Surgery and procedures CPT 43251 Outpatient

Upper endoscopy with polyp removal cost in Utica, NY

In Utica-Rome, NY, 3 hospitals list a cash price for upper endoscopy (EGD) with polyp removal by snare: from $229.50 to $2,991.20, with a median of $625.20. The lowest listed price is at Little Falls Hospital — $395.70 less than the median here. Across New York, the median is $2,244.82 at 47 hospitals.

Cash prices at 3 facilities across 3 cities for code 43251, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 2026.

Lowest$229.50Little Falls Hospital
Median$625.20half pay less
Highest$2,991.20in this market
Difference13.0×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 Utica-Rome, NY.

median
Lowest $229.50Highest $8,035.03

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Little Falls Hospital lowest Little Falls, NY · (315) 823-5261 CAH PR Egd Removal Tumor Polyp/Other Lesion Snare Tech $229.50 $850.00 $238.00–$850.00 73% —
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Mvhs Utica, NY Egd Removal Tumor Polyp/Other Lesion Snare Tech $625.20 $1,042.00 $45.68–$182.35 40% —
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Egd remove lesion snare $2,991.20 $7,409.46 $386.00–$2,363.58 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Egd remove lesion snare $2,991.20 $7,409.46 $386.00–$2,363.58 60% Aug 11, 2026
source file
Mvhs Utica, NY Egd Removal Tumor Polyp/Other Lesion Snare Tech $8,035.03 $13,391.72 $1.80–$6,882.06 40% —
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Outpatient: lowest $229.50, median $625.20, highest $2,991.20 — a 13.0× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $8,216.07. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 1 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. 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.