Price Checker / CPT 43204
How much does Esoph Scope W/sclerosis Injection cost?
CPT 43204 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 13x the fair price — among the most extreme markups. Dispute this.
Fair price
$180–$360
What this should cost
With insurance
~$2,550
Typical out-of-pocket
Overcharged if over
$450
Push back above this
The average hospital charge of $3,486 is $3,216 over the fair price (about 13x the fair rate).
What hospitals charge for Esoph Scope W/sclerosis 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 |
|---|---|---|---|
| Haskell Regional Hospital , OK | $4,672 | $4,672 | 3775% |
| Monroe Regional Hospital ABERDEEN, MS | $4,672 | $4,672 | 3775% |
| Mosaic Medical Center in Maryville , MO | $4,600 | $3,910 | 3715% |
| South Brooklyn Health Brooklyn, 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 Esoph Scope W/sclerosis Injection
CPT code 43204 refers to esoph scope w/sclerosis injection (billing description: "Esoph scope w/sclerosis inj"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $121 in a facility (hospital or surgery center) and $121 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.