Price Checker / CPT 43195
How much does Esophagoscopy Rigid Balloon cost?
CPT 43195 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 107x the fair price — among the most extreme markups. Dispute this.
Fair price
$240–$480
What this should cost
With insurance
~$3,000
Typical out-of-pocket
Overcharged if over
$600
Push back above this
The average hospital charge of $38,679 is $38,319 over the fair price (about 107x the fair rate).
What hospitals charge for Esophagoscopy Rigid Balloon
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| John Muir Health Behavioral Health Center , CA | $76,616 | $34,477 | 47989% |
| John Muir Health Concord Medical Center , CA | $76,616 | $34,477 | 47989% |
| John Muir Health Walnut Creek Medical Center , CA | $76,616 | $34,477 | 47989% |
| Beartooth Billings Clinic RED LODGE, MT | $23,729 | — | 14794% |
| Mosaic Medical Center in Maryville , MO | $8,700 | $7,395 | 5361% |
| LifeBrite Community Hospital of Stokes DANBURY, NC | $8,474 | — | 4636% |
| North Central Bronx Bronx, NY | — | — | -100% |
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 Esophagoscopy Rigid Balloon
CPT code 43195 refers to esophagoscopy rigid balloon (billing description: "Esophagoscopy rigid balloon"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $159 in a facility (hospital or surgery center) and $159 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.