CPT 43213

Upper GI Endoscopy

Current code37 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 43213 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,059 – $9,92817 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,968 – $7,7679 plans——
EvergreenHealth Medical CenterKirkland$398 – $5,87327 plans$3,253$4,066
Harborview Medical CenterSeattleFile dated 2026-04-01$3,555 – $4,7303 plans$7,635$10,906
Highline Medical CenterBurienFile dated 2026-02-28$4,012 – $9,11312 plans——
Island HospitalAnacortes$1,120 – $4,1227 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$506 – $16,0939 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$4,277 – $14,63010 plans$467$719
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,129 – $13,6989 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,600 – $9,21117 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,600 – $9,21117 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,600 – $9,21112 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,886 – $7,75010 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,336 – $10,26216 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,614 – $16,50813 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3,755 – $13,95210 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,566 – $7,83913 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,622 – $12,86814 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,686 – $13,8098 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,876 – $8,62213 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$1,912 – $9,46115 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$1,912 – $9,46115 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,712 – $9,1139 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,912 – $9,46115 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,912 – $9,46115 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$4,422 – $8,2578 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,225 – $7,88016 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$3,342 – $10,40316 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$3,333 – $9,42523 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3,333 – $9,42517 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,600 – $9,21117 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$3,555 – $7,96211 plans$3,152$4,503
Virginia Mason Medical CenterSeattle$38.66 – $8,50010 plans$2,146$4,208
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$5,6511 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,584 – $6,85714 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$1,503 in an office; $241 in a hospital or surgery center
Doctor's fee, rest of Washington
$1,308 in an office; $225 in a hospital or surgery center
Hospital outpatient payment (national)
$1,960 (APC 5302)
Surgery center payment (national)
$894