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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 43251 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$2,993 – $4,4994 plansDoctor’s fee: $640 – $961	$4,305Doctor’s fee: $920	$5,381Doctor’s fee: $1,150
Cascade Valley HospitalArlington	$1,635 – $2,1824 plans	$1,307	$1,634
Coulee Medical CenterGrand Coulee	—	$661	$734
EvergreenHealth Medical CenterKirkland	—	$2,280	$2,850
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$5,526	$7,894
Island HospitalAnacortes	$674 – $7323 plans	$678	$678
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$352	$542
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$1,919	$3,838
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$365	$521
Seattle Children's HospitalSeattle	$115 – $1,98613 plans	$6,109	$806 – $6,109
Skagit Valley HospitalMount Vernon	—	$3,360	$4,200
Three Rivers HospitalBrewster	Doctor’s fee: $797	Doctor’s fee: $1,139	Doctor’s fee: $1,139
Trios HealthKennewick	—	—	$36,382
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$3,317	$4,738
Virginia Mason Medical CenterSeattle	—	$2,726	$5,346

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): $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