CPT 43202

Upper GI Endoscopy

Current code44 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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 43202 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$3,006 – $4,4997 plansDoctor’s fee: $106 – $506	$4,305Doctor’s fee: $484	$5,381Doctor’s fee: $605
Cascade Valley HospitalArlington	$1,897 – $1,9923 plans	$1,307	$1,634
Coulee Medical CenterGrand Coulee	—	$1,201	$1,335
EvergreenHealth Medical CenterKirkland	$2,123 – $2,1645 plans	$3,253	$4,066
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$3,524	$5,034
Island HospitalAnacortes	$2,290 – $2,42811 plans	$282	$282
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$221 – $632Doctor’s fee: $411 – $632	$340 – $972Doctor’s fee: $632 – $972
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$1,389	$2,777
Seattle Children's HospitalSeattle	—	$5,345	$5,345
Skagit Valley HospitalMount Vernon	$1,897 – $1,9924 plans	$4,012	$5,015
Trios HealthKennewick	$2,0231 plan	—	$42,244
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,952	$4,217
Virginia Mason Medical CenterSeattle	—	$2,472	$4,848

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): $470 in an office; $102 in a hospital or surgery center
Doctor's fee, rest of Washington: $410 in an office; $93.83 in a hospital or surgery center
Hospital outpatient payment (national): $1,960 (APC 5302)
Surgery center payment (national): $894

How hospitals also write this code

Some price files write it differently. These are counted as CPT 43202:

43202P (with a letter after it, P; 2 price lines)
43202T (with a letter after it, T; 1 price line)