Price Checker / CPT 43605
How much does Biopsy Of Stomach cost?
CPT 43605 · Based on 2026 Medicare rates and hospital-published pricing
A fair cash price for this is roughly $2,100–$2,450.
Fair price
$2,100–$2,450
What this should cost
With insurance
~$2,950
Typical out-of-pocket
Overcharged if over
$3,050
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 Biopsy Of Stomach
CPT code 43605 refers to biopsy of stomach (billing description: "Biopsy of stomach"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $801 in a facility (hospital or surgery center) and $801 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.