CPT 43249
Upper GI Endoscopy
Current code51 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $714 – $1,058 | — | — |
| Cascade Medical Center | $2,993 – $4,499 | $4,305 | $5,381 |
| Cascade Valley Hospital | $1,634 – $2,182 | $1,307 | $1,634 |
| Coulee Medical Center | — | $514 | $571 |
| Deaconess Medical Center | $653 – $692 | — | — |
| EvergreenHealth Medical Center | — | $2,280 | $2,850 |
| EvergreenHealth Monroe | $2,081 | $2,972 | $3,715 |
| Harborview Medical Center | — | $4,445 | $6,351 |
| Highline Medical Center | — | $1,950 | $6,386 |
| Island Hospital | $674 – $732 | $355 | $355 |
| Kadlec Regional Medical Center | — | $2,092 | $2,988 |
| Legacy Salmon Creek Medical Center | — | ||
| Mary Bridge Children's Hospital | $676 – $730 | — | — |
| MultiCare Auburn Medical Center | $664 – $717 | — | — |
| MultiCare Covington Medical Center | $664 – $717 | — | — |
| MultiCare Good Samaritan Hospital | $679 – $733 | — | — |
| MultiCare Valley Hospital | $649 – $687 | — | — |
| Olympic Medical Center | $835 – $915 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $1,831 | $3,661 |
| PeaceHealth Peace Island Medical Center | — | $643 | $990 |
| PeaceHealth Southwest Medical Cente | $2,213 | $1,518 – $4,232 | $2,335 – $6,511 |
| PeaceHealth St John Medical Center | $1,780 – $2,396 | $1,457 | $2,242 |
| PeaceHealth St Joseph Medical Center | $2,393 | $1,074 – $1,957 | $1,652 – $3,011 |
| PeaceHealth United General Medical Center | — | $877 | $1,349 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,341 | $6,201 |
| Providence Centralia Hospital | — | $3,441 | $6,618 |
| Providence Holy Family Hospital | — | $3,397 | $4,853 |
| Providence Mount Carmel Hospital | — | $355 – $3,048 | $507 – $4,354 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $355 – $3,040 | $507 – $4,343 |
| Providence St Mary Medical Center | — | $2,092 | $2,988 |
| Providence St Peter Hospital | — | $3,441 | $6,618 |
| Seattle Children's Hospital | $89.91 – $1,768 | $5,438 – $23,126 | $632 – $5,438 |
| Skagit Valley Hospital | $133 – $3,883 | $5,710 | $7,138 |
| St Anthony Hospital | — | $1,942 | $6,386 |
| St Clare Hospital | — | $1,841 | $6,386 |
| St Elizabeth Hospital | $1,086 – $1,322 | $2,257 | $6,386 |
| St Francis Community Hospital | — | $2,004 | $6,386 |
| St Joseph Medical Center | — | $2,115 | $6,386 |
| St Michael Medical Center | — | $2,819 | $6,386 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $679 – $734 | — | — |
| Trios Health | — | — | $6,660 |
| University of Washington Medical Ctr | — | $3,892 | $5,561 |
| Virginia Mason Medical Center | — | $2,596 | $5,091 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $168 – $3,200 | $168 – $3,200 |
| Yakima Valley Memorial | $649 – $754 | $1,906 | $4,766 |
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)