CPT 43112 Surgery - Digestive
Esphg tot w/thrcm Cost
Body System: Digestive
Medicare Facility Rate
$3,199
CMS PFS CY2026
Medicare Non-Facility Rate
$3,199
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
60.45
Work RVU
20.08
Facility PE RVU
15.24
Malpractice RVU
95.77
Total RVU
Frequently Asked Questions
How much does Esphg tot w/thrcm cost?
The Medicare facility rate is $3,199. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Esphg tot w/thrcm 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 $3,199.