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Describe a service in plain words, or type a CPT/HCPCS code.

Medicare Physician Fee Schedule · Q3 2026 release

Austin, TX flag

CPT 43235 in Austin, TX

A diagnostic examination of the esophagus, stomach, and first part of the small intestine using a flexible scope passed through the mouth, with biopsy allowed. It is the base study of the upper-endoscopy family.

Medicare pays, Office (non-facility) setting, in Austin, TX

$336.17

Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.

Local vs. national amount

Austin, TX (this locality)
$336.17
National (GPCI 1.000 baseline)
$322.65

Austin, TX pays above the national baseline by 4.2%, driven by this locality's GPCIs.

Facility setting

In a facility (e.g. hospital outpatient), Austin, TX pays $111.77 for 43235.

ZIP codes in this locality

This payment locality covers 89 ZIP codes, including 73301, 73344, 78617, 78645, 78651, 78652, 78653, 78660, 78669, 78691, 78701, 78702 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.

Full rate calculator CPT 43235 national page Austin, TX locality page