Every billing code / CPT 43211 / Capital Medical Center
CPT 43211 at Capital Medical Center
Upper GI Endoscopy
Capital Medical Center, Olympia
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 Capital Medical Center publishes for this code: as an outpatient
Capital Medical Center’s prices for CPT 43211, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $3,059 – $9,92817 plans | — |
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| Medicare AdvantageInsurer rates | $2,178 – $2,3956 plans | — |
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| Medicaid managed careInsurer rates | $714 – $1,0585 plans | — |
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| Cash pricePaying yourself, without insurance | — | — |
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| List priceBefore any discount; few people pay it | — | — |
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Lowest and highest amounts Capital Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for CPT 43211 at Capital Medical Center| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The operating or procedure room, nursing, supplies and recovery | — | The price above |
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| Surgeon or doctor doing itThe doctor's practice | The procedure | $208 | $245 – $372 |
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| AnesthesiaAn anesthesia group (only sometimes) | Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes. | — | — |
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Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare CPT 43211 at every Washington hospital, with Medicare’s reference amounts.