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Upper Endoscopy With Drainage Of A Fluid Pocket

Wyoming rates for HCPCS 43240

An examination of the food pipe, stomach and first part of the small intestine with a flexible scope, during which a fluid collection pressing against the stomach or intestinal wall — most often a pocket left behind after inflammation of the pancreas — is drained. The doctor makes an opening through the wall into the collection and leaves one or more short tubes in place so it empties into the gut. Ultrasound from the tip of the scope is normally used to find a safe route.

Rates data updated October 2026.

How much does Upper Endoscopy With Drainage Of A Fluid Pocket cost?

$7,228

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $7,228 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $6,026 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,202$759 to $1,549
Facility feeThe hospital or surgery center$6,026$3,467 to $6,026

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,570 to $10,715Professionalmedian $1,202 · 10th to 90th $501 to $1,862
$500$1K$2K$5K$10Kfacility $6,026professional $1,202

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$524.81
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,548.82
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$10,715.19
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$562.34
Typical High
$933.25
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$707.95
Typical High
$1,412.54

Where Wyoming sits

The same service costs 6.9 times more in Alaska than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Wyoming· 2nd of 51

$7,228

$1,202 physician + $6,026 facility

AK $8,267MT $1,191

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.