Surgery and procedures CPT 43249 Outpatient

Upper endoscopy with balloon dilation cost in Sparta, WI

In Sparta, WI, 1 hospital lists a cash price for upper endoscopy (EGD) with balloon widening of the esophagus: from $820.38 to $820.38, with a median of $820.38. Across Wisconsin, the median is $1,647.10 at 41 hospitals.

Cash prices at 1 facility for code 43249, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Jun 30, 2026 and Jun 30, 2026.

Lowest$820.38Tomah Memorial Hospital
Median$820.38half pay less
Highest$820.38in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Tomah Memorial Hospital Tomah, WI · (608) 372-2181 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm $820.38 $1,426.75 $108.54–$2,519.76 43% Jun 30, 2026
source file

Outpatient: lowest $820.38, median $820.38, highest $820.38.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This code covers upper endoscopy in which a balloon is used to stretch a narrowed part of the esophagus.

What the price covers

The facility price covers the endoscopy room, equipment and recovery. The doctor, sedation and any lab exam of tissue are usually billed separately.