CPT 43238 Surgery - Digestive
Egd us fine needle bx/aspir Cost
Body System: Digestive
Medicare Facility Rate
$204
CMS PFS CY2026
Medicare Non-Facility Rate
$204
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
4.06
Work RVU
1.62
Facility PE RVU
0.44
Malpractice RVU
6.12
Total RVU
Frequently Asked Questions
How much does Egd us fine needle bx/aspir cost?
The Medicare facility rate is $204. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Egd us fine needle bx/aspir cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $204.