Price Checker / CPT 43206

How much does Esoph Optical Endomicroscopy cost?

CPT 43206 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 165x the fair price — among the most extreme markups. Dispute this.

Fair price

$510–$1,000

What this should cost

With insurance

~$2,700

Typical out-of-pocket

Overcharged if over

$1,250

Push back above this

The average hospital charge of $124,984 is $124,224 over the fair price (about 165x the fair rate).

What hospitals charge for Esoph Optical Endomicroscopy

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

HospitalGross ChargeCash Ratevs Medicare
John Muir Health Behavioral Health Center

, CA

$158,736$71,43146538%
John Muir Health Concord Medical Center

, CA

$158,736$71,43146538%
John Muir Health Walnut Creek Medical Center

, CA

$158,736$71,43146538%
Beartooth Billings Clinic

RED LODGE, MT

$23,7296872%

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About Esoph Optical Endomicroscopy

CPT code 43206 refers to esoph optical endomicroscopy (billing description: "Esoph optical endomicroscopy"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $119 in a facility (hospital or surgery center) and $340 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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