CPT 0654T
Upper GI Endoscopy
Current code28 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $6,108 – $19,947 | — | — |
| Deaconess Medical Center | $5,928 – $12,109 | — | — |
| Harborview Medical Center | $7,143 – $9,504 | — | — |
| Island Hospital | $1,120 – $8,282 | — | — |
| Kadlec Regional Medical Center | $236 – $22,324 | — | — |
| Legacy Salmon Creek Medical Center | $4,580 – $27,427 | — | — |
| Mary Bridge Children's Hospital | $6,108 – $26,027 | — | — |
| MultiCare Auburn Medical Center | $6,108 – $18,507 | — | — |
| MultiCare Covington Medical Center | $6,108 – $18,507 | — | — |
| MultiCare Good Samaritan Hospital | $6,108 – $18,507 | — | — |
| MultiCare Valley Hospital | $5,764 – $14,221 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $4,743 – $11,775 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $7,261 – $17,902 | — | — |
| Providence Centralia Hospital | $7,545 – $28,080 | — | — |
| Providence Holy Family Hospital | $5,156 – $15,751 | — | — |
| Providence Regional Medical Center Everett | $5,269 – $17,863 | — | — |
| Providence St Mary Medical Center | $3,394 – $17,238 | — | — |
| Providence St Peter Hospital | $3,769 – $17,323 | — | — |
| Swedish Edmonds Hospital | $2,225 – $15,809 | — | — |
| Swedish Issaquah | $6,716 – $18,990 | — | — |
| Swedish Medical Center | $6,697 – $18,937 | — | — |
| Swedish Medical Center / Cherry Hill | $6,697 – $18,937 | — | — |
| Tacoma General Allenmore Hospital | $6,108 – $18,507 | — | — |
| University of Washington Medical Ctr | $7,143 – $16,026 | — | — |
| Virginia Mason Medical Center | $5,159 – $14,036 | — | — |
| Wellfound Behavioral Health Hospital | $11,355 | — | — |
| Yakima Valley Memorial | $4,842 – $12,794 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $3,939 (APC 5303)
- Surgery center payment (national)
- $1,987
How hospitals also write this code
Some price files write it differently. These are counted as CPT 0654T:
- 654T (leading zeros left off; 73 price lines)