CPT 43242
Upper GI Endoscopy
Current code41 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,178 – $2,395 | — | — |
| Deaconess Medical Center | $2,096 – $2,305 | — | — |
| EvergreenHealth Medical Center | $2,123 – $2,164 | $3,648 | $4,560 |
| Harborview Medical Center | $2,222 – $2,444 | $7,286 | $10,408 |
| Highline Medical Center | $2,111 – $2,428 | — | — |
| Island Hospital | $2,290 – $2,428 | — | — |
| Kadlec Regional Medical Center | $2,138 – $2,566 | $3,305 | $4,721 |
| Legacy Salmon Creek Medical Center | $2,202 – $2,395 | $471 | $725 |
| Mary Bridge Children's Hospital | $2,195 – $2,414 | — | — |
| MultiCare Auburn Medical Center | $2,184 – $2,402 | — | — |
| MultiCare Covington Medical Center | $2,184 – $2,402 | — | — |
| MultiCare Good Samaritan Hospital | $2,195 – $2,414 | — | — |
| MultiCare Valley Hospital | $2,158 – $2,305 | — | — |
| Olympic Medical Center | $2,405 – $3,092 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,228 – $2,317 | $1,915 | $3,830 |
| PeaceHealth St Joseph Medical Center | $2,279 – $2,507 | $4,305 | $6,623 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,138 – $2,566 | $2,057 | $2,939 |
| Providence Centralia Hospital | $2,222 – $3,555 | $3,441 | $6,618 |
| Providence Holy Family Hospital | $2,138 – $2,352 | $3,397 | $4,853 |
| Providence Mount Carmel Hospital | — | $3,048 | $4,354 |
| Providence Regional Medical Center Everett | $2,185 – $2,404 | $1,234 | $2,374 |
| Providence St Joseph Hospital | — | $3,040 | $4,343 |
| Providence St Mary Medical Center | $2,138 – $2,352 | $3,305 | $4,721 |
| Providence St Peter Hospital | $2,207 – $3,531 | $3,441 | $6,618 |
| Skagit Valley Hospital | $1,897 – $1,992 | $4,514 | $5,643 |
| St Anthony Hospital | $2,150 – $2,473 | — | — |
| St Clare Hospital | $2,150 – $2,473 | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | $2,111 – $2,428 | — | — |
| St Joseph Medical Center | $2,150 – $2,473 | — | — |
| St Michael Medical Center | $2,211 – $2,388 | — | — |
| Swedish Edmonds Hospital | $2,185 – $2,622 | — | — |
| Swedish Issaquah | $2,228 – $2,674 | — | — |
| Swedish Medical Center | $2,222 – $2,666 | — | — |
| Swedish Medical Center / Cherry Hill | $2,222 – $2,666 | — | — |
| Tacoma General Allenmore Hospital | $2,195 – $2,414 | — | — |
| University of Washington Medical Ctr | $2,222 – $2,444 | $4,373 | $6,247 |
| Virginia Mason Medical Center | $5.18 – $2,170 | $2,495 | $4,892 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2,244 – $2,514 | — | — |
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