Price Checker / CPT 43241
How much does Egd Tube/cath Insertion cost?
CPT 43241 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 54x the fair price — among the most extreme markups. Dispute this.
Fair price
$190–$380
What this should cost
With insurance
~$2,550
Typical out-of-pocket
Overcharged if over
$480
Push back above this
The average hospital charge of $15,671 is $15,381 over the fair price (about 54x the fair rate).
What hospitals charge for Egd Tube/cath Insertion
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| The Christ Hospital Inpatient Psychiatry , OH | $35,601 | $3,614 | 27950% |
| The Christ Hospital Inpatient Rehab , OH | $35,601 | $3,614 | 27950% |
| The Christ Hospital Liberty , OH | $35,601 | $3,614 | 27950% |
| The Christ Hospital , OH | $35,601 | $3,614 | 27950% |
| Beartooth Billings Clinic RED LODGE, MT | $23,729 | — | 18596% |
| UPMC Bedford , PA | $7,646 | $6,117 | 5924% |
| Kindred Hospital Louisville at Jewish Louisville, KY | $5,387 | — | 4144% |
| Kindred Hospital Louisville Louisville, KY | $5,387 | — | 4144% |
| UPMC Wellsboro WELLSBORO, PA | $5,161 | $4,129 | 3966% |
| Haskell Regional Hospital , OK | $4,673 | $4,673 | 3581% |
| Monroe Regional Hospital ABERDEEN, MS | $4,673 | $4,673 | 3581% |
| Carroll County Memorial Hospital CARROLLTON, KY | $3,200 | $1,920 | 2421% |
| Three Rivers Hospital BREWSTER, WA | $1,467 | $1,467 | 1055% |
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 Egd Tube/cath Insertion
CPT code 43241 refers to egd tube/cath insertion (billing description: "Egd tube/cath insertion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $127 in a facility (hospital or surgery center) and $127 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.