CPT 43286 Surgery - Digestive
Esphg tot w/laps moblj Cost
Body System: Digestive
Medicare Facility Rate
$2,945
CMS PFS CY2026
Medicare Non-Facility Rate
$2,945
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
53.63
Work RVU
20.84
Facility PE RVU
13.71
Malpractice RVU
88.18
Total RVU
Frequently Asked Questions
How much does Esphg tot w/laps moblj cost?
The Medicare facility rate is $2,945. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Esphg tot w/laps moblj 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 $2,945.