Price AtlasInteractive atlas · All states · techysurgeon.comUpper endoscopy with esophagus stretching: what insurers pay
EGD with balloon (43249) or guide-wire (43248) dilation of a narrowed esophagus. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 43249: Upper Endoscopy With Esophagus Stretching
1393 hospitals in 82 markets. National Medicare rate $1,960, surgery center $894.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 19 | $1,680 | $1,910 | $2,540 | $1,303–$6,616 |
| Alaska (statewide) | 4 | — | — | — | $2,851–$10,753 |
| Arizona (statewide) | 13 | $2,246 | $2,668 | $3,901 | $1,211–$6,354 |
| Arkansas (statewide) | 14 | $1,706 | $1,784 | $2,138 | $1,268–$2,622 |
| Atlanta GA | 10 | $3,870 | $4,140 | $4,140 | $3,792–$4,714 |
| Austin TX | 13 | $1,232 | $3,152 | $3,490 | $1,232–$3,992 |
| Boston MA | 16 | $1,897 | $2,440 | $2,635 | $1,516–$3,726 |
| California (statewide) | 66 | $3,275 | $5,401 | $7,179 | $1,542–$9,570 |
| Charlotte NC | 6 | $2,255 | $2,255 | $2,255 | $2,225–$5,050 |
| Chicago IL | 11 | $3,104 | $3,622 | $3,947 | $1,653–$4,955 |
| Cleveland OH | 11 | $2,838 | $3,029 | $3,496 | $2,068–$4,320 |
| Colorado (statewide) | 17 | $2,452 | $3,276 | $4,923 | $1,230–$7,154 |
| Columbus OH | 1 | — | — | — | $6,902–$6,902 |
| Connecticut (statewide) | 3 | — | — | — | $1,732–$7,995 |
| Dallas-Fort Worth TX | 13 | $3,018 | $3,472 | $3,475 | $2,923–$5,698 |
| Delaware (statewide) | 1 | — | — | — | $5,215–$5,215 |
| Denver CO | 15 | $1,848 | $4,094 | $4,312 | $1,416–$5,238 |
| Detroit MI | 16 | $1,131 | $1,333 | $1,894 | $1,131–$3,200 |
| Florida (statewide) | 65 | $2,970 | $3,818 | $4,452 | $1,704–$13,250 |
| Georgia (statewide) | 47 | $2,631 | $3,633 | $4,714 | $1,605–$12,890 |
| Hawaii (statewide) | 6 | $3,574 | $3,742 | $5,003 | $3,493–$5,672 |
| Houston TX | 19 | $2,664 | $2,774 | $3,663 | $2,650–$3,695 |
| Idaho (statewide) | 18 | $1,736 | $2,078 | $3,642 | $1,014–$7,154 |
| Illinois (statewide) | 33 | $2,343 | $2,879 | $3,775 | $1,068–$10,500 |
| Indiana (statewide) | 40 | $2,928 | $4,400 | $6,412 | $1,065–$9,300 |
| Indianapolis IN | 3 | — | — | — | $1,139–$8,612 |
| Iowa (statewide) | 29 | $1,960 | $2,492 | $3,334 | $1,065–$5,823 |
| Kansas (statewide) | 38 | $1,553 | $2,120 | $2,778 | $1,291–$6,058 |
| Kentucky (statewide) | 20 | $2,125 | $2,462 | $2,856 | $1,060–$5,279 |
| Las Vegas NV | 2 | — | — | — | $2,204–$3,010 |
| Los Angeles CA | 18 | $3,706 | $4,085 | $5,038 | $2,363–$14,322 |
| Louisiana (statewide) | 20 | $1,626 | $1,853 | $2,695 | $1,133–$5,125 |
| Maine (statewide) | 17 | $7,485 | $7,773 | $8,727 | $2,032–$11,346 |
| Maryland (statewide) | 1 | — | — | — | $2,507–$2,507 |
| Massachusetts (statewide) | 10 | $1,786 | $2,314 | $2,686 | $1,696–$2,916 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $2,355–$3,297 |
| Michigan (statewide) | 30 | $1,212 | $1,591 | $1,946 | $1,072–$2,468 |
| Minneapolis-St. Paul MN | 10 | $2,957 | $3,348 | $3,360 | $2,372–$3,550 |
| Minnesota (statewide) | 28 | $1,916 | $2,800 | $4,928 | $1,377–$7,532 |
| Mississippi (statewide) | 21 | $1,664 | $2,281 | $2,596 | $1,220–$5,233 |
| Missouri (statewide) | 32 | $1,850 | $2,870 | $3,317 | $1,255–$6,278 |
| Montana (statewide) | 8 | $3,443 | $4,162 | $4,945 | $1,678–$5,683 |
| Nashville TN | 8 | $2,404 | $2,442 | $2,586 | $1,637–$2,966 |
| Nebraska (statewide) | 20 | $2,292 | $2,982 | $3,262 | $1,761–$6,799 |
| Nevada (statewide) | 6 | $2,015 | $2,502 | $3,440 | $1,952–$5,001 |
| New Hampshire (statewide) | 7 | $2,440 | $2,760 | $6,246 | $1,080–$8,593 |
| New Jersey (statewide) | 24 | $3,084 | $4,291 | $6,204 | $2,073–$8,155 |
| New Mexico (statewide) | 9 | $3,277 | $3,781 | $4,752 | $1,818–$5,340 |
| New York (statewide) | 35 | $2,640 | $3,536 | $4,264 | $1,714–$8,276 |
| New York City | 8 | $2,780 | $3,090 | $4,703 | $2,780–$8,434 |
| North Carolina (statewide) | 10 | $2,638 | $3,621 | $4,603 | $1,766–$5,088 |
| North Dakota (statewide) | 9 | $1,916 | $2,500 | $3,360 | $1,424–$6,540 |
| Ohio (statewide) | 45 | $3,029 | $4,024 | $5,016 | $1,084–$7,376 |
| Oklahoma (statewide) | 13 | $1,960 | $3,317 | $3,924 | $1,664–$7,280 |
| Oregon (statewide) | 14 | $3,631 | $4,892 | $6,088 | $1,317–$8,677 |
| Pennsylvania (statewide) | 50 | $2,572 | $4,029 | $5,076 | $1,416–$8,486 |
| Philadelphia PA | 11 | $3,526 | $3,680 | $5,201 | $3,025–$8,155 |
| Phoenix AZ | 8 | $2,741 | $2,842 | $2,897 | $2,600–$2,897 |
| Pittsburgh PA | 12 | $2,069 | $2,832 | $4,015 | $1,683–$4,774 |
| Portland OR | 9 | $6,073 | $6,073 | $6,766 | $6,058–$6,766 |
| Research Triangle NC | 2 | — | — | — | $3,720–$3,720 |
| Rhode Island (statewide) | 6 | $2,248 | $3,225 | $4,043 | $2,002–$4,274 |
| Richmond VA | 3 | — | — | — | $4,146–$4,816 |
| Rio Grande Valley TX | 6 | $2,518 | $2,770 | $3,390 | $2,494–$3,537 |
| Salt Lake City UT | 9 | $2,357 | $2,362 | $2,362 | $1,732–$2,362 |
| San Antonio TX | 3 | — | — | — | $2,716–$2,911 |
| San Diego CA | 7 | $4,196 | $4,196 | $4,223 | $3,529–$4,551 |
| San Francisco Bay Area CA | 6 | $5,260 | $5,533 | $8,670 | $4,959–$15,618 |
| Seattle-Tacoma WA | 16 | $5,392 | $6,063 | $6,789 | $4,918–$7,586 |
| South Carolina (statewide) | 27 | $3,282 | $4,052 | $6,467 | $1,174–$11,592 |
| South Dakota (statewide) | 6 | $2,406 | $3,748 | $5,035 | $1,916–$6,403 |
| St. Louis MO | 10 | $1,711 | $1,920 | $1,920 | $1,576–$3,209 |
| Tampa FL | 6 | $5,611 | $5,611 | $5,611 | $2,494–$9,268 |
| Tennessee (statewide) | 31 | $1,828 | $1,958 | $2,511 | $1,496–$3,245 |
| Texas (statewide) | 76 | $2,650 | $2,923 | $3,460 | $1,225–$8,220 |
| Utah (statewide) | 8 | $1,732 | $1,790 | $2,034 | $1,317–$6,635 |
| Vermont (statewide) | 4 | — | — | — | $1,400–$3,506 |
| Virginia (statewide) | 24 | $5,051 | $5,214 | $6,121 | $1,872–$9,892 |
| Washington (statewide) | 17 | $2,586 | $5,076 | $5,586 | $1,115–$9,944 |
| Washington DC | 8 | $3,486 | $3,529 | $3,529 | $3,273–$3,529 |
| West Virginia (statewide) | 9 | $3,205 | $3,232 | $6,264 | $2,106–$12,775 |
| Wisconsin (statewide) | 45 | $3,077 | $3,980 | $5,366 | $2,183–$8,692 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Clearwater Valley Hospital & Clinics | Idaho (statewide) | $1,014 | 0.5× | 1 | 2026-07-17 |
| Livingston Hospital And Healthcare Services, Inc | Kentucky (statewide) | $1,060 | 0.6× | 3 | 2026-08-25 |
| Monroe County Hospital | Iowa (statewide) | $1,065 | 0.6× | 2 | 2026-03-17 |
| Monroe Hospital | Indiana (statewide) | $1,065 | 0.5× | 2 | 2026-03-17 |
| Northwestern Medicine Mchenry Hospital | Illinois (statewide) | $1,068 | 0.5× | 2 | 2026-04-01 |
| Northwestern Medicine Delnor Community Hospital | Illinois (statewide) | $1,068 | 0.5× | 1 | 2026-04-01 |
| Oaklawn Hospital | Michigan (statewide) | $1,072 | 0.6× | 2 | 2026-03-27 |
| Valley Regional Hospital | New Hampshire (statewide) | $1,080 | 0.5× | 11 | 2026-06-06 |
| Akron Children'S Hospital | Ohio (statewide) | $1,084 | 0.6× | 1 | 2025-11-11 |
| Summit Pacific Medical Center | Washington (statewide) | $1,115 | 0.5× | 1 | 2026-08-31 |
| Corewell Health Dearborn Hospital | Detroit MI | $1,131 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Ann & Robert H Lurie Childrens Hospital Of Chicago | Illinois (statewide) | $10,500 | 5.1× | 3 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $10,753 | 5.0× | 2 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $11,346 | 6.0× | 1 | 2025-09-09 |
| Northeast Georgia Medical Center Habersham | Georgia (statewide) | $11,458 | 6.8× | 1 | 2026-04-01 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $11,592 | 6.5× | 1 | 2026-07-20 |
| Logan Regional Medical Center | West Virginia (statewide) | $12,775 | 6.9× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $12,890 | 7.0× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $12,890 | 6.7× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $12,890 | 6.7× | 1 | 2026-04-01 |
| Holy Cross Hospital | Florida (statewide) | $13,250 | 6.6× | 24 | 2026-03-31 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,322 | 5.8× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $15,618 | 5.5× | 4 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 43248: Upper Endoscopy With Esophagus Stretching
1276 hospitals in 80 markets. National Medicare rate $927, surgery center $498.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 18 | $1,053 | $1,452 | $2,028 | $542–$2,722 |
| Alaska (statewide) | 4 | — | — | — | $598–$5,730 |
| Arizona (statewide) | 7 | $863 | $2,167 | $2,507 | $603–$5,282 |
| Arkansas (statewide) | 11 | $936 | $1,296 | $1,489 | $745–$1,686 |
| Atlanta GA | 10 | $3,533 | $3,774 | $3,788 | $3,437–$3,792 |
| Austin TX | 13 | $909 | $1,838 | $3,385 | $862–$3,385 |
| Boston MA | 15 | $1,119 | $1,480 | $1,676 | $762–$4,014 |
| California (statewide) | 63 | $1,645 | $2,766 | $3,547 | $1,123–$8,005 |
| Charlotte NC | 6 | $1,115 | $1,115 | $1,115 | $1,099–$5,050 |
| Chicago IL | 11 | $2,186 | $2,785 | $3,622 | $1,520–$4,452 |
| Cleveland OH | 11 | $2,145 | $2,482 | $2,980 | $1,786–$3,528 |
| Colorado (statewide) | 16 | $1,238 | $2,733 | $3,751 | $510–$4,600 |
| Columbus OH | 1 | — | — | — | $3,262–$3,262 |
| Connecticut (statewide) | 3 | — | — | — | $1,228–$3,779 |
| Dallas-Fort Worth TX | 13 | $2,224 | $2,664 | $3,016 | $1,934–$4,164 |
| Denver CO | 15 | $2,074 | $3,606 | $4,268 | $1,336–$4,600 |
| Detroit MI | 17 | $848 | $1,131 | $1,131 | $541–$2,808 |
| Florida (statewide) | 70 | $1,904 | $2,558 | $3,294 | $479–$7,541 |
| Georgia (statewide) | 44 | $2,274 | $3,303 | $3,441 | $828–$4,626 |
| Hawaii (statewide) | 4 | — | — | — | $1,223–$3,696 |
| Houston TX | 19 | $1,731 | $2,613 | $2,810 | $1,409–$3,644 |
| Idaho (statewide) | 15 | $994 | $1,060 | $1,878 | $826–$2,747 |
| Illinois (statewide) | 34 | $1,368 | $1,808 | $2,458 | $886–$3,775 |
| Indiana (statewide) | 34 | $1,439 | $2,274 | $3,326 | $675–$5,496 |
| Indianapolis IN | 2 | — | — | — | $1,418–$3,773 |
| Iowa (statewide) | 21 | $1,155 | $1,502 | $2,082 | $927–$3,262 |
| Kansas (statewide) | 22 | $1,091 | $1,405 | $2,711 | $773–$5,730 |
| Kentucky (statewide) | 19 | $1,241 | $1,788 | $2,458 | $766–$5,279 |
| Las Vegas NV | 2 | — | — | — | $2,017–$2,072 |
| Los Angeles CA | 17 | $2,704 | $3,452 | $3,654 | $1,385–$6,066 |
| Louisiana (statewide) | 20 | $898 | $1,072 | $1,192 | $702–$2,422 |
| Maine (statewide) | 16 | $3,700 | $3,842 | $4,314 | $1,936–$5,608 |
| Maryland (statewide) | 1 | — | — | — | $2,684–$2,684 |
| Massachusetts (statewide) | 8 | $1,478 | $1,683 | $1,946 | $871–$2,378 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $1,456–$2,640 |
| Michigan (statewide) | 31 | $838 | $973 | $1,500 | $507–$2,816 |
| Minneapolis-St. Paul MN | 10 | $1,765 | $2,122 | $2,526 | $1,491–$2,600 |
| Minnesota (statewide) | 16 | $2,095 | $2,474 | $2,848 | $961–$3,732 |
| Mississippi (statewide) | 22 | $1,182 | $1,411 | $1,610 | $417–$2,840 |
| Missouri (statewide) | 25 | $1,530 | $1,946 | $3,081 | $471–$6,278 |
| Montana (statewide) | 6 | $1,990 | $2,324 | $2,669 | $1,886–$4,764 |
| Nashville TN | 8 | $1,283 | $2,210 | $2,422 | $1,257–$2,474 |
| Nebraska (statewide) | 18 | $1,872 | $2,354 | $3,262 | $763–$6,799 |
| Nevada (statewide) | 6 | $1,931 | $2,017 | $2,017 | $1,850–$2,364 |
| New Hampshire (statewide) | 6 | $2,864 | $3,434 | $3,970 | $2,214–$6,067 |
| New Jersey (statewide) | 23 | $1,666 | $3,176 | $4,626 | $1,088–$8,155 |
| New Mexico (statewide) | 7 | $1,684 | $1,928 | $2,922 | $1,202–$4,068 |
| New York (statewide) | 36 | $1,661 | $2,434 | $2,964 | $667–$5,757 |
| New York City | 7 | $2,479 | $2,479 | $3,311 | $1,578–$6,214 |
| North Carolina (statewide) | 7 | $1,987 | $2,246 | $2,503 | $832–$4,154 |
| North Dakota (statewide) | 5 | $1,622 | $2,071 | $2,382 | $1,601–$3,452 |
| Ohio (statewide) | 42 | $2,102 | $2,612 | $3,654 | $565–$4,671 |
| Oklahoma (statewide) | 15 | $1,640 | $1,894 | $1,958 | $927–$5,238 |
| Oregon (statewide) | 13 | $2,037 | $2,600 | $2,955 | $894–$4,186 |
| Pennsylvania (statewide) | 46 | $1,756 | $2,388 | $3,024 | $920–$5,757 |
| Philadelphia PA | 11 | $3,282 | $3,598 | $4,990 | $2,821–$8,155 |
| Phoenix AZ | 8 | $2,658 | $2,678 | $2,706 | $2,600–$2,788 |
| Pittsburgh PA | 11 | $1,710 | $1,904 | $2,042 | $1,202–$2,630 |
| Portland OR | 9 | $4,275 | $5,158 | $5,160 | $4,275–$5,160 |
| Rhode Island (statewide) | 6 | $1,262 | $1,927 | $3,754 | $908–$4,274 |
| Richmond VA | 3 | — | — | — | $4,146–$4,816 |
| Rio Grande Valley TX | 5 | $1,224 | $2,292 | $2,993 | $1,179–$3,154 |
| Salt Lake City UT | 9 | $1,229 | $1,242 | $1,242 | $825–$1,260 |
| San Antonio TX | 3 | — | — | — | $1,497–$2,800 |
| San Diego CA | 6 | $1,983 | $1,983 | $2,002 | $1,983–$2,151 |
| San Francisco Bay Area CA | 5 | $1,601 | $3,227 | $5,022 | $1,601–$5,460 |
| Seattle-Tacoma WA | 16 | $2,837 | $3,033 | $3,088 | $2,535–$3,387 |
| South Carolina (statewide) | 26 | $1,836 | $2,872 | $3,641 | $749–$6,132 |
| South Dakota (statewide) | 3 | — | — | — | $1,127–$4,742 |
| St. Louis MO | 9 | $1,711 | $1,920 | $1,920 | $1,576–$2,740 |
| Tampa FL | 6 | $3,294 | $3,294 | $3,294 | $1,932–$4,360 |
| Tennessee (statewide) | 27 | $1,465 | $1,808 | $1,888 | $986–$2,500 |
| Texas (statewide) | 74 | $1,550 | $2,602 | $2,923 | $764–$5,496 |
| Utah (statewide) | 7 | $888 | $1,033 | $1,374 | $825–$1,507 |
| Vermont (statewide) | 1 | — | — | — | $550–$550 |
| Virginia (statewide) | 22 | $2,898 | $4,140 | $4,564 | $2,210–$5,051 |
| Washington (statewide) | 16 | $1,670 | $2,381 | $2,706 | $566–$4,598 |
| Washington DC | 9 | $2,525 | $2,563 | $3,189 | $2,486–$3,273 |
| West Virginia (statewide) | 8 | $1,201 | $1,522 | $3,160 | $813–$6,038 |
| Wisconsin (statewide) | 43 | $2,276 | $3,077 | $3,954 | $771–$5,220 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Greene County Hospital | Mississippi (statewide) | $417 | 0.5× | 2 | 2026-06-05 |
| Mercy Hospital Aurora | Missouri (statewide) | $471 | 0.5× | 2 | 2026-06-10 |
| Ascension St Vincent'S Clay County | Florida (statewide) | $479 | 0.5× | 1 | 2026-01-01 |
| Hermann Area District Hospital | Missouri (statewide) | $483 | 0.5× | 3 | 2026-01-24 |
| Oaklawn Hospital | Michigan (statewide) | $507 | 0.6× | 2 | 2026-03-27 |
| Montrose Regional Health | Colorado (statewide) | $510 | 0.5× | 2 | 2026-07-13 |
| Henry Ford Health -St John Hospital | Detroit MI | $541 | 0.6× | 2 | 2026-01-01 |
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $542 | 0.7× | 2 | 2026-04-30 |
| Southwestern Vermont Medical Center | Vermont (statewide) | $550 | 0.6× | 5 | 2025-01-01 |
| Paulding County Hospital | Ohio (statewide) | $565 | 0.7× | 3 | 2025-11-01 |
| Snoqualmie Valley Hospital | Washington (statewide) | $566 | 0.5× | 5 | 2026-04-14 |
| Columbia Basin Hospital | Washington (statewide) | $576 | 0.6× | 2 | 2026-03-30 |
| Rady Children'S Hospital - San Diego | California (statewide) | $6,394 | 5.5× | 4 | 2026-04-01 |
| Valley Hospital | New Jersey (statewide) | $6,536 | 6.1× | 3 | 2026-05-06 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,648 | 6.5× | 3 | 2026-09-15 |
| Chi Health St Francis | Nebraska (statewide) | $6,799 | 7.2× | 6 | 2026-02-28 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,139 | 6.1× | 4 | 2026-09-01 |
| Hackensack University Medical Center | New Jersey (statewide) | $7,460 | 6.9× | 4 | 2025-12-31 |
| Providence Queen Of The Valley Medical Center | California (statewide) | $7,480 | 6.4× | 5 | 2026-04-01 |
| Holy Cross Hospital | Florida (statewide) | $7,541 | 8.0× | 24 | 2026-03-31 |
| Providence St Joseph Hospital | California (statewide) | $7,568 | 6.5× | 4 | 2026-04-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $8,005 | 6.9× | 3 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $8,155 | 8.0× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 8.0× | 1 | 2026-03-24 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for upper endoscopy with esophagus stretching?
Across 1393 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 43249, hospital outpatient is $3,195, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,281 to $4,658. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for upper endoscopy with esophagus stretching?
Medicare's national hospital outpatient rate for CPT 43249 is $1,960 and its surgery-center rate is $894, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for upper endoscopy with esophagus stretching?
Lowest medians: Clearwater Valley Hospital & Clinics ($1,014), Livingston Hospital And Healthcare Services, Inc ($1,060), Monroe County Hospital ($1,065). Highest: Stanford Health Care ($15,618), Cedars-Sinai Medical Center ($14,322), Holy Cross Hospital ($13,250). Coverage: every hospital whose price file we could read.