# CPT 43460: Esopg/gstr Tamponade W/balo Sengstaken Type

Medicare CPT 43460 pays $187.71 in a non-facility setting and $187.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $173.85 in Arkansas to $246.46 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/43460-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $187.71 |
| National facility | $187.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $246.46 | $246.46 |
| District of Columbia | $204.89 | $204.89 |
| New York | $204.41 | $204.41 |
| New Jersey | $201.55 | $201.55 |
| Florida | $201.16 | $201.16 |
| Illinois | $199.24 | $199.24 |
| Connecticut | $196.99 | $196.99 |
| Washington | $195.66 | $195.66 |
| Massachusetts | $195.23 | $195.23 |
| California | $194.90 | $194.90 |
| Maryland | $192.54 | $192.54 |
| Michigan | $190.37 | $190.37 |
| Rhode Island | $190.20 | $190.20 |
| Colorado | $189.33 | $189.33 |
| Pennsylvania | $188.77 | $188.77 |
| Hawaii | $188.67 | $188.67 |
| Georgia | $188.36 | $188.36 |
| Puerto Rico | $188.05 | $188.05 |
| Virgin Islands | $188.05 | $188.05 |
| New Hampshire | $188.01 | $188.01 |
| Montana | $187.69 | $187.69 |
| Oregon | $187.51 | $187.51 |
| West Virginia | $187.20 | $187.20 |
| Texas | $186.62 | $186.62 |
| New Mexico | $186.37 | $186.37 |
| Delaware | $186.31 | $186.31 |
| Nevada | $185.42 | $185.42 |
| Arizona | $184.14 | $184.14 |
| Wyoming | $184.07 | $184.07 |
| Louisiana | $184.01 | $184.01 |
| Ohio | $183.47 | $183.47 |
| Missouri | $183.37 | $183.37 |
| Utah | $183.28 | $183.28 |
| Virginia | $182.74 | $182.74 |
| South Carolina | $181.80 | $181.80 |
| Kentucky | $180.96 | $180.96 |
| Vermont | $180.28 | $180.28 |
| Maine | $180.25 | $180.25 |
| North Dakota | $179.38 | $179.38 |
| Minnesota | $179.29 | $179.29 |
| North Carolina | $179.29 | $179.29 |
| Oklahoma | $179.22 | $179.22 |
| South Dakota | $178.40 | $178.40 |
| Mississippi | $177.09 | $177.09 |
| Indiana | $176.85 | $176.85 |
| Tennessee | $176.66 | $176.66 |
| Idaho | $176.31 | $176.31 |
| Kansas | $175.95 | $175.95 |
| Wisconsin | $175.90 | $175.90 |
| Alabama | $175.36 | $175.36 |
| Nebraska | $175.13 | $175.13 |
| Iowa | $175.00 | $175.00 |
| Arkansas | $173.85 | $173.85 |

## 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 43460 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