CPT 43201

Upper GI Endoscopy

Current code38 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 43201 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$1,997	$2,219
EvergreenHealth Medical CenterKirkland	—	$3,253	$4,066
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$3,524	$5,034
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$469	$722
Seattle Children's HospitalSeattle	$61.22 – $2,23313 plans	$6,869	$430 – $6,869
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,952	$4,217
Virginia Mason Medical CenterSeattle	—	$2,146	$4,208

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): $328 in an office; $100 in a hospital or surgery center
Doctor's fee, rest of Washington: $289 in an office; $92.68 in a hospital or surgery center
Hospital outpatient payment (national): $1,960 (APC 5302)
Surgery center payment (national): $894