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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 43240 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$5,320	$6,650
EvergreenHealth MonroeMonroe	$6,2341 plan	$11,805	$14,756
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$10,496	$14,995
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$701	$1,079
Seattle Children's HospitalSeattle	—	$10,273	$10,273
Skagit Valley HospitalMount Vernon	$579 – $8652 plans	$6,854	$8,568
Trios HealthKennewick	—	—	$35,469
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$6,300	$9,000
Virginia Mason Medical CenterSeattle	—	$5,228	$10,250

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): $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