CPT 0654T
Upper GI Endoscopy
Current code28 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4,375 – $4,813 | — | — |
| Deaconess Medical Center | $4,210 – $4,631 | — | — |
| Harborview Medical Center | $4,465 – $4,911 | — | — |
| Island Hospital | $4,601 – $4,877 | — | — |
| Kadlec Regional Medical Center | $4,296 – $5,156 | — | — |
| Legacy Salmon Creek Medical Center | $4,425 – $4,812 | — | — |
| Mary Bridge Children's Hospital | $4,410 – $4,851 | — | — |
| MultiCare Auburn Medical Center | $4,388 – $4,826 | — | — |
| MultiCare Covington Medical Center | $4,388 – $4,826 | — | — |
| MultiCare Good Samaritan Hospital | $4,410 – $4,851 | — | — |
| MultiCare Valley Hospital | $4,337 – $4,631 | — | — |
| Olympic Medical Center | $4,831 – $6,212 | — | — |
| Overlake Hospital Medical Center & Clinics | $4,477 – $4,656 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4,296 – $5,156 | — | — |
| Providence Centralia Hospital | $4,465 – $7,143 | — | — |
| Providence Holy Family Hospital | $4,296 – $4,726 | — | — |
| Providence Regional Medical Center Everett | $4,391 – $4,830 | — | — |
| Providence St Mary Medical Center | $4,296 – $4,726 | — | — |
| Providence St Peter Hospital | $4,434 – $7,095 | — | — |
| Swedish Edmonds Hospital | $4,391 – $5,269 | — | — |
| Swedish Issaquah | $4,477 – $5,373 | — | — |
| Swedish Medical Center | $4,465 – $5,358 | — | — |
| Swedish Medical Center / Cherry Hill | $4,465 – $5,358 | — | — |
| Tacoma General Allenmore Hospital | $4,410 – $4,851 | — | — |
| University of Washington Medical Ctr | $4,465 – $4,911 | — | — |
| Virginia Mason Medical Center | $2,901 – $4,351 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4,509 – $5,050 | — | — |
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)