CPT 43226

Upper GI Endoscopy

Current code40 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 (traditional): Traditional Medicare. Applies only to people on original Medicare.

Prices for CPT 43226 by hospital
Hospital	Medicare (traditional) rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$3,253	$4,066
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$4,111	$5,873
Island HospitalAnacortes	—	$333	$333
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$238	$366
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$1,135	$2,269
Seattle Children's HospitalSeattle	—	$6,601	$6,601
Trios HealthKennewick	$1,9645 plans	—	$24,680
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$3,444	$4,920
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): $492 in an office; $126 in a hospital or surgery center
Doctor's fee, rest of Washington: $431 in an office; $117 in a hospital or surgery center
Hospital outpatient payment (national): $1,960 (APC 5302)
Surgery center payment (national): $894