# CPT 43246: Egd Percutaneous Placement Gastrostomy Tube

Medicare CPT 43246 pays $178.36 in a non-facility setting and $178.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $163.46 in Arkansas to $231.27 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/43246-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology, General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $178.36 |
| National facility | $178.36 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $231.27 | $231.27 |
| New York | $195.40 | $195.40 |
| Florida | $195.27 | $195.27 |
| District of Columbia | $194.59 | $194.59 |
| Illinois | $193.38 | $193.38 |
| New Jersey | $191.43 | $191.43 |
| Connecticut | $187.84 | $187.84 |
| Washington | $184.55 | $184.55 |
| Massachusetts | $184.42 | $184.42 |
| Maryland | $183.15 | $183.15 |
| Michigan | $182.85 | $182.85 |
| California | $182.61 | $182.61 |
| Rhode Island | $180.13 | $180.13 |
| West Virginia | $180.13 | $180.13 |
| Georgia | $179.96 | $179.96 |
| Pennsylvania | $179.71 | $179.71 |
| Colorado | $178.74 | $178.74 |
| Puerto Rico | $178.59 | $178.59 |
| Virgin Islands | $178.59 | $178.59 |
| Montana | $178.33 | $178.33 |
| New Mexico | $178.20 | $178.20 |
| New Hampshire | $177.98 | $177.98 |
| Texas | $177.05 | $177.05 |
| Hawaii | $177.04 | $177.04 |
| Oregon | $176.79 | $176.79 |
| Delaware | $176.62 | $176.62 |
| Nevada | $175.45 | $175.45 |
| Louisiana | $175.30 | $175.30 |
| Ohio | $174.61 | $174.61 |
| Arizona | $174.42 | $174.42 |
| Missouri | $174.40 | $174.40 |
| Utah | $173.87 | $173.87 |
| Wyoming | $173.76 | $173.76 |
| Virginia | $172.40 | $172.40 |
| South Carolina | $172.30 | $172.30 |
| Kentucky | $171.89 | $171.89 |
| Maine | $169.76 | $169.76 |
| Oklahoma | $169.62 | $169.62 |
| Vermont | $169.17 | $169.17 |
| North Carolina | $168.97 | $168.97 |
| North Dakota | $167.85 | $167.85 |
| Mississippi | $167.52 | $167.52 |
| Minnesota | $167.20 | $167.20 |
| South Dakota | $166.61 | $166.61 |
| Tennessee | $166.09 | $166.09 |
| Indiana | $165.99 | $165.99 |
| Idaho | $165.45 | $165.45 |
| Kansas | $165.28 | $165.28 |
| Alabama | $165.08 | $165.08 |
| Wisconsin | $164.23 | $164.23 |
| Nebraska | $163.90 | $163.90 |
| Iowa | $163.88 | $163.88 |
| Arkansas | $163.46 | $163.46 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 43246 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules