Surgery and procedures CPT 43251 Inpatient — admitted to hospital

Upper endoscopy with polyp removal cost in Madison, WI — inpatient

In Madison, WI, 2 hospitals list a cash price for upper endoscopy (EGD) with polyp removal by snare as an inpatient: from $895.20 to $1,754.35, with a median of $1,324.78. The lowest listed price is at UnityPoint Health - Meriter — $429.58 less than the median here. Across Wisconsin, the median is $1,603.20 at 33 hospitals.

Cash prices at 2 facilities across 2 cities for code 43251, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Apr 1, 2026.

Lowest$895.20UnityPoint Health - Meriter
Median$1,324.78half pay less
Highest$1,754.35in this market
Difference2.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Madison, WI.

median
Lowest $895.20Highest $2,211.95

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UnityPoint Health - Meriter lowest Madison, WI · (608) 417-6210 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH $895.20 $1,119.00 $175.66–$1,063.05 20% Jan 28, 2026
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Aspirus Divine Savior Hospital Portage, WI · (608) 742-4131 EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH $1,754.35 $2,699.00 — 35% Apr 1, 2026
source file
Aspirus Divine Savior Hospital Portage, WI · (608) 742-4131 Pro Egd Removal Tumor Polyp/Other Lesion Snare Tech $1,754.35 $2,699.00 — 35% Apr 1, 2026
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Aspirus Divine Savior Hospital Portage, WI · (608) 742-4131 Fac Egd Removal Tumor Polyp/Other Lesion Snare Tech $2,211.95 $3,403.00 — 35% Apr 1, 2026
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Inpatient: lowest $895.20, median $1,324.78, highest $1,754.35 — a 2.0× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $1,324.78 — that is the price to compare if you are not being admitted.

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 polyp or growth is removed with a wire loop.

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.