CPT 43320 Surgery - Digestive
Fuse esophagus & stomach Cost
Body System: Digestive
Medicare Facility Rate
$1,308
CMS PFS CY2026
Medicare Non-Facility Rate
$1,308
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
22.73
Work RVU
10.35
Facility PE RVU
6.08
Malpractice RVU
39.16
Total RVU
Frequently Asked Questions
How much does Fuse esophagus & stomach cost?
The Medicare facility rate is $1,308. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Fuse esophagus & stomach 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 $1,308.