Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 52 - Reduced Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 43882 |
| Medicaid Fee Schedule | $831.20 median of the 7 states in the free preview · View Medicaid rates for 43882 |
National average reimbursement for CPT 43882 by major payers:

$2,488.80

$1,210.67

$1,019.80

$2,059.13
Choose a payer to see a sample of rates for CPT 43882.
Aurora Surgery Centers, LLC, Aurora Pleasant Prairie Ambulatory Surgery Center
Aurora Surgery Centers LLC
Pharos Enterprises Of Wisconsin, LLC
Pharos Enterprises Of Wisconsin LLC
Northfield Surgical Center LLC, Northfield Surgical Center
Northfield Surgical Center LLC
Surgery Center Of Weston LLC
Endo Surgi Center Of Old Bridge LLC
Endo-Surgi Center Of Old Bridge, LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 43882 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43882 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 43882 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 |
|---|---|---|
| 43830-CPT | Moderate | Gastrostomy Open; W/O Construct Of Gastric Tube (Eg Stamm Pro, Gastrostomy Open; Without Construction Of Gastric Tube (Eg Stamm Pro |
| 43880-CPT | High | Closure Of Gastrocolic Fistula |
| 43881-CPT | High | Surgery For Nausea Control, Surgery To Implant A Device In The Stomach That Produces Mild Electrical Impulses To Treat Nausea And Vomiting. |
| 43882-CPT | High | Revisn Or Remval Of Gastric Neurostimula Electrdes Antrum Ope, Revision Or Removal Of Gastric Neurostimulator Electrodes Antrum Ope |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43882. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43882 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.
Bring your top codes (like CPT 43882) and we'll show you how you compare in 15 minutes or less.