CPT 43830

Digestive/Gastrointestinal

Current code38 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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 43830 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Island HospitalAnacortes	$2,290 – $2,42811 plans	$314 – $1,546	$314 – $1,546
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$1,294Doctor’s fee: $841 – $1,294	$1,991Doctor’s fee: $1,294 – $1,991
Seattle Children's HospitalSeattle	—	$2,959	$2,959
Three Rivers HospitalBrewster	—	Doctor’s fee: $1,445	Doctor’s fee: $1,445
Virginia Mason Medical CenterSeattle	—	$3,369	$6,605

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): $730 in a hospital or surgery center
Doctor's fee, rest of Washington: $672 in a hospital or surgery center
Hospital outpatient payment (national): $1,960 (APC 5302)
Surgery center payment (national): $894

How hospitals also write this code

Some price files write it differently. These are counted as CPT 43830:

43830P (with a letter after it, P; 2 price lines)