CPT 43502 Surgery - Digestive
Surgical repair of stomach Cost
Body System: Digestive
Medicare Facility Rate
$1,423
CMS PFS CY2026
Medicare Non-Facility Rate
$1,423
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
25.05
Work RVU
10.87
Facility PE RVU
6.69
Malpractice RVU
42.61
Total RVU
Frequently Asked Questions
How much does Surgical repair of stomach cost?
The Medicare facility rate is $1,423. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Surgical repair of 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 $1,423.