CPT 43246

Upper GI Endoscopy

Current code47 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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 43246 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$2,178 – $2,3956 plans——
Cascade Valley HospitalArlington$1,897 – $1,9923 plans$3,270 – $3,614$4,088 – $4,517
Coulee Medical CenterGrand Coulee—$2,742$3,047
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,096 – $2,3058 plans——
EvergreenHealth Medical CenterKirkland$2,123 – $2,1645 plans$3,192$3,990
Harborview Medical CenterSeattleFile dated 2026-04-01$2,222 – $2,4445 plans$5,341$7,630
Highline Medical CenterBurienFile dated 2026-02-28$2,111 – $2,42811 plans$1,554$5,090
Island HospitalAnacortes$2,290 – $2,42811 plans$610 – $734$610 – $734
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,138 – $2,5667 plans$2,885$4,122
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$2,202 – $2,3956 plans$361Doctor’s fee: $235 – $361$555Doctor’s fee: $361 – $555
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,195 – $2,4147 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,184 – $2,4027 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,184 – $2,4027 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,195 – $2,4147 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,158 – $2,3057 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$2,405 – $3,0925 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,228 – $2,3173 plans$2,145$4,289
PeaceHealth Southwest Medical CenteVancouver$2,128 – $2,44713 plans$1,820$2,800
PeaceHealth St John Medical CenterLongview$1,780 – $2,51014 plans$2,581$3,970
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,138 – $2,5667 plans$1,965$2,807
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,222 – $3,5557 plans$3,441$6,618
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,138 – $2,3525 plans$3,397$4,853
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$515 – $3,048$735 – $4,354
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,185 – $2,4046 plans$1,448$2,784
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$515 – $3,040$735 – $4,343
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2,138 – $2,3526 plans$2,885$4,122
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2,207 – $3,5317 plans$3,441$6,618
Seattle Children's HospitalSeattle—$826 – $21,930$826 – $7,206
Skagit Valley HospitalMount Vernon$1,897 – $1,9924 plans$4,950$6,188
St Anthony HospitalGig HarborFile dated 2026-02-28$2,150 – $2,47312 plans$1,548$5,090
St Clare HospitalLakewoodFile dated 2026-02-28$2,150 – $2,47312 plans$1,467$5,090
St Elizabeth HospitalEnumclawFile dated 2026-02-28$916 – $1,12012 plans$1,799$5,090
St Francis Community HospitalFederal WayFile dated 2026-02-28$2,111 – $2,42812 plans$1,597$5,090
St Joseph Medical CenterTacomaFile dated 2026-02-28$2,150 – $2,47312 plans$1,686$5,090
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2,211 – $2,38810 plans$2,247$5,090
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,185 – $2,6228 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,228 – $2,6748 plans$1,958 – $3,589$4,079 – $7,478
Swedish Medical CenterSeattleFile dated 2026-04-01$2,222 – $2,6668 plans$1,958 – $3,589$4,079 – $7,478
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,222 – $2,6668 plans$1,958 – $3,589$4,079 – $7,478
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,195 – $2,4147 plans——
Three Rivers HospitalBrewster—Doctor’s fee: $1,700 – $2,195Doctor’s fee: $1,700 – $2,195
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,222 – $2,4445 plans$4,756$6,794
Virginia Mason Medical CenterSeattle$16.81 – $2,17013 plans$1,816 – $2,793$3,560 – $5,476
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$3,800$3,800
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,244 – $2,5148 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$191 in a hospital or surgery center
Doctor's fee, rest of Washington
$178 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 43246:

  • 43246P (with a letter after it, P; 2 price lines)