CPT 43197
Upper GI Endoscopy
Current code38 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $714 – $1,058 | — | — |
| Cascade Valley Hospital | $378 – $1,078 | $302 | $378 |
| Deaconess Medical Center | $653 – $692 | — | — |
| Harborview Medical Center | — | $2,107 | $3,010 |
| Highline Medical Center | — | — | — |
| Island Hospital | $674 – $732 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $676 – $730 | — | — |
| MultiCare Auburn Medical Center | $664 – $717 | — | — |
| MultiCare Covington Medical Center | $664 – $717 | — | — |
| MultiCare Good Samaritan Hospital | $679 – $733 | — | — |
| MultiCare Valley Hospital | $649 – $687 | — | — |
| Olympic Medical Center | $835 – $915 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Skagit Valley Hospital | $361 | $1,630 | $2,037 |
| St Anthony Hospital | — | — | — |
| St Clare Hospital | — | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | — | — | — |
| St Joseph Medical Center | — | — | — |
| St Michael Medical Center | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $679 – $734 | — | — |
| University of Washington Medical Ctr | — | $1,665 | $2,379 |
| Virginia Mason Medical Center | — | $1,498 | $2,937 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $649 – $754 | — | — |
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)
- $230 in an office; $72.39 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $203 in an office; $68.08 in a hospital or surgery center
- Hospital outpatient payment (national)
- $927 (APC 5301)
- Surgery center payment (national)
- $141