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Every billing code / Procedures and surgery / Digestive/Gastrointestinal

CPT 43235

Upper GI Endoscopy

Current code53 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.

See the whole procedure. This code is part of a procedure we compare in full, with every bill and what you’d pay: compare hospitals for it.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$387 – $2,429$387 – $2,429
Capital Medical CenterOlympiaFile dated 2026-08-27—$4,089$10,222
Cascade Medical CenterLeavenworth$1,3631 planDoctor’s fee: $385$2,041Doctor’s fee: $576$2,551Doctor’s fee: $720
Cascade Valley HospitalArlington—$1,049$1,311
Coulee Medical CenterGrand Coulee—$415$461
EvergreenHealth Medical CenterKirkland—$2,280$2,850
EvergreenHealth MonroeMonroe—$2,399$2,999
Harborview Medical CenterSeattleFile dated 2026-04-01—$2,797$3,996
Highline Medical CenterBurienFile dated 2026-02-28—$619$2,028
Island HospitalAnacortes—$524 – $696$524 – $696
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,984$2,834
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—Doctor’s fee: $337 – $519Doctor’s fee: $519 – $798
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$4,089$10,222
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$4,089$10,222
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$4,089$10,222
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$4,089$10,222
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1,826$3,652
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,583$2,262
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,631$3,137
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,610$2,300
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$298 – $1,445$425 – $2,064
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$298 – $1,441$425 – $2,059
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,984$2,834
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,631$3,137
Seattle Children's HospitalSeattle$70.09 – $1,3901 plan$5,517$507 – $5,517
Skagit Valley HospitalMount Vernon—$3,238$4,047
St Anthony HospitalGig HarborFile dated 2026-02-28—$617$2,028
St Clare HospitalLakewoodFile dated 2026-02-28—$584$2,028
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$716$2,028
St Francis Community HospitalFederal WayFile dated 2026-02-28—$636$2,028
St Joseph Medical CenterTacomaFile dated 2026-02-28—$672$2,028
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$895$2,028
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,829$3,810
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,829$3,810
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,829$3,810
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$4,089$10,222
Three Rivers HospitalBrewsterDoctor’s fee: $386Doctor’s fee: $551Doctor’s fee: $551
Trios HealthKennewick——$38,967
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,515$3,593
Virginia Mason Medical CenterSeattle—$1,736$3,403
Yakima Valley MemorialYakimaFile dated 2026-08-27—$1,028$2,571

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)
$381 in an office; $120 in a hospital or surgery center
Doctor's fee, rest of Washington
$335 in an office; $111 in a hospital or surgery center
Hospital outpatient payment (national)
$927 (APC 5301)
Surgery center payment (national)
$498

How hospitals also write this code

Some price files write it differently. These are counted as CPT 43235:

  • 43235P (with a letter after it, P; 2 price lines)