EGD with balloon (43249) or guide-wire (43248) dilation of a narrowed esophagus. What Medicare pays in each setting, in every state, and where it costs less.
EGD with balloon (43249) or guide-wire (43248) dilation of a narrowed esophagus.
Every bill for the whole procedure: facility, surgeon, anesthesia and the care around it
Look up the price in your ZIP codeAll services
| State | Surgery center | Hospital outpatient |
|---|---|---|
| Alabama | $905–$968 | $1,781–$1,947 |
| Alaska | $1,136 | $2,307 |
| Arizona | $1,061 | $2,181 |
| Arkansas | $939–$981 | $1,873–$1,984 |
| California | $1,224–$1,381 | $2,605–$2,981 |
| Colorado | $1,056–$1,065 | $2,162–$2,184 |
| Connecticut | $1,167 | $2,444 |
| Delaware | $1,053–$1,098 | $2,158–$2,275 |
| District of Columbia | $1,012–$1,160 | $2,027–$2,416 |
| Florida | $1,050–$1,064 | $2,143–$2,157 |
| Georgia | $922–$1,041 | $1,816–$2,128 |
| Hawaii | $1,148 | $2,404 |
| Idaho | $998–$1,014 | $2,024–$2,067 |
| Illinois | $1,069–$1,081 | $2,195–$2,206 |
| Indiana | $1,049–$1,072 | $2,158–$2,220 |
| Iowa | $977–$1,022 | $1,972–$2,091 |
| Kansas | $947–$967 | $1,892–$1,944 |
| Kentucky | $965–$996 | $1,932–$2,015 |
| Louisiana | $941–$969 | $1,869–$1,941 |
| Maine | $996–$1,027 | $2,017–$2,094 |
| Maryland | $970–$1,063 | $1,937–$2,180 |
| Massachusetts | $1,161–$1,170 | $2,437–$2,446 |
| Michigan | $1,010–$1,020 | $2,046–$2,061 |
| Minnesota | $1,032–$1,069 | $2,111–$2,208 |
| Mississippi | $906–$953 | $1,783–$1,906 |
| Missouri | $1,010 | $2,053 |
| Montana | $1,031 | $2,097 |
| Nebraska | $1,034 | $2,120 |
| Nevada | $1,054 | $2,160 |
| New Hampshire | $1,065 | $2,186 |
| New Jersey | $1,114–$1,164 | $2,303–$2,428 |
| New Mexico | $1,006–$1,038 | $2,035–$2,118 |
| New York | $1,191–$1,218 | $2,527–$2,553 |
| North Carolina | $976–$1,018 | $1,964–$2,073 |
| North Dakota | $1,025 | $2,091 |
| Ohio | $972–$1,006 | $1,948–$2,037 |
| Oklahoma | $980 | $1,975–$1,988 |
| Oregon | $1,093–$1,168 | $2,266–$2,464 |
| Pennsylvania | $992–$1,056 | $2,002–$2,169 |
| Rhode Island | $1,107 | $2,296 |
| South Carolina | $959–$992 | $1,917–$2,002 |
| South Dakota | $1,024 | $2,090 |
| Tennessee | $939–$993 | $1,869–$2,012 |
| Texas | $1,014–$1,022 | $2,060–$2,068 |
| Utah | $1,021 | $2,076 |
| Vermont | $1,004–$1,031 | $2,036–$2,107 |
| Virginia | $993–$1,036 | $2,005–$2,118 |
| Washington | $1,099–$1,144 | $2,275–$2,377 |
| West Virginia | $984–$1,039 | $1,976–$2,121 |
| Wisconsin | $985–$1,041 | $1,992–$2,137 |
| Wyoming | $1,028 | $2,094 |
Medicare's 2026 national price for upper endoscopy with esophagus stretching is $1,031 at surgery center; $2,097 at hospital outpatient. Prices vary by area; private insurance usually pays more.
Usually at surgery center ($1,031) rather than hospital outpatient ($2,097), about $1,066 less for the same service at Medicare's national rates.
These are Medicare's payment rates, a public benchmark for a fair price. What you pay depends on your insurance, deductible and the provider. Ask for a written estimate before you book; if you are uninsured or paying yourself, you are entitled to a Good Faith Estimate.