CPT 43215

Upper GI Endoscopy

Current code45 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 43215 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,059 – $9,92817 plans——
Coulee Medical CenterGrand Coulee—$369$410
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,968 – $7,7679 plans——
EvergreenHealth Medical CenterKirkland$218 – $5,87327 plans$3,253$4,066
Harborview Medical CenterSeattleFile dated 2026-04-01$3,555 – $4,7303 plans$4,456$6,366
Highline Medical CenterBurienFile dated 2026-02-28$981 – $8,65717 plans$697$2,282
Island HospitalAnacortes$234 – $4,122at least 15 plans$353$353
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$276 – $7,4759 plans$2,812$4,017
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3,395 – $7,38510 plans$257$395
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 – $7,00816 plans$1,489$2,977
PeaceHealth Southwest Medical CenteVancouver$851 – $6,9046 plans$3,184$4,898
PeaceHealth St Joseph Medical CenterBellingham$4,3951 plan$3,030 – $3,914$4,662 – $6,021
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,614 – $13,21213 plans$1,583$2,262
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3,755 – $13,95210 plans$3,441$6,618
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,566 – $7,83913 plans$1,305$1,864
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$317 – $2,239$453 – $3,198
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,985 – $6,77714 plans$1,438$2,766
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$269 – $2,879$384 – $4,113
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,686 – $8,5658 plans$2,812$4,017
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,876 – $8,62213 plans$3,441$6,618
Seattle Children's HospitalSeattle$220 – $2,754152 plans$587 – $2,869$587 – $2,869
Skagit Valley HospitalMount Vernon$3,035 – $8,617at least 11 plans$3,495 – $3,529$4,369 – $4,411
St Anthony HospitalGig HarborFile dated 2026-02-28$1,643 – $9,46118 plans$694$2,282
St Clare HospitalLakewoodFile dated 2026-02-28$1,643 – $9,46118 plans$658$2,282
St Elizabeth HospitalEnumclawFile dated 2026-02-28$760 – $8,05315 plans$806$2,282
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,643 – $9,46118 plans$716$2,282
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,643 – $9,46118 plans$756$2,282
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1,460 – $8,25718 plans$1,007$2,282
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,638 – $7,88016 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$3,342 – $9,45216 plans$3,589$7,478
Swedish Medical CenterSeattleFile dated 2026-04-01$3,333 – $9,42523 plans$3,589$7,478
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3,333 – $9,42517 plans$3,589$7,478
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$3,733$5,333
Virginia Mason Medical CenterSeattle$12.08 – $6,99910 plans$2,472 – $2,621$4,848 – $5,139
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$5,6511 plan——
WhidbeyHealth Medical CenterCoupeville—$383 – $4,341$383 – $4,341
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)
$517 in an office; $138 in a hospital or surgery center
Doctor's fee, rest of Washington
$453 in an office; $128 in a hospital or surgery center
Hospital outpatient payment (national)
$1,960 (APC 5302)
Surgery center payment (national)
$894