Price Checker / CPT 43205

How much does Esophagus Endoscopy/ligation cost?

CPT 43205 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 16x the fair price — among the most extreme markups. Dispute this.

Fair price

$190–$380

What this should cost

With insurance

~$2,600

Typical out-of-pocket

Overcharged if over

$480

Push back above this

The average hospital charge of $4,723 is $4,433 over the fair price (about 16x the fair rate).

What hospitals charge for Esophagus Endoscopy/ligation

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
UPMC Wellsboro

WELLSBORO, PA

$5,161$4,1293999%
Haskell Regional Hospital

, OK

$4,672$4,6723610%
Monroe Regional Hospital

ABERDEEN, MS

$4,672$4,6723610%
Mosaic Medical Center in Maryville

, MO

$4,385$3,7273382%

Were you billed for this procedure?

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About Esophagus Endoscopy/ligation

CPT code 43205 refers to esophagus endoscopy/ligation (billing description: "Esophagus endoscopy/ligation"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $126 in a facility (hospital or surgery center) and $126 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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