CPT 43266

Upper GI Endoscopy

Current code42 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 43266 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	$334 – $17,59027 plans	$5,320	$6,650
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$5,835	$8,335
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	Doctor’s fee: $391	Doctor’s fee: $602
Seattle Children's HospitalSeattle	$6,119 – $10,87898 plans	$11,331	$11,331
Skagit Valley HospitalMount Vernon	$7,621 – $25,81011 plans	$7,659	$9,574
Trios HealthKennewick	—	—	$35,019
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$7,842	$11,202
Virginia Mason Medical CenterSeattle	$9,808 – $12,2504 plans	$7,810	$15,313

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): $207 in a hospital or surgery center
Doctor's fee, rest of Washington: $193 in a hospital or surgery center
Hospital outpatient payment (national): $6,202 (APC 5331)
Surgery center payment (national): $4,354