CPT 43245

Upper GI Endoscopy

Current code50 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 43245 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	—	$1,307	$1,634
Coulee Medical CenterGrand Coulee	—	$592	$657
EvergreenHealth Medical CenterKirkland	—	$2,508	$3,135
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$4,908	$7,012
Island HospitalAnacortes	—	Doctor’s fee: $413 – $422	Doctor’s fee: $413 – $422
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	Doctor’s fee: $319	Doctor’s fee: $490
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$1,825	$3,650
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$384	$549
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$560	$800
Seattle Children's HospitalSeattle	$100 – $1,6511 plan	$728 – $6,553	$728 – $6,553
Skagit Valley HospitalMount Vernon	—	$4,252	$5,315
Trios HealthKennewick	—	—	$35,469
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,946	$4,209
Virginia Mason Medical CenterSeattle	—	$2,596	$5,091

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): $780 in an office; $169 in a hospital or surgery center
Doctor's fee, rest of Washington: $682 in an office; $157 in a hospital or surgery center
Hospital outpatient payment (national): $1,960 (APC 5302)
Surgery center payment (national): $894