CPT 43200
Upper GI Endoscopy
Current code46 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 | $1,029 – $1,132 | — | — |
| Cascade Medical Center | $1,425 – $2,133 | $2,041 | $2,551 |
| Cascade Valley Hospital | $938 – $984 | $820 | $1,025 |
| Deaconess Medical Center | $990 – $1,090 | — | — |
| EvergreenHealth Medical Center | $1,011 – $1,031 | $1,823 | $2,279 |
| Harborview Medical Center | $1,050 – $1,155 | $3,075 | $4,392 |
| Highline Medical Center | $1,044 – $1,200 | $650 | $2,129 |
| Island Hospital | $1,082 – $1,147 | $323 | $323 |
| Kadlec Regional Medical Center | $1,011 – $1,213 | $2,225 | $3,178 |
| Legacy Salmon Creek Medical Center | $1,041 – $1,132 | $166 – $473 | $255 – $728 |
| Mary Bridge Children's Hospital | $1,037 – $1,141 | — | — |
| MultiCare Auburn Medical Center | $1,032 – $1,135 | — | — |
| MultiCare Covington Medical Center | $1,032 – $1,135 | — | — |
| MultiCare Good Samaritan Hospital | $1,037 – $1,141 | — | — |
| MultiCare Valley Hospital | $1,020 – $1,090 | — | — |
| Olympic Medical Center | $1,137 – $1,461 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,053 – $1,095 | $1,260 | $2,520 |
| PeaceHealth Southwest Medical Cente | $1,006 – $1,157 | $1,023 | $1,574 |
| PeaceHealth St John Medical Center | $841 – $1,186 | $4,371 | $6,725 |
| PeaceHealth United General Medical Center | — | $1,315 | $2,023 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,011 – $1,213 | $1,133 | $1,619 |
| Providence Centralia Hospital | $1,050 – $1,680 | $1,631 | $3,137 |
| Providence Holy Family Hospital | $1,011 – $1,112 | $942 | $1,346 |
| Providence Mount Carmel Hospital | — | $903 | $1,290 |
| Providence Regional Medical Center Everett | $1,033 – $1,136 | — | — |
| Providence St Joseph Hospital | — | $1,001 | $1,430 |
| Providence St Mary Medical Center | $1,011 – $1,112 | $2,225 | $3,178 |
| Providence St Peter Hospital | $1,043 – $1,669 | $1,631 | $3,137 |
| Seattle Children's Hospital | — | $8,937 | $364 – $8,937 |
| Skagit Valley Hospital | $938 – $984 | $3,830 | $4,788 |
| St Anthony Hospital | $1,063 – $1,222 | $647 | $2,129 |
| St Clare Hospital | $1,063 – $1,222 | $614 | $2,129 |
| St Elizabeth Hospital | $383 – $468 | $752 | $2,129 |
| St Francis Community Hospital | $1,044 – $1,200 | $668 | $2,129 |
| St Joseph Medical Center | $1,035 – $1,222 | $705 | $2,129 |
| St Michael Medical Center | $1,073 – $1,180 | $939 | $2,129 |
| Swedish Edmonds Hospital | $1,033 – $1,239 | — | — |
| Swedish Issaquah | $1,053 – $1,264 | $1,829 | $3,810 |
| Swedish Medical Center | $1,050 – $1,260 | $1,829 | $3,810 |
| Swedish Medical Center / Cherry Hill | $1,050 – $1,260 | $1,829 | $3,810 |
| Tacoma General Allenmore Hospital | $1,037 – $1,141 | — | — |
| University of Washington Medical Ctr | $1,050 – $1,155 | $2,516 | $3,594 |
| Virginia Mason Medical Center | $4.60 – $1,072 | $1,843 | $3,614 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,061 – $1,188 | — | — |
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)