CPT 43249
Upper GI Endoscopy
Current code51 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,178 – $2,395 | — | — |
| Cascade Medical Center | $3,006 – $4,499 | $4,305 | $5,381 |
| Cascade Valley Hospital | $1,897 – $1,992 | $1,307 | $1,634 |
| Coulee Medical Center | — | $514 | $571 |
| Deaconess Medical Center | $2,096 – $2,305 | — | — |
| EvergreenHealth Medical Center | $2,123 – $2,164 | $2,280 | $2,850 |
| EvergreenHealth Monroe | $2,081 – $2,122 | $2,972 | $3,715 |
| Harborview Medical Center | $2,222 – $2,444 | $4,445 | $6,351 |
| Highline Medical Center | $2,111 – $2,428 | $1,950 | $6,386 |
| Island Hospital | $2,290 – $2,428 | $355 | $355 |
| Kadlec Regional Medical Center | $2,138 – $2,566 | $2,092 | $2,988 |
| Legacy Salmon Creek Medical Center | $2,202 – $2,395 | ||
| Mary Bridge Children's Hospital | $2,195 – $2,414 | — | — |
| MultiCare Auburn Medical Center | $2,184 – $2,402 | — | — |
| MultiCare Covington Medical Center | $2,184 – $2,402 | — | — |
| MultiCare Good Samaritan Hospital | $2,195 – $2,414 | — | — |
| MultiCare Valley Hospital | $2,158 – $2,305 | — | — |
| Olympic Medical Center | $2,405 – $3,092 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,228 – $2,317 | $1,831 | $3,661 |
| PeaceHealth Peace Island Medical Center | — | $643 | $990 |
| PeaceHealth Southwest Medical Cente | $2,128 – $2,447 | $1,518 – $4,232 | $2,335 – $6,511 |
| PeaceHealth St John Medical Center | $1,780 – $2,510 | $1,457 | $2,242 |
| PeaceHealth St Joseph Medical Center | $2,279 – $2,507 | $1,074 – $1,957 | $1,652 – $3,011 |
| PeaceHealth United General Medical Center | — | $877 | $1,349 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,138 – $2,566 | $4,341 | $6,201 |
| Providence Centralia Hospital | $2,222 – $3,555 | $3,441 | $6,618 |
| Providence Holy Family Hospital | $2,138 – $2,352 | $3,397 | $4,853 |
| Providence Mount Carmel Hospital | — | $355 – $3,048 | $507 – $4,354 |
| Providence Regional Medical Center Everett | $2,185 – $2,404 | — | — |
| Providence St Joseph Hospital | — | $355 – $3,040 | $507 – $4,343 |
| Providence St Mary Medical Center | $2,138 – $2,352 | $2,092 | $2,988 |
| Providence St Peter Hospital | $2,207 – $3,531 | $3,441 | $6,618 |
| Seattle Children's Hospital | — | $5,438 – $23,126 | $632 – $5,438 |
| Skagit Valley Hospital | $1,897 – $1,992 | $5,710 | $7,138 |
| St Anthony Hospital | $2,150 – $2,473 | $1,942 | $6,386 |
| St Clare Hospital | $2,150 – $2,473 | $1,841 | $6,386 |
| St Elizabeth Hospital | $1,150 – $1,405 | $2,257 | $6,386 |
| St Francis Community Hospital | $2,111 – $2,428 | $2,004 | $6,386 |
| St Joseph Medical Center | $2,150 – $2,473 | $2,115 | $6,386 |
| St Michael Medical Center | $2,211 – $2,388 | $2,819 | $6,386 |
| Swedish Edmonds Hospital | $2,185 – $2,622 | — | — |
| Swedish Issaquah | $2,228 – $2,674 | — | — |
| Swedish Medical Center | $2,222 – $2,666 | — | — |
| Swedish Medical Center / Cherry Hill | $2,222 – $2,666 | — | — |
| Tacoma General Allenmore Hospital | $2,195 – $2,414 | — | — |
| Trios Health | $2,023 | — | $6,660 |
| University of Washington Medical Ctr | $2,222 – $2,444 | $3,892 | $5,561 |
| Virginia Mason Medical Center | $11.98 – $2,170 | $2,596 | $5,091 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $168 – $3,200 | $168 – $3,200 |
| Yakima Valley Memorial | $2,244 – $2,514 | $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)