CPT 43247

Upper GI Endoscopy

Current code49 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 43247 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$1,013 – $1,5264 plans$1,219$1,524
Coulee Medical CenterGrand Coulee—$597$664
EvergreenHealth Medical CenterKirkland—$2,508$3,135
EvergreenHealth MonroeMonroe$9921 plan$2,596$3,245
Harborview Medical CenterSeattleFile dated 2026-04-01—$4,990$7,129
Highline Medical CenterBurienFile dated 2026-02-28—$1,693$5,544
Island HospitalAnacortes$674 – $7323 plans$744$744
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,623$2,318
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$318$489
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1,904$3,808
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$2,057$2,939
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,631$3,137
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,610$2,300
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$410 – $1,445$585 – $2,064
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$966$1,857
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$410 – $3,040$585 – $4,343
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,263$3,233
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,631$3,137
Seattle Children's HospitalSeattle$82.70 – $2,322at least 13 plans$7,143$582 – $7,143
Skagit Valley HospitalMount Vernon$471 – $7064 plans$3,362$4,202
St Anthony HospitalGig HarborFile dated 2026-02-28—$1,686$5,544
St Clare HospitalLakewoodFile dated 2026-02-28—$1,598$5,544
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,552 – $1,8395 plans$1,959$5,544
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1,740$5,544
St Joseph Medical CenterTacomaFile dated 2026-02-28—$1,836$5,544
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$2,447$5,544
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,829$3,810
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,829$3,810
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,829$3,810
Three Rivers HospitalBrewsterDoctor’s fee: $1,050Doctor’s fee: $1,501Doctor’s fee: $1,501
Trios HealthKennewick——$34,545
University of Washington Medical CtrSeattleFile dated 2026-04-01—$3,710$5,300
Virginia Mason Medical CenterSeattle—$258 – $1,982$506 – $3,886
Yakima Valley MemorialYakimaFile dated 2026-08-27—$1,906$4,766

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)
$500 in an office; $170 in a hospital or surgery center
Doctor's fee, rest of Washington
$441 in an office; $158 in a hospital or surgery center
Hospital outpatient payment (national)
$927 (APC 5301)
Surgery center payment (national)
$498