Price Checker / CPT 43290
How much does Egd Flx Trnsorl Dplmnt Balo cost?
CPT 43290 · Based on 2026 Medicare rates and hospital-published pricing
A fair cash price for this is roughly $3,200.
Fair price
$3,200
What this should cost
With insurance
~$2,900
Typical out-of-pocket
Overcharged if over
$4,000
Push back above this
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 Flx Trnsorl Dplmnt Balo
CPT code 43290 refers to egd flx trnsorl dplmnt balo (billing description: "Egd flx trnsorl dplmnt balo"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $157 in a facility (hospital or surgery center) and $2,669 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.