CPT 43196

Upper GI Endoscopy

Current code35 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 43196 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,059 – $15,16217 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,968 – $14,5439 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$3,555 – $4,7303 plans$3,407$4,868
Highline Medical CenterBurienFile dated 2026-02-28$4,012 – $9,11312 plans——
Island HospitalAnacortes$1,120 – $4,1227 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$381 – $16,0939 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$4,277 – $14,63010 plans$359$553
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,059 – $25,6459 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,059 – $15,09717 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,059 – $15,09717 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,059 – $15,09712 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,886 – $14,51010 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,451 – $13,49616 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,614 – $16,50813 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3,755 – $17,54510 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,566 – $7,83913 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,622 – $12,86814 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,686 – $13,8098 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,876 – $14,09613 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$4,085 – $9,76015 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$4,085 – $9,76015 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,712 – $9,7609 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$4,012 – $9,76015 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$4,128 – $9,76015 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$4,422 – $15,3688 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,225 – $15,17516 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$3,342 – $15,38516 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$3,333 – $15,38523 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3,333 – $14,66617 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,059 – $15,09717 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$3,555 – $7,96211 plans$4,046$5,781
Virginia Mason Medical CenterSeattle$5.68 – $9,65810 plans$4,125$8,088
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$5,6511 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,591 – $9,06514 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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.

Doctor's fee, Seattle (King County)
$185 in a hospital or surgery center
Doctor's fee, rest of Washington
$172 in a hospital or surgery center
Hospital outpatient payment (national)
$1,960 (APC 5302)
Surgery center payment (national)
$894