CPT 43123 Surgery - Digestive
Partial removal of esophagus Cost
Body System: Digestive
Medicare Facility Rate
$4,175
CMS PFS CY2026
Medicare Non-Facility Rate
$4,175
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
81.04
Work RVU
23.52
Facility PE RVU
20.45
Malpractice RVU
125.01
Total RVU
Frequently Asked Questions
How much does Partial removal of esophagus cost?
The Medicare facility rate is $4,175. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Partial removal of 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 $4,175.