CPT 43250

Upper GI Endoscopy

Current code44 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 43250 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	$262 – $5,87327 plans	$2,204	$2,755
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$4,642	$6,632
Island HospitalAnacortes	$452 – $4,12215 plans	$683	$683
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$307	$473
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$317	$453
Seattle Children's HospitalSeattle	$4,898 – $8,70898 plans	$9,071	$9,071
Skagit Valley HospitalMount Vernon	$3,035 – $8,61711 plans	$4,210	$5,263
Three Rivers HospitalBrewster	—	Doctor’s fee: $1,694	Doctor’s fee: $1,694
Trios HealthKennewick	—	—	$37,571
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,835	$4,050
Virginia Mason Medical CenterSeattle	$2,695 – $3,3664 plans	$2,146	$4,208

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): $589 in an office; $164 in a hospital or surgery center
Doctor's fee, rest of Washington: $517 in an office; $153 in a hospital or surgery center
Hospital outpatient payment (national): $1,960 (APC 5302)
Surgery center payment (national): $894