CPT 43830

Gastrostomy Opn W/O Constj Gstr Tube Spx

CPT 43830 pays $676.03 in a non-facility setting and $676.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $599.75 in Arkansas to $827.69 in Alaska, a 38% spread.

National non-facility rate

$676.03

Office and other outpatient settings

Facility rate
$676.03

Hospital and ASC settings

Highest state
$827.69

Alaska

Lowest state
$599.75

Arkansas · 38% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $676.03
CPT 43830 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $676.03, national facility $676.03.
StateRate compared visuallyNon-facilityFacility
Alaska
$827.69$827.69
Florida
$761.55$761.55
New York
$751.92$751.92
Illinois
$750.95$750.95
District of Columbia
$746.73$746.73
New Jersey
$730.99$730.99
Connecticut
$719.85$719.85
Washington
$700.92$700.92
Massachusetts
$700.89$700.89
Michigan
$698.29$698.29
Maryland
$697.47$697.47
California
$690.46$690.46
West Virginia
$684.07$684.07
Georgia
$683.43$683.43
Rhode Island
$680.77$680.77
Pennsylvania
$680.61$680.61
Puerto Rico
$677.26$677.26
Virgin Islands
$677.26$677.26
Montana
$675.86$675.86
Colorado
$675.59$675.59
New Mexico
$674.68$674.68
New Hampshire
$674.40$674.40
Hawaii
$670.29$670.29
Texas
$668.00$668.00
Oregon
$666.58$666.58
Delaware
$665.96$665.96
Nevada
$661.32$661.32
Louisiana
$659.96$659.96
Ohio
$656.47$656.47
Arizona
$655.92$655.92
Missouri
$655.44$655.44
Utah
$652.92$652.92
Wyoming
$652.76$652.76
Virginia
$645.75$645.75
South Carolina
$644.89$644.89
Kentucky
$642.55$642.55
Maine
$632.23$632.23
Oklahoma
$631.13$631.13
Vermont
$629.48$629.48
North Carolina
$628.10$628.10
North Dakota
$622.86$622.86
Mississippi
$620.26$620.26
Minnesota
$619.78$619.78
South Dakota
$616.60$616.60
Tennessee
$613.37$613.37
Indiana
$613.00$613.00
Idaho
$610.21$610.21
Kansas
$609.25$609.25
Alabama
$608.04$608.04
Wisconsin
$604.30$604.30
Nebraska
$602.40$602.40
Iowa
$602.24$602.24
Arkansas
$599.75$599.75

Billed by 1 specialties

Commercial rates for 43830

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates