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CPT 43237Medical Service

Ultrasound Exam of Esophagus

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth. Clinical pricing breakdown and utilization metrics across 585 practicing doctors nationwide.

$750.50
Peer Median Charge
Gross billed rate
$168.99
Standard Baseline
Customary allowable
4.4x
National Markup
Charge vs baseline
585
Active Physicians
Billing this code
Planning care or already received a bill for CPT 43237?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $750.50. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $168.99 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code 43237 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"