CPT 42953 Surgery - Digestive
Repair throat esophagus Cost
Body System: Digestive
Medicare Facility Rate
$894
CMS PFS CY2026
Medicare Non-Facility Rate
$894
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
9.21
Work RVU
16.13
Facility PE RVU
1.43
Malpractice RVU
26.77
Total RVU
Frequently Asked Questions
How much does Repair throat esophagus cost?
The Medicare facility rate is $894. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Repair throat esophagus cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $894.