CPT 43251 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

Cascade Medical Center’s prices for CPT 43251, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$619 – $3,3742 plans	$619 – $721
Medicare AdvantageInsurer rates	$3,006 – $4,4997 plans	$196 – $961
Medicaid managed careInsurer rates	$2,993 – $4,4994 plans	$640 – $961
Medicaid (state program)Insurer rates	$2,8741 plan	$614
Medicare (traditional)Insurer rates	$3,1111 plan	$196
Other government programInsurer rates	$505 – $4,8002 plans	$505 – $1,026
UnknownInsurer rates	$619 – $4,8436 plans	$619 – $1,035
Cash pricePaying yourself, without insurance	$4,305	$920
List priceBefore any discount; few people pay it	$5,381	$1,150

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.

Bills to expect for CPT 43251 at Cascade Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The operating or procedure room, nursing, supplies and recovery	—	The price above
Surgeon or doctor doing itThe doctor's practice	The procedure	$174	$205 – $311
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 43251 at every Washington hospital, with Medicare’s reference amounts.