CPT 43239 at Skyline Hospital

Upper GI Endoscopy

Skyline Hospital, White Salmon

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: every bill and what you’d pay at Skyline Hospital.

What Skyline Hospital publishes for this code: as an outpatient

Skyline Hospital’s prices for CPT 43239, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$1,737 – $1,9212 plans	$51.00 – $263
Medicare AdvantageInsurer rates	$9813 plans	$124 – $532
Medicaid managed careInsurer rates	$1,019 – $1,2023 plans	$78.88 – $231
Other government programInsurer rates	$1,4721 plan	$124
UnknownInsurer rates	$1,080 – $2,0446 plans	$51.00 – $263
Cash pricePaying yourself, without insurance	$1,472	$547
List priceBefore any discount; few people pay it	$2,044	$760

Lowest and highest amounts Skyline Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-21. This is one line of a bill; most care brings several.

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.

Bills to expect for CPT 43239 at Skyline Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The operating or procedure room, nursing, supplies and recovery	—	The price above
Surgeon or doctor doing itThe doctor's practice	The procedure	$124	$147 – $223
AnesthesiaAn anesthesia group (only sometimes)	Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 43239 at every Washington hospital, with Medicare’s reference amounts.