Dilation of esophagus
Medicare pricing data for 4,051 providers across 49 states
This procedure has a 5.6x markup — hospitals charge $824.87 but Medicare allows only $147.77. Uninsured patients may face bills 5.6 times higher than what insurance negotiates. Prices vary significantly by location — from $38 in North Dakota to $272 in New Mexico. Where you get this procedure matters more than almost any other factor. 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
Dilation of esophagus (HCPCS code 43450) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $147.77, but hospitals typically charge $824.87 — a 5.6x 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 $147.77, your out-of-pocket cost would be approximately $29.55. 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 5.6x more than what Medicare allows for this procedure. Medicare actually pays $117.71 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Mexico | $272 | $991 | 9 | 48 | +83.9% |
| Hawaii | $204 | $1,633 | 8 | 32 | +38.1% |
| California | $201 | $1,040 | 221 | 3,295 | +36.1% |
| Nevada | $201 | $1,062 | 25 | 286 | +35.9% |
| Washington | $194 | $1,584 | 22 | 68 | +31.1% |
| Maryland | $192 | $726 | 81 | 1,083 | +29.8% |
| Minnesota | $183 | $659 | 28 | 211 | +23.6% |
| New Jersey | $172 | $2,218 | 92 | 1,139 | +16.6% |
| Tennessee | $171 | $690 | 168 | 6,461 | +15.6% |
| Rhode Island | $170 | $784 | 8 | 95 | +15.3% |
| Arizona | $170 | $1,536 | 72 | 1,087 | +15.2% |
| South Carolina | $168 | $602 | 136 | 7,488 | +13.7% |
| Pennsylvania | $167 | $688 | 268 | 3,638 | +13.2% |
| Georgia | $161 | $657 | 144 | 2,418 | +9.0% |
| Utah | $159 | $885 | 40 | 1,130 | +7.5% |
| Nebraska | $158 | $851 | 51 | 1,321 | +6.8% |
| Ohio | $156 | $671 | 213 | 4,233 | +5.4% |
| Florida | $155 | $903 | 348 | 7,304 | +5.1% |
| Louisiana | $155 | $607 | 108 | 4,737 | +4.9% |
| Delaware | $154 | $728 | 26 | 372 | +4.4% |
| Idaho | $152 | $500 | 25 | 207 | +3.1% |
| Iowa | $152 | $1,264 | 32 | 320 | +3.0% |
| Colorado | $149 | $5,575 | 49 | 608 | +1.1% |
| Oklahoma | $149 | $594 | 42 | 1,123 | +0.6% |
| North Carolina | $148 | $658 | 210 | 4,671 | -0.1% |
| Michigan | $147 | $691 | 172 | 3,131 | -0.7% |
| New York | $144 | $843 | 134 | 1,616 | -2.8% |
| Texas | $142 | $1,246 | 273 | 4,362 | -4.0% |
| Missouri | $134 | $1,176 | 92 | 1,812 | -9.3% |
| Kansas | $131 | $861 | 69 | 1,964 | -11.5% |
| Mississippi | $126 | $641 | 51 | 3,057 | -14.5% |
| Illinois | $116 | $748 | 80 | 1,446 | -21.7% |
| Oregon | $115 | $475 | 25 | 262 | -22.4% |
| Alabama | $111 | $1,139 | 91 | 1,856 | -24.8% |
| Kentucky | $110 | $528 | 69 | 1,425 | -25.5% |
| Massachusetts | $108 | $628 | 61 | 529 | -26.8% |
| Wisconsin | $104 | $1,004 | 48 | 341 | -29.7% |
| Indiana | $99 | $684 | 109 | 2,404 | -33.2% |
| Arkansas | $81 | $406 | 44 | 1,870 | -44.9% |
| Connecticut | $76 | $661 | 42 | 260 | -48.9% |
| New Hampshire | $64 | $1,039 | 11 | 76 | -56.6% |
| Virginia | $64 | $542 | 121 | 1,616 | -56.8% |
| Montana | $63 | $279 | 8 | 46 | -57.4% |
| District of Columbia | $59 | $502 | 7 | 13 | -60.4% |
| West Virginia | $43 | $309 | 32 | 457 | -71.0% |
| South Dakota | $42 | $328 | 14 | 100 | -71.6% |
| Vermont | $40 | $386 | 4 | 20 | -73.0% |
| Maine | $39 | $211 | 21 | 146 | -73.4% |
| North Dakota | $38 | $1,007 | 7 | 90 | -74.1% |
⚠️ 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