CPT 43248

Upper GI Endoscopy

Current code48 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 43248 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$559	$622
EvergreenHealth Medical CenterKirkland	—	$2,128	$2,660
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$3,701	$5,287
Island HospitalAnacortes	$674 – $7323 plans	$420	$420
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	Doctor’s fee: $194 – $299	Doctor’s fee: $299 – $460
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$1,423	$2,846
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$385	$550
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$327	$467
Seattle Children's HospitalSeattle	$97.22 – $1,93513 plans	$5,953	$684 – $5,953
Skagit Valley HospitalMount Vernon	$5901 plan	$4,119	$5,149
Trios HealthKennewick	—	—	$35,469
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$3,161	$4,515
Virginia Mason Medical CenterSeattle	—	$1,621 – $1,783	$3,178 – $3,496

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): $540 in an office; $160 in a hospital or surgery center
Doctor's fee, rest of Washington: $475 in an office; $149 in a hospital or surgery center
Hospital outpatient payment (national): $927 (APC 5301)
Surgery center payment (national): $498

How hospitals also write this code

Some price files write it differently. These are counted as CPT 43248:

43248P (with a letter after it, P; 2 price lines)