CPT 43242 Surgery - Digestive

How Much Does Egd US Fine Needle Biopsy/aspir Cost?

Also known as: Egd us fine needle bx/aspir (CPT 43242)

The total estimated cost of Egd US Fine Needle Biopsy/aspir (CPT 43242) is $772 to $1,448, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $230.

Total Estimated Cost of Care

$772 — $1,448

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$230
Hospital Facility Fee
$689
Anesthesia (est.)
$46
Important: The physician fee of $230 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$230
Physician component only — CMS PFS 2026

Procedures Commonly Done Together

These procedures are frequently performed alongside Egd us fine needle bx/aspir

Loading related procedures...

How to Reduce Your Cost for Egd us fine needle bx/aspir

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

4.61
Work RVU
1.78
Practice Expense RVU
0.49
Malpractice RVU
6.88
Total RVU

Payment = Total RVU (6.88) x CF ($33.40) = $230

People Also Ask

Common questions people search for about this procedure

Does insurance cover endoscopic ultrasound?

If you have medical insurance, your plan may cover a portion of the cost of your EUS, but it's essential to verify with your provider beforehand. In addition, the type of EUS performed will impact the cost. Diagnostic EUS, typically a simpler procedure, is often less expensive than the more complex interventional EUS.

Source: digestivediseasecare.com See our data-backed answer →
Why would a doctor order an endoscopic ultrasound?

Doctors use EUS to look for cancer, inflammation, noncancerous tumors, cysts, blood vessel problems, lymph node issues, and more. An endoscopic ultrasound can help doctors diagnose and stage: Esophageal cancer.

Source: www.valleyhealth.com See our data-backed answer →
Is there a prep for an endoscopic ultrasound?
What are the disadvantages of endoscopic ultrasound?

The major complications associated with EUS-FNA include hemorrhage, perforation, infection, and organ-specific complications, such as acute pancreatitis after puncture for pancreatic lesions.

Source: pmc.ncbi.nlm.nih.gov See our data-backed answer →

Frequently Asked Questions

How much does Egd us fine needle bx/aspir cost?

The Medicare facility rate for Egd us fine needle bx/aspir is $230. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Egd us fine needle bx/aspir cost without insurance?

Without insurance, the cost of Egd us fine needle bx/aspir can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Egd us fine needle bx/aspir?

Most commercial health insurance plans and Medicare cover Egd us fine needle bx/aspir when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

Share This Cost Information

My Cost List

0 procedures

No procedures added yet

Click "Add to My List" on any procedure to start building your estimate.