CPT 43249 Surgery - Digestive

How Much Does Esoph Egd Dilation Less than 30 Mm Cost?

Also known as: Esoph egd dilation <30 mm (CPT 43249)

Upper endoscopy with dilation of a narrowed esophagus (esophageal stricture).

The total estimated cost of Esoph Egd Dilation Less than 30 Mm (CPT 43249) is $458 to $858, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $136.

Total Estimated Cost of Care

$458 — $858

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$136
Hospital Facility Fee
$409
Anesthesia (est.)
$27
Important: The physician fee of $136 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$136
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$1,180
Non-facility setting

Patient Guide: Esoph Egd Dilation Less than 30 Mm

What you need to know before your appointment

What to Expect

During an upper endoscopy, the doctor uses a balloon or dilators to gently stretch a narrowed area of your esophagus to make swallowing easier.

How Long Does It Take?

20-30 minutes (plus recovery)

Common Reasons Doctors Order This

Difficulty swallowing, food getting stuck, esophageal stricture from acid reflux, radiation, or surgery

How to Prepare

Fast for 6-8 hours. Arrange a driver. Start with soft foods after the procedure. Some soreness when swallowing is normal for a day.

Procedures Commonly Done Together

These procedures are frequently performed alongside Esoph egd dilation <30 mm

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How to Reduce Your Cost for Esoph egd dilation <30 mm

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($1,180) differs from the facility rate ($136). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

2.60
Work RVU
1.18
Practice Expense RVU
0.30
Malpractice RVU
35.34
Total RVU

Payment = Total RVU (35.34) x CF ($33.40) = $1,180

Frequently Asked Questions

How much does Esoph egd dilation <30 mm cost?

The Medicare facility rate for Esoph egd dilation <30 mm is $136. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Esoph egd dilation <30 mm cost without insurance?

Without insurance, the cost of Esoph egd dilation <30 mm can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Esoph egd dilation <30 mm?

Most commercial health insurance plans and Medicare cover Esoph egd dilation <30 mm when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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