CPT 43241

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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 43241 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$2,888	$3,610
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$3,996	$5,709
Island HospitalAnacortes	—	$364	$364
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$89.70 – $257Doctor’s fee: $167 – $257	$138 – $396Doctor’s fee: $257 – $396
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$1,435	$2,869
Seattle Children's HospitalSeattle	$81.12 – $1,7951 plan	$7,123	$588 – $7,123
Skagit Valley HospitalMount Vernon	—	$3,473	$4,341
Three Rivers HospitalBrewster	Doctor’s fee: $1,027	Doctor’s fee: $1,467	Doctor’s fee: $1,467
Trios HealthKennewick	—	—	$39,490
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$3,023	$4,318
Virginia Mason Medical CenterSeattle	—	$2,472	$4,848

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): $137 in a hospital or surgery center
Doctor's fee, rest of Washington: $127 in a hospital or surgery center
Hospital outpatient payment (national): $1,960 (APC 5302)
Surgery center payment (national): $894

How hospitals also write this code

Some price files write it differently. These are counted as CPT 43241:

43241P (with a letter after it, P; 2 price lines)
43241T (with a letter after it, T; 1 price line)