CPT 43450

Digestive/Gastrointestinal

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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 43450 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
BHC Fairfax HospitalKirkland	—	$236 – $2,429	$236 – $2,429
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$2,301	$3,287
Island HospitalAnacortes	$474 – $5143 plans	$205	$205
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$341	$524
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$183	$261
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$183	$261
Skagit Valley HospitalMount Vernon	$3,1751 plan	$1,729	$2,161
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$2,403	$5,007
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$2,403	$5,007
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$2,403	$5,007
Trios HealthKennewick	—	—	$5,104
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$1,824	$2,606
Virginia Mason Medical CenterSeattle	—	$1,606	$3,149

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): $251 in an office; $80.31 in a hospital or surgery center
Doctor's fee, rest of Washington: $220 in an office; $73.89 in a hospital or surgery center
Hospital outpatient payment (national): $927 (APC 5301)
Surgery center payment (national): $498