CPT 43255
Upper GI Endoscopy
Current code49 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $3,059 – $9,928 | — | — |
| Cascade Valley Hospital | $139 – $7,220 | $1,307 | $1,634 |
| Coulee Medical Center | — | $551 | $612 |
| Deaconess Medical Center | $2,968 – $7,767 | — | — |
| EvergreenHealth Medical Center | $308 – $5,873 | $2,584 | $3,230 |
| Harborview Medical Center | $3,555 – $4,730 | $5,680 | $8,115 |
| Highline Medical Center | $4,012 – $8,657 | — | — |
| Island Hospital | $399 – $4,122 | $603 | $603 |
| Kadlec Regional Medical Center | $390 – $10,013 | — | — |
| Legacy Salmon Creek Medical Center | $4,275 – $7,569 | ||
| Mary Bridge Children's Hospital | $2,129 – $13,698 | — | — |
| MultiCare Auburn Medical Center | $2,600 – $9,211 | — | — |
| MultiCare Covington Medical Center | $2,600 – $9,211 | — | — |
| MultiCare Good Samaritan Hospital | $2,600 – $9,211 | — | — |
| MultiCare Valley Hospital | $2,886 – $7,750 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $2,336 – $7,008 | $2,070 | $4,140 |
| PeaceHealth Peace Island Medical Center | — | $618 | $950 |
| PeaceHealth Southwest Medical Cente | $851 – $6,904 | $2,116 – $7,174 | $3,256 – $11,037 |
| PeaceHealth St John Medical Center | $913 – $13,129 | $1,398 – $4,371 | $2,151 – $6,725 |
| PeaceHealth St Joseph Medical Center | $4,395 | $1,305 – $3,914 | $2,007 – $6,021 |
| PeaceHealth United General Medical Center | — | $651 | $1,002 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,614 – $16,508 | — | — |
| Providence Centralia Hospital | $3,755 – $13,952 | — | — |
| Providence Holy Family Hospital | $2,566 – $7,839 | — | — |
| Providence Mount Carmel Hospital | — | $577 | $824 |
| Providence Regional Medical Center Everett | $2,622 – $8,846 | — | — |
| Providence St Joseph Hospital | — | $577 | $824 |
| Providence St Mary Medical Center | $1,686 – $13,809 | — | — |
| Providence St Peter Hospital | $1,876 – $8,622 | — | — |
| Seattle Children's Hospital | $306 – $5,848 | $6,091 – $32,583 | $824 – $6,091 |
| Skagit Valley Hospital | $3,035 – $8,617 | $3,687 | $4,609 |
| St Anthony Hospital | $1,912 – $9,461 | — | — |
| St Clare Hospital | $1,912 – $9,461 | — | — |
| St Elizabeth Hospital | $1,712 – $8,053 | — | — |
| St Francis Community Hospital | $1,912 – $9,461 | — | — |
| St Joseph Medical Center | $1,912 – $9,461 | — | — |
| St Michael Medical Center | $4,422 – $8,257 | — | — |
| Swedish Edmonds Hospital | $2,225 – $7,880 | — | — |
| Swedish Issaquah | $3,342 – $10,403 | — | — |
| Swedish Medical Center | $3,333 – $9,425 | — | — |
| Swedish Medical Center / Cherry Hill | $3,333 – $9,425 | — | — |
| Tacoma General Allenmore Hospital | $2,600 – $9,211 | — | — |
| Trios Health | — | — | $9,014 |
| University of Washington Medical Ctr | $3,555 – $7,962 | $3,410 | $4,871 |
| Virginia Mason Medical Center | $20.07 – $8,500 | $2,657 – $2,790 | $5,210 – $5,471 |
| Wellfound Behavioral Health Hospital | $5,651 | — | — |
| WhidbeyHealth Medical Center | — | $3,300 | $3,300 |
| Yakima Valley Memorial | $2,584 – $6,857 | — | — |
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)
- $820 in an office; $191 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $717 in an office; $178 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 43255:
- 43255P (with a letter after it, P; 2 price lines)