CPT 43251

Upper GI Endoscopy

Current code49 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 43251 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,059 – $9,92817 plans——
Cascade Medical CenterLeavenworth$619 – $3,3742 plansDoctor’s fee: $619 – $721$4,305Doctor’s fee: $920$5,381Doctor’s fee: $1,150
Cascade Valley HospitalArlington$139 – $7,22011 plans$1,307$1,634
Coulee Medical CenterGrand Coulee—$661$734
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,968 – $7,7679 plans——
EvergreenHealth Medical CenterKirkland$301 – $5,87327 plans$2,280$2,850
Harborview Medical CenterSeattleFile dated 2026-04-01$3,555 – $4,7303 plans$5,526$7,894
Highline Medical CenterBurienFile dated 2026-02-28$4,012 – $8,65713 plans——
Island HospitalAnacortes$449 – $4,122at least 15 plans$678$678
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$381 – $10,0139 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$4,275 – $7,56910 plans$352$542
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,129 – $13,6989 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,600 – $9,21117 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,600 – $9,21117 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,600 – $9,21112 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,886 – $7,75010 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,336 – $7,00816 plans$1,919$3,838
PeaceHealth Peace Island Medical CenterFriday Harbor—$1,235$1,900
PeaceHealth Southwest Medical CenteVancouver$851 – $6,9046 plans$2,116$3,256
PeaceHealth St John Medical CenterLongview$913 – $13,1293 plans$1,359 – $1,457$2,091 – $2,242
PeaceHealth St Joseph Medical CenterBellingham$4,3951 plan$1,125 – $2,609$1,731 – $4,014
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,614 – $16,50813 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3,755 – $13,95210 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,566 – $7,83913 plans——
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$365$521
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,622 – $8,84614 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,686 – $13,8098 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,876 – $8,62213 plans——
Seattle Children's HospitalSeattle$299 – $5,864152 plans$6,109$806 – $6,109
Skagit Valley HospitalMount Vernon$3,035 – $8,61711 plans$3,360$4,200
St Anthony HospitalGig HarborFile dated 2026-02-28$1,912 – $9,46116 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$1,912 – $9,46116 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,712 – $8,05310 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,912 – $9,46116 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,912 – $9,46116 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$4,422 – $8,2578 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,225 – $7,88016 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$3,342 – $10,40316 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$3,333 – $9,42523 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3,333 – $9,42517 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,600 – $9,21117 plans——
Three Rivers HospitalBrewster—Doctor’s fee: $1,139Doctor’s fee: $1,139
Trios HealthKennewick——$7,906
University of Washington Medical CtrSeattleFile dated 2026-04-01$3,555 – $7,96211 plans$3,317$4,738
Virginia Mason Medical CenterSeattle$15.14 – $8,50010 plans$2,726$5,346
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$5,6511 plan——
WhidbeyHealth Medical CenterCoupeville—$40.07 – $3,600$40.07 – $3,600
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,584 – $6,85714 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$644 in an office; $187 in a hospital or surgery center
Doctor's fee, rest of Washington
$566 in an office; $174 in a hospital or surgery center
Hospital outpatient payment (national)
$1,960 (APC 5302)
Surgery center payment (national)
$894