CPT 43888 Surgery - Digestive
Gstr rstcv px opn rmvl&rplc Cost
Body System: Digestive
Medicare Facility Rate
$461
CMS PFS CY2026
Medicare Non-Facility Rate
$461
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
6.28
Work RVU
5.86
Facility PE RVU
1.67
Malpractice RVU
13.81
Total RVU
Frequently Asked Questions
How much does Gstr rstcv px opn rmvl&rplc cost?
The Medicare facility rate is $461. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Gstr rstcv px opn rmvl&rplc 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 $461.