CPT 43259

Upper GI Endoscopy

Current code40 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

Unknown: The source file doesn't say which population this rate applies to.

Prices for CPT 43259 by hospital
Hospital	Unknown rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	$3,5911 plan	$3,192	$3,990
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$6,359	$9,085
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$407	$626
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$2,070	$4,140
Seattle Children's HospitalSeattle	$128 – $6,69723 plans	$930 – $7,441	$930 – $7,441
Skagit Valley HospitalMount Vernon	—	$4,434	$5,543
Trios HealthKennewick	$2,062 – $3,7403 plans	—	$39,490
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$4,731	$6,759
Virginia Mason Medical CenterSeattle	—	$2,657	$5,209

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): $215 in a hospital or surgery center
Doctor's fee, rest of Washington: $200 in a hospital or surgery center
Hospital outpatient payment (national): $1,960 (APC 5302)
Surgery center payment (national): $894