Price Checker / CPT 43259
How much does Egd Ultrasound Exam Duodenum/jejunum cost?
CPT 43259 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 44x the fair price — among the most extreme markups. Dispute this.
Fair price
$300–$600
What this should cost
With insurance
~$2,700
Typical out-of-pocket
Overcharged if over
$750
Push back above this
The average hospital charge of $19,749 is $19,299 over the fair price (about 44x the fair rate).
What hospitals charge for Egd Ultrasound Exam Duodenum/jejunum
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Beartooth Billings Clinic RED LODGE, MT | $23,729 | — | 11840% |
| Georgetown Community Hospital GEORGETOWN, KY | $15,768 | — | 7834% |
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 Ultrasound Exam Duodenum/jejunum
CPT code 43259 refers to egd ultrasound exam duodenum/jejunum (billing description: "Egd us exam duodenum/jejunum"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $199 in a facility (hospital or surgery center) and $199 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.