CPT 43236

Upper GI Endoscopy

Current code47 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 43236 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$130 – $3,44011 plans$1,219$1,524
Coulee Medical CenterGrand Coulee—$466$518
EvergreenHealth Medical CenterKirkland$213 – $2,79826 plans$2,052$2,565
Harborview Medical CenterSeattleFile dated 2026-04-01—$4,106$5,866
Island HospitalAnacortes$272 – $1,94815 plans$410$410
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1,826$3,652
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$358$512
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$358$512
Seattle Children's HospitalSeattle$215 – $5,592152 plans$570 – $5,825$570 – $5,825
Skagit Valley HospitalMount Vernon$1,500 – $4,10511 plans$3,281$4,101
Trios HealthKennewick——$39,379
University of Washington Medical CtrSeattleFile dated 2026-04-01—$3,656$5,223
Virginia Mason Medical CenterSeattle$2,036 – $2,6704 plans$1,621 – $1,702$3,178 – $3,337

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)
$530 in an office; $134 in a hospital or surgery center
Doctor's fee, rest of Washington
$464 in an office; $124 in a hospital or surgery center
Hospital outpatient payment (national)
$927 (APC 5301)
Surgery center payment (national)
$498