# CPT 43830: Gastrostomy Opn w/o Constj Gstr Tube Spx

Medicare 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.

Web page: https://www.med-reveal.com/rates/43830-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $676.03 |
| National facility | $676.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $731.00 | $731.00 |
| 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 | $666.59 | $666.59 |
| 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 | $655.43 | $655.43 |
| 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 |

## 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 43830 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