Price Checker / CPT 43257
How much does Egd W/thrml Txmnt Gerd cost?
CPT 43257 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 26x the fair price — among the most extreme markups. Dispute this.
Fair price
$310–$610
What this should cost
With insurance
~$3,050
Typical out-of-pocket
Overcharged if over
$760
Push back above this
The average hospital charge of $11,760 is $11,300 over the fair price (about 26x the fair rate).
What hospitals charge for Egd W/thrml Txmnt Gerd
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Southlake Specialty Hospital LLC Southlake, TX | — | — | 12160% |
| Avita Ontario Hospital Ontario, OH | $14,838 | — | 6578% |
| Bucyrus Community Hospital Bucyrus, OH | $14,838 | — | 6578% |
| Galion Community Hospital GALION, OH | $14,838 | — | 6578% |
| UPMC Mercy PITTSBURGH, PA | $10,392 | $8,314 | 4984% |
| UPMC Wellsboro WELLSBORO, PA | $9,871 | $7,897 | 4729% |
| UPMC Altoona ALTOONA, PA | $9,542 | $7,634 | 4568% |
| University Hospitals Samaritan Medical Center ASHLAND, OH | $6,465 | $4,849 | 3063% |
| Lincoln Medical Center Bronx, NY | — | — | -100% |
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 W/thrml Txmnt Gerd
CPT code 43257 refers to egd w/thrml txmnt gerd (billing description: "Egd w/thrml txmnt gerd"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $204 in a facility (hospital or surgery center) and $204 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.