Price Checker / CPT 43205
CPT 43205 — Esophagus endoscopy/ligation
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$126
What Medicare pays in a hospital/ASC setting
$126
What Medicare pays in a physician's office
$7,340
Based on 28 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 43205
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| California Hospital Medical Center , CA | — | — | 22949% |
| Garden Grove Hospital Medical Center , CA | $10,154 | $3,090 | 7964% |
| Huntington Beach Hospital , CA | $10,154 | $3,090 | 7964% |
| La Palma Intercommunity Hospital , CA | $10,154 | $3,090 | 7964% |
| West Anaheim Medical Center , CA | $10,154 | $3,090 | 7964% |
| Chino Valley Medical Center , CA | $9,677 | $3,090 | 7585% |
| Montclair Hospital Medical Center , CA | $9,677 | $3,090 | 7585% |
| San Dimas Community Hospital , CA | $9,677 | $3,090 | 7585% |
| McLaren Greater Lansing , MI | $8,303 | $4,151 | 6494% |
| "Mayo Clinic Hospital- Rochester , Gonda Building" | $6,752 | $6,009 | 5262% |
| "Mayo Clinic Hospital- Rochester , Mayo Eugenio Litta Children's Hospital" | $6,752 | $6,009 | 5262% |
| "Mayo Clinic Hospital- Rochester , Methodist Campus" | $6,752 | $6,009 | 5262% |
| Mayo Clinic Hospital-Rochester , MN | $6,752 | $6,009 | 5262% |
| "Mayo Clinic Hospital- Rochester , Saint Marys Campus" | $6,752 | $6,009 | 5262% |
| THE HOSPITAL OF CENTRAL CONNECTICUT , CT | $6,602 | $6,602 | 5143% |
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About CPT 43205
CPT code 43205 refers to “Esophagus endoscopy/ligation”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $126 in a facility (hospital or ambulatory surgery center) and $126in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.