CPT 43215
Upper GI Endoscopy
Current code45 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,178 – $2,395 | — | — |
| Coulee Medical Center | — | $369 | $410 |
| Deaconess Medical Center | $2,096 – $2,305 | — | — |
| EvergreenHealth Medical Center | $2,123 – $2,164 | $3,253 | $4,066 |
| Harborview Medical Center | $2,222 – $2,444 | $4,456 | $6,366 |
| Highline Medical Center | $2,111 – $2,428 | $697 | $2,282 |
| Island Hospital | $2,290 – $2,428 | $353 | $353 |
| Kadlec Regional Medical Center | $2,138 – $2,566 | $2,812 | $4,017 |
| Legacy Salmon Creek Medical Center | $2,202 – $2,395 | $257 | $395 |
| Mary Bridge Children's Hospital | $2,195 – $2,414 | — | — |
| MultiCare Auburn Medical Center | $2,184 – $2,402 | — | — |
| MultiCare Covington Medical Center | $2,184 – $2,402 | — | — |
| MultiCare Good Samaritan Hospital | $2,195 – $2,414 | — | — |
| MultiCare Valley Hospital | $2,158 – $2,305 | — | — |
| Olympic Medical Center | $2,405 – $3,092 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,228 – $2,317 | $1,489 | $2,977 |
| PeaceHealth Southwest Medical Cente | $2,128 – $2,447 | $3,184 | $4,898 |
| PeaceHealth St Joseph Medical Center | $2,279 – $2,507 | $3,030 – $3,914 | $4,662 – $6,021 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,138 – $2,566 | $1,583 | $2,262 |
| Providence Centralia Hospital | $2,222 – $3,555 | $3,441 | $6,618 |
| Providence Holy Family Hospital | $2,138 – $2,352 | $1,305 | $1,864 |
| Providence Mount Carmel Hospital | — | $317 – $2,239 | $453 – $3,198 |
| Providence Regional Medical Center Everett | $2,185 – $2,404 | $1,438 | $2,766 |
| Providence St Joseph Hospital | — | $269 – $2,879 | $384 – $4,113 |
| Providence St Mary Medical Center | $2,138 – $2,352 | $2,812 | $4,017 |
| Providence St Peter Hospital | $2,207 – $3,531 | $3,441 | $6,618 |
| Seattle Children's Hospital | — | $587 – $2,869 | $587 – $2,869 |
| Skagit Valley Hospital | $1,897 – $1,992 | $3,495 – $3,529 | $4,369 – $4,411 |
| St Anthony Hospital | $2,150 – $2,473 | $694 | $2,282 |
| St Clare Hospital | $2,150 – $2,473 | $658 | $2,282 |
| St Elizabeth Hospital | $411 – $502 | $806 | $2,282 |
| St Francis Community Hospital | $2,111 – $2,428 | $716 | $2,282 |
| St Joseph Medical Center | $2,150 – $2,473 | $756 | $2,282 |
| St Michael Medical Center | $2,211 – $2,388 | $1,007 | $2,282 |
| Swedish Edmonds Hospital | $2,185 – $2,622 | — | — |
| Swedish Issaquah | $2,228 – $2,674 | $3,589 | $7,478 |
| Swedish Medical Center | $2,222 – $2,666 | $3,589 | $7,478 |
| Swedish Medical Center / Cherry Hill | $2,222 – $2,666 | $3,589 | $7,478 |
| Tacoma General Allenmore Hospital | $2,195 – $2,414 | — | — |
| University of Washington Medical Ctr | $2,222 – $2,444 | $3,733 | $5,333 |
| Virginia Mason Medical Center | $14.38 – $2,170 | $2,472 – $2,621 | $4,848 – $5,139 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $383 – $4,341 | $383 – $4,341 |
| Yakima Valley Memorial | $2,244 – $2,514 | — | — |
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