CPT 43200

Upper GI Endoscopy

Current code46 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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 43200 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$1,3631 planDoctor’s fee: $275	$2,041Doctor’s fee: $412	$2,551Doctor’s fee: $515
EvergreenHealth Medical CenterKirkland	—	$1,823	$2,279
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$3,075	$4,392
Highline Medical CenterBurienFile dated 2026-02-28	—	$650	$2,129
Island HospitalAnacortes	—	$323	$323
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$2,225	$3,178
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$166 – $473Doctor’s fee: $307 – $473	$255 – $728Doctor’s fee: $473 – $728
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$1,260	$2,520
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$1,133	$1,619
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$1,631	$3,137
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$942	$1,346
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$903	$1,290
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$1,001	$1,430
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$2,225	$3,178
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$1,631	$3,137
Seattle Children's HospitalSeattle	$50.47 – $2,2521 plan	$8,937	$364 – $8,937
Skagit Valley HospitalMount Vernon	—	$3,830	$4,788
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$647	$2,129
St Clare HospitalLakewoodFile dated 2026-02-28	—	$614	$2,129
St Elizabeth HospitalEnumclawFile dated 2026-02-28	—	$752	$2,129
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$668	$2,129
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$705	$2,129
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$939	$2,129
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$1,829	$3,810
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$1,829	$3,810
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$1,829	$3,810
Trios HealthKennewick	—	—	$42,059
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,516	$3,594
Virginia Mason Medical CenterSeattle	—	$1,843	$3,614

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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): $341 in an office; $86.50 in a hospital or surgery center
Doctor's fee, rest of Washington: $298 in an office; $79.82 in a hospital or surgery center
Hospital outpatient payment (national): $927 (APC 5301)
Surgery center payment (national): $498

How hospitals also write this code

Some price files write it differently. These are counted as CPT 43200:

43200P (with a letter after it, P; 2 price lines)
43200T (with a letter after it, T; 1 price line)