Price Checker / CPT 43201
How much does Esoph Scope W/submucous Injection cost?
CPT 43201 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 24x the fair price — among the most extreme markups. Dispute this.
Fair price
$420–$830
What this should cost
With insurance
~$2,600
Typical out-of-pocket
Overcharged if over
$1,050
Push back above this
The average hospital charge of $15,299 is $14,669 over the fair price (about 24x the fair rate).
What hospitals charge for Esoph Scope W/submucous Injection
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Ashley Regional Medical Center VERNAL, UT | $15,299 | — | 5399% |
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 Esoph Scope W/submucous Injection
CPT code 43201 refers to esoph scope w/submucous injection (billing description: "Esoph scope w/submucous inj"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $92 in a facility (hospital or surgery center) and $278 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.