CPT 43242
Upper GI Endoscopy
Current code41 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $714 – $1,058 | — | — |
| Deaconess Medical Center | $653 – $692 | — | — |
| EvergreenHealth Medical Center | — | $3,648 | $4,560 |
| Harborview Medical Center | — | $7,286 | $10,408 |
| Highline Medical Center | — | — | — |
| Island Hospital | $674 – $732 | — | — |
| Kadlec Regional Medical Center | — | $3,305 | $4,721 |
| Legacy Salmon Creek Medical Center | — | $471 | $725 |
| Mary Bridge Children's Hospital | $676 – $730 | — | — |
| MultiCare Auburn Medical Center | $664 – $717 | — | — |
| MultiCare Covington Medical Center | $664 – $717 | — | — |
| MultiCare Good Samaritan Hospital | $679 – $733 | — | — |
| MultiCare Valley Hospital | $649 – $687 | — | — |
| Olympic Medical Center | $835 – $915 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $1,915 | $3,830 |
| PeaceHealth St Joseph Medical Center | $2,393 | $4,305 | $6,623 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $2,057 | $2,939 |
| Providence Centralia Hospital | — | $3,441 | $6,618 |
| Providence Holy Family Hospital | — | $3,397 | $4,853 |
| Providence Mount Carmel Hospital | — | $3,048 | $4,354 |
| Providence Regional Medical Center Everett | — | $1,234 | $2,374 |
| Providence St Joseph Hospital | — | $3,040 | $4,343 |
| Providence St Mary Medical Center | — | $3,305 | $4,721 |
| Providence St Peter Hospital | — | $3,441 | $6,618 |
| Skagit Valley Hospital | $706 – $843 | $4,514 | $5,643 |
| St Anthony Hospital | — | — | — |
| St Clare Hospital | — | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | — | — | — |
| St Joseph Medical Center | — | — | — |
| St Michael Medical Center | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $679 – $734 | — | — |
| University of Washington Medical Ctr | — | $4,373 | $6,247 |
| Virginia Mason Medical Center | — | $2,495 | $4,892 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $649 – $754 | — | — |
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)
- $248 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $231 in a hospital or surgery center
- Hospital outpatient payment (national)
- $1,960 (APC 5302)
- Surgery center payment (national)
- $894