CPT 43255
Upper GI Endoscopy
Current code49 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $714 – $1,058 | — | — |
| Cascade Valley Hospital | $1,635 – $2,182 | $1,307 | $1,634 |
| Coulee Medical Center | — | $551 | $612 |
| Deaconess Medical Center | $653 – $692 | — | — |
| EvergreenHealth Medical Center | — | $2,584 | $3,230 |
| Harborview Medical Center | — | $5,680 | $8,115 |
| Highline Medical Center | — | — | — |
| Island Hospital | $674 – $732 | $603 | $603 |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | ||
| Mary Bridge Children's Hospital | $676 – $730 | — | — |
| MultiCare Auburn Medical Center | $664 – $717 | — | — |
| MultiCare Covington Medical Center | $664 – $717 | — | — |
| MultiCare Good Samaritan Hospital | $679 – $733 | — | — |
| MultiCare Valley Hospital | $649 – $687 | — | — |
| Olympic Medical Center | $835 – $915 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $2,070 | $4,140 |
| PeaceHealth Peace Island Medical Center | — | $618 | $950 |
| PeaceHealth Southwest Medical Cente | $2,213 | $2,116 – $7,174 | $3,256 – $11,037 |
| PeaceHealth St John Medical Center | $1,780 – $2,396 | $1,398 – $4,371 | $2,151 – $6,725 |
| PeaceHealth St Joseph Medical Center | $2,393 | $1,305 – $3,914 | $2,007 – $6,021 |
| PeaceHealth United General Medical Center | — | $651 | $1,002 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Mount Carmel Hospital | — | $577 | $824 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $577 | $824 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $117 – $1,980 | $6,091 – $32,583 | $824 – $6,091 |
| Skagit Valley Hospital | $1,942 | $3,687 | $4,609 |
| St Anthony Hospital | — | — | — |
| St Clare Hospital | — | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | — | — | — |
| St Joseph Medical Center | — | — | — |
| St Michael Medical Center | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $679 – $734 | — | — |
| Trios Health | — | — | $9,014 |
| University of Washington Medical Ctr | — | $3,410 | $4,871 |
| Virginia Mason Medical Center | — | $2,657 – $2,790 | $5,210 – $5,471 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $3,300 | $3,300 |
| Yakima Valley Memorial | $649 – $754 | — | — |
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)