CPT 43405 Surgery - Digestive
Ligate/staple esophagus Cost
Body System: Digestive
Medicare Facility Rate
$1,402
CMS PFS CY2026
Medicare Non-Facility Rate
$1,402
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
24.11
Work RVU
11.80
Facility PE RVU
6.07
Malpractice RVU
41.98
Total RVU
Frequently Asked Questions
How much does Ligate/staple esophagus cost?
The Medicare facility rate is $1,402. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Ligate/staple 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 $1,402.