Price Checker / CPT 43254
How much does Egd Endo Mucosal Resection cost?
CPT 43254 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 50x the fair price — among the most extreme markups. Dispute this.
Fair price
$360–$710
What this should cost
With insurance
~$2,700
Typical out-of-pocket
Overcharged if over
$890
Push back above this
The average hospital charge of $27,123 is $26,583 over the fair price (about 50x the fair rate).
What hospitals charge for Egd Endo Mucosal Resection
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Meadowview Regional Medical Center MAYSVILLE, KY | $27,131 | — | 11357% |
| Franciscan Health Olympia Fields , IL | $27,116 | $5,423 | 11351% |
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 Endo Mucosal Resection
CPT code 43254 refers to egd endo mucosal resection (billing description: "Egd endo mucosal resection"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $237 in a facility (hospital or surgery center) and $237 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.