CPT 43865 Surgery - Digestive
Revj gstr/jj anast w/vgtmy Cost
Body System: Digestive
Medicare Facility Rate
$1,588
CMS PFS CY2026
Medicare Non-Facility Rate
$1,588
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
28.32
Work RVU
11.66
Facility PE RVU
7.57
Malpractice RVU
47.55
Total RVU
Frequently Asked Questions
How much does Revj gstr/jj anast w/vgtmy cost?
The Medicare facility rate is $1,588. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Revj gstr/jj anast w/vgtmy 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 $1,588.