CPT 43240

Upper GI Endoscopy

Current code41 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 43240 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$6,257 – $31,40917 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$9,527 – $23,3749 plans——
EvergreenHealth Medical CenterKirkland$599 – $17,59027 plans$5,320$6,650
EvergreenHealth MonroeMonroe$599 – $16,76514 plans$11,805$14,756
Harborview Medical CenterSeattleFile dated 2026-04-01$11,248 – $14,9653 plans$10,496$14,995
Highline Medical CenterBurienFile dated 2026-02-28$4,400 – $27,16513 plans——
Island HospitalAnacortes$1,862 – $13,0427 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$761 – $19,0039 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$4,275 – $13,53010 plans$701$1,079
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$8,183 – $41,2189 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$5,007 – $29,14217 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$5,007 – $29,14217 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$5,007 – $29,14212 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$9,263 – $23,32110 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3,980 – $18,54116 plans——
PeaceHealth St Joseph Medical CenterBellingham$13,9061 plan$2,475$3,808
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$8,066 – $22,44313 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$9,575 – $41,78710 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$4,435 – $24,80213 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$6,914 – $21,44214 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$5,050 – $25,6538 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$5,180 – $27,27713 plans——
Seattle Children's HospitalSeattle$5,547 – $9,86298 plans$10,273$10,273
Skagit Valley HospitalMount Vernon$6,820 – $25,81011 plans$6,854$8,568
St Anthony HospitalGig HarborFile dated 2026-02-28$4,808 – $29,68716 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$4,808 – $29,68716 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3,471 – $24,12010 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$4,808 – $29,68716 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$4,808 – $29,68716 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$13,875 – $24,7328 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,225 – $24,89316 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$7,277 – $29,90316 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$7,277 – $29,81923 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$7,277 – $29,81917 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$5,007 – $29,14217 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$11,248 – $23,84911 plans$6,300$9,000
Virginia Mason Medical CenterSeattle$11.39 – $21,96210 plans$5,228$10,250
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$17,8791 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$4,976 – $19,04014 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$368 in a hospital or surgery center
Doctor's fee, rest of Washington
$343 in a hospital or surgery center
Hospital outpatient payment (national)
$6,202 (APC 5331)
Surgery center payment (national)
$4,463