CPT 43238

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 Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 43238 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	$2,123 – $2,1645 plans	$3,648	$4,560
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$6,483	$9,261
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$418	$643
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$1,397	$2,794
Seattle Children's HospitalSeattle	—	$8,418	$956 – $8,418
Skagit Valley HospitalMount Vernon	$1,897 – $1,9924 plans	$4,275	$5,344
Trios HealthKennewick	$2,0231 plan	—	$39,490
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$3,891	$5,559
Virginia Mason Medical CenterSeattle	—	$2,726	$5,346

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): $221 in a hospital or surgery center
Doctor's fee, rest of Washington: $206 in a hospital or surgery center
Hospital outpatient payment (national): $1,960 (APC 5302)
Surgery center payment (national): $894