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Every billing code / CPT 43249 / Cascade Medical Center

CPT 43249 at Cascade Medical Center

Upper GI Endoscopy

Cascade Medical Center, Leavenworth

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 Cascade Medical Center publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$1,425 – $3,3742 plans$564 – $900
Medicare AdvantageInsurer rates$3,006 – $4,4997 plans$155 – $752
Medicaid managed careInsurer rates$2,993 – $4,4994 plans$501 – $752
Medicaid (state program)Insurer rates$2,8741 plan$481
Medicare (traditional)Insurer rates$3,1111 plan$155
Other government programInsurer rates$1,104 – $4,8002 plans$803 – $1,104
UnknownInsurer rates$1,425 – $4,8436 plans$585 – $900
Cash pricePaying yourself, without insurance$4,305$720
List priceBefore any discount; few people pay it$5,381$900

Lowest and highest amounts Cascade Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe operating or procedure room, nursing, supplies and recovery—The price above
Surgeon or doctor doing itThe doctor's practiceThe procedure$137$162 – $245
AnesthesiaAn anesthesia group (only sometimes)Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.——

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 43249 at every Washington hospital, with Medicare’s reference amounts.