Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Medicare pricing data for 9,053 providers across 51 states
This procedure has a 5.9x markup — hospitals charge $954.17 but Medicare allows only $160.41. Uninsured patients may face bills 5.9 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS code 43247) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $160.41, but hospitals typically charge $954.17 — a 5.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $160.41, your out-of-pocket cost would be approximately $32.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.9x more than what Medicare allows for this procedure. Medicare actually pays $123.42 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $216 | $2,258 | 28 | 61 | +34.5% |
| New York | $177 | $1,295 | 466 | 1,069 | +10.5% |
| Wyoming | $176 | $1,292 | 28 | 54 | +9.9% |
| Rhode Island | $174 | $892 | 31 | 45 | +8.5% |
| New Jersey | $172 | $1,371 | 261 | 576 | +7.4% |
| New Mexico | $171 | $760 | 32 | 67 | +6.6% |
| Hawaii | $171 | $847 | 14 | 29 | +6.5% |
| Maryland | $171 | $883 | 144 | 388 | +6.3% |
| Florida | $170 | $835 | 642 | 1,673 | +5.9% |
| Louisiana | $170 | $818 | 143 | 288 | +5.9% |
| North Dakota | $169 | $1,012 | 25 | 111 | +5.3% |
| Connecticut | $169 | $980 | 113 | 210 | +5.2% |
| Vermont | $168 | $1,452 | 20 | 46 | +4.7% |
| Massachusetts | $168 | $892 | 266 | 619 | +4.6% |
| Delaware | $168 | $694 | 30 | 85 | +4.5% |
| Kansas | $166 | $881 | 107 | 296 | +3.4% |
| Mississippi | $166 | $1,054 | 102 | 242 | +3.3% |
| Illinois | $165 | $1,101 | 378 | 957 | +3.0% |
| Michigan | $165 | $703 | 295 | 771 | +2.9% |
| Nevada | $164 | $893 | 49 | 155 | +2.4% |
| Georgia | $163 | $933 | 241 | 528 | +1.9% |
| Utah | $163 | $741 | 69 | 166 | +1.7% |
| Montana | $162 | $682 | 28 | 73 | +1.2% |
| Colorado | $162 | $1,120 | 149 | 365 | +0.9% |
| California | $162 | $1,053 | 695 | 2,003 | +0.7% |
| Oregon | $161 | $1,054 | 118 | 283 | +0.3% |
| Idaho | $160 | $541 | 62 | 146 | -0.2% |
| Washington | $160 | $771 | 207 | 559 | -0.3% |
| Maine | $160 | $599 | 40 | 81 | -0.3% |
| Ohio | $157 | $769 | 395 | 815 | -1.9% |
| Texas | $156 | $977 | 637 | 1,692 | -2.5% |
| Oklahoma | $156 | $737 | 97 | 287 | -2.5% |
| New Hampshire | $156 | $1,761 | 54 | 130 | -2.7% |
| Pennsylvania | $156 | $777 | 485 | 1,096 | -2.9% |
| North Carolina | $156 | $896 | 290 | 669 | -2.9% |
| Arkansas | $155 | $767 | 82 | 214 | -3.5% |
| Iowa | $155 | $991 | 93 | 224 | -3.6% |
| Missouri | $154 | $790 | 224 | 610 | -4.3% |
| South Dakota | $153 | $902 | 38 | 103 | -4.6% |
| Wisconsin | $153 | $2,178 | 194 | 402 | -4.7% |
| Alabama | $153 | $796 | 141 | 311 | -4.8% |
| Kentucky | $151 | $620 | 174 | 456 | -5.6% |
| Virginia | $150 | $776 | 215 | 608 | -6.4% |
| South Carolina | $150 | $941 | 151 | 411 | -6.5% |
| Tennessee | $150 | $824 | 205 | 532 | -6.5% |
| Indiana | $149 | $1,112 | 219 | 734 | -7.4% |
| West Virginia | $145 | $630 | 59 | 152 | -9.5% |
| Arizona | $145 | $643 | 151 | 472 | -9.7% |
| Minnesota | $144 | $1,163 | 174 | 523 | -10.0% |
| Nebraska | $144 | $950 | 71 | 255 | -10.1% |
| District of Columbia | $123 | $522 | 26 | 124 | -23.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber