CPT 43239 at Yakima Valley Memorial
Upper GI Endoscopy
See the whole procedure. This code is part of a procedure we compare in full: every bill and what you’d pay at Yakima Valley Memorial.
What Yakima Valley Memorial publishes for this code: as an outpatient
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $1,438 – $6,857 | — |
| Medicare Advantage | $1,061 – $1,188 | — |
| Medicaid managed care | $649 – $754 | — |
| Cash price | $1,906 | — |
| List price | $4,766 | — |
What Yakima Valley Memorial publishes for this code: during a hospital stay
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $2,669 | — |
| Cash price | $1,906 | — |
| List price | $4,766 | — |
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|---|---|---|
| Hospital's fee | The operating or procedure room, nursing, supplies and recovery | — | The price above |
| Surgeon or doctor doing it | The procedure | $124 | $147 – $223 |
| Anesthesia | Anesthesia or deep sedation, if you need it | — | — |
Compare CPT 43239 at every Washington hospital, with Medicare’s reference amounts.