Price Checker / CPT 43116
How much does Partial Removal Of Esophagus cost?
CPT 43116 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.
Fair price
$10,200–$12,000
What this should cost
With insurance
~$3,800
Typical out-of-pocket
Overcharged if over
$15,000
Push back above this
The average hospital charge of $12,368 is $1,268 over the fair price.
What hospitals charge for Partial Removal Of Esophagus
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Gibson Area Hospital Gibson City, IL | $21,297 | — | 342% |
| Henry Ford Providence Novi Hospital Novi, MI | — | — | 299% |
| Henry Ford Providence Southfield Hospital Southfield, MI | — | — | 299% |
| Valley County Health System Ord, NE | — | — | 200% |
| Illini Community Hospital Pittsfield, IL | — | — | 188% |
| DeSoto Regional Health System MANSFIELD, LA | $12,800 | — | 180% |
| Fillmore County Hospital Geneva, NE | — | — | 138% |
| Community Memorial Hospital - Burke Burke, SD | — | — | 72% |
| Broaddus Hospital Association Inc Philippi, WV | — | — | 65% |
| Henry Ford Rochester Hospital Rochester, MI | — | — | 58% |
| Douglas County Memorial Hospital , SD | — | — | 8% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Partial Removal Of Esophagus
CPT code 43116 refers to partial removal of esophagus (billing description: "Partial removal of esophagus"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $4,578 in a facility (hospital or surgery center) and $4,578 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.