CPT 43261

Upper GI Endoscopy

Current code39 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 43261 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$4,538	$5,672
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$8,589	$12,269
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$606	$932
Seattle Children's HospitalSeattle	$197 – $3,25413 plans	$10,009	$1,386 – $10,009
Skagit Valley HospitalMount Vernon	$7061 plan	$5,474	$6,843
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$5,425	$7,750
Virginia Mason Medical CenterSeattle	—	$5,240	$10,274

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): $318 in a hospital or surgery center
Doctor's fee, rest of Washington: $297 in a hospital or surgery center
Hospital outpatient payment (national): $3,939 (APC 5303)
Surgery center payment (national): $1,987