CPT 43249

Upper GI Endoscopy

Current code51 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 43249 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,059 – $9,92817 plans——
Cascade Medical CenterLeavenworth$1,425 – $3,3742 plansDoctor’s fee: $564 – $900$4,305Doctor’s fee: $720$5,381Doctor’s fee: $900
Cascade Valley HospitalArlington$139 – $7,220at least 11 plans$1,307$1,634
Coulee Medical CenterGrand Coulee—$514$571
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,968 – $7,7679 plans——
EvergreenHealth Medical CenterKirkland$236 – $5,87327 plans$2,280$2,850
EvergreenHealth MonroeMonroe$236 – $5,57114 plans$2,972$3,715
Harborview Medical CenterSeattleFile dated 2026-04-01$3,555 – $4,7303 plans$4,445$6,351
Highline Medical CenterBurienFile dated 2026-02-28$2,746 – $8,65717 plans$1,950$6,386
Island HospitalAnacortes$235 – $4,122at least 15 plans$355$355
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$298 – $10,0139 plans$2,092$2,988
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$4,275 – $7,56910 plansDoctor’s fee: $180 – $276Doctor’s fee: $277 – $425
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,129 – $13,6989 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,600 – $9,21117 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,600 – $9,21117 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,600 – $9,21112 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,886 – $7,75010 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,336 – $7,00816 plans$1,831$3,661
PeaceHealth Peace Island Medical CenterFriday Harbor—$643Doctor’s fee: $121 – $242$990Doctor’s fee: $186 – $372
PeaceHealth Southwest Medical CenteVancouver$851 – $6,9046 plans$1,518 – $4,232$2,335 – $6,511
PeaceHealth St John Medical CenterLongview$913 – $13,1293 plans$1,457$2,242
PeaceHealth St Joseph Medical CenterBellingham$4,3951 plan$1,074 – $1,957$1,652 – $3,011
PeaceHealth United General Medical CenterSedro Woolley—$877$1,349
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,614 – $16,50813 plans$4,341$6,201
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3,755 – $13,95210 plans$3,441$6,618
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,566 – $7,83913 plans$3,397$4,853
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$355 – $3,048$507 – $4,354
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,622 – $8,84614 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$355 – $3,040$507 – $4,343
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,686 – $13,8098 plans$2,092$2,988
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,876 – $8,62213 plans$3,441$6,618
Seattle Children's HospitalSeattle$236 – $5,220152 plans$5,438 – $23,126$632 – $5,438
Skagit Valley HospitalMount Vernon$3,035 – $8,61711 plans$5,710$7,138
St Anthony HospitalGig HarborFile dated 2026-02-28$1,912 – $9,46118 plans$1,942$6,386
St Clare HospitalLakewoodFile dated 2026-02-28$1,912 – $9,46118 plans$1,841$6,386
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,712 – $8,05315 plans$2,257$6,386
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,912 – $9,46118 plans$2,004$6,386
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,912 – $9,46118 plans$2,115$6,386
St Michael Medical CenterSilverdaleFile dated 2026-02-28$4,087 – $8,25718 plans$2,819$6,386
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,225 – $7,88016 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$3,342 – $10,40316 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$3,333 – $9,42523 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3,333 – $9,42517 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,600 – $9,21117 plans——
Trios HealthKennewick——$6,660
University of Washington Medical CtrSeattleFile dated 2026-04-01$3,555 – $7,96211 plans$3,892$5,561
Virginia Mason Medical CenterSeattle$34.45 – $8,50010 plans$2,596$5,091
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$5,6511 plan——
WhidbeyHealth Medical CenterCoupeville—$168 – $3,200$168 – $3,200
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,335 – $6,85719 plans$1,906$4,766

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)
$1,429 in an office; $148 in a hospital or surgery center
Doctor's fee, rest of Washington
$1,237 in an office; $137 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 43249:

  • 43249P (with a letter after it, P; 2 price lines)