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See a sample rate comparisonCPT 43754 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Stomach Fluid Collection, A Tube Is Inserted Down The Throat (Intubation) Into The Stomach. A Sample Of The Fluid Is Removed And Tested To Find Out What Is In It. Stomach Acid Secretion May Be Stimulated Prior To Taking The Fluid Sample.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery XU - Unusual Non-Overlapping Service 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $339.35 national non-facility rate (2026) · View Medicare rates for 43754 |
| Medicaid Fee Schedule | $267.955 median of the 8 states in the free preview · View Medicaid rates for 43754 |
National average reimbursement for CPT 43754 by major payers:
$186.83
$191.41
$256.75
$330.46
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CPT 43754
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Orthopaedic Surgery Center
Emory University
$1,471.00Published rateNorthwoods Surgery Center LLC
Northwoods Surgery Center, LLC
$499.00Published rateSunrise Surgery Center LLC
$171.00Published rateThe Center For Aesthetic Surgery LLC
$110.00Published rateVirgil V. Willard, II Md PA, Center For Image Discovery PA
Virgil V Willard II Md PA
$83.00Published rate
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See a sample payer proposalCPT 43754 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43754 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 43754 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 43752-CPT | Low | Nasal Orogastric W Tube Plmt, Naso Or Oro Gastric Tube Placement Requiring Physician S Skill And Fluoroscopic Guidance Includes Fluoroscopy Image Documentation And Report |
| 43753-CPT | Low | Therapy For Digestive Bleeding, A Tube Is Inserted Down The Throat (Intubation) Into The Stomach. The Procedure Removes Excess Blood From An Injury And May Include Therapeutic Washing Of The Internal Tissues. |
| 43754-CPT | Low | Stomach Fluid Collection, A Tube Is Inserted Down The Throat (Intubation) Into The Stomach. A Sample Of The Fluid Is Removed And Tested To Find Out What Is In It. Stomach Acid Secretion May Be Stimulated Prior To Taking The Fluid Sample. |
| 43755-CPT | Moderate | Dx Gastr Intub W Asp Specs, Gastric Intubation And Aspiration Diagnostic Collection Of Multiple Fractional Specimens With Gastric Stimulation Single Or Double Lumen Tube Gastric Secretory Study Eg Histamine Insulin Pentagastrin Calcium Secretin Includes Drug Administration |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43754. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43754 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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