CPT 43243

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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Prices for CPT 43243 by hospital
Hospital	Other government program rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$2,280	$2,850
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$6,358	$9,083
Island HospitalAnacortes	$2,290 – $2,4113 plans	$614	$614
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$428	$658
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$2,090	$4,180
Seattle Children's HospitalSeattle	$283 – $1,7141 plan	$979 – $4,180	$979 – $4,180
Skagit Valley HospitalMount Vernon	—	$2,742	$3,427
Trios HealthKennewick	$1,9646 plans	—	$36,776
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$4,809	$6,870
Virginia Mason Medical CenterSeattle	—	$2,720	$5,333

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): $225 in a hospital or surgery center
Doctor's fee, rest of Washington: $209 in a hospital or surgery center
Hospital outpatient payment (national): $1,960 (APC 5302)
Surgery center payment (national): $894