CPT 43460

Digestive/Gastrointestinal

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

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

Prices for CPT 43460 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01—$648$926
Highline Medical CenterBurienFile dated 2026-02-28—$632$2,070
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$4,514$6,448
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$134 – $383Doctor’s fee: $249 – $383$206 – $589Doctor’s fee: $383 – $589
Olympic Medical CenterPort AngelesFile dated 2026-06-24$2,808 – $3,0765 plans$3,360$4,200
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$3,588$5,125
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$3,818$5,454
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$487$695
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$465$894
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$405$578
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$3,756$5,365
St Anthony HospitalGig HarborFile dated 2026-02-28—$629$2,070
St Clare HospitalLakewoodFile dated 2026-02-28—$597$2,070
St Elizabeth HospitalEnumclawFile dated 2026-02-28$579 – $6865 plans$731$2,070
St Francis Community HospitalFederal WayFile dated 2026-02-28—$649$2,070
St Joseph Medical CenterTacomaFile dated 2026-02-28—$685$2,070
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$913$2,070
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,325$3,322

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)
$203 in a hospital or surgery center
Doctor's fee, rest of Washington
$189 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 43460:

  • 43460P (with a letter after it, P; 4 price lines)
  • 43460T (with a letter after it, T; 2 price lines)