORTHWEST TEXAS HOSPITAL	TX	$3,758	$1,503	—	—	5 insurers
FAIRVIEW LAKES HEALTH SERVICES	MN	$3,747	$1,503	—	—	4 insurers
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL	MN	$3,747	$1,503	—	—	5 insurers
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER	MN	$3,747	$1,503	—	—	5 insurers
FAIRVIEW NORTHLAND REGIONAL HOSPITAL	MN	$3,747	$1,503	—	—	4 insurers
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL	MN	$3,747	$1,503	—	—	5 insurers
M HEALTH FAIRVIEW WOODWINDS HOSPITAL	MN	$3,747	$1,503	—	—	5 insurers
UNIVERSITY OF MISSISSIPPI MED CENTER	MS	$3,700	$1,480	—	—	5 insurers
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA	MS	$3,700	$1,480	—	—	5 insurers
CHILDREN'S HOSPITAL COLORADO	CO	$2,263	$1,471	—	—	5 insurers
CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS	CO	$2,263	$1,471	—	—	5 insurers
GARDEN CITY HOSPITAL	MI	$2,437	$1,903	$487	$2,437	5 insurers
DALLAS MEDICAL CENTER	TX	$1,740	$1,918	$113	$1,740	5 insurers
HARLINGEN MEDICAL CENTER	TX	$6,674	$1,918	$336	$5,339	5 insurers
BETHESDA HOSPITAL EAST	FL	$2,187	$1,422	—	—	5 insurers
HILTON HEAD REGIONAL MEDICAL CENTER	SC	—	$1,396	$822	$3,998	5 insurers
EAST COOPER MEDICAL CENTER	SC	—	$1,396	$822	$3,409	5 insurers
COASTAL CAROLINA HOSPITAL	SC	—	$1,396	$822	$3,409	5 insurers
MARSHALL MEDICAL CENTERS	AL	$1,997	$1,997	—	—	5 insurers
MARSHALL MEDICAL CENTER	CA	$1,997	$1,997	—	—	5 insurers
MARSHALL MEDICAL CENTER	TN	$1,997	$1,997	—	—	5 insurers
MAUI MEMORIAL MEDICAL CENTER	HI	$3,508	$1,368	—	—	3 insurers
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK	AR	$5,402	$1,350	—	—	4 insurers