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Every billing code / Procedures and surgery / Digestive/Gastrointestinal

CPT 45338

Lower GI Endoscopy - Other

Current code50 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$104 – $4,47811 plans$979$1,224
Coulee Medical CenterGrand Coulee—$404$448
EvergreenHealth Medical CenterKirkland$186 – $3,64226 plans$2,939$3,674
EvergreenHealth MonroeMonroe$186 – $3,46414 plans$2,939$3,674
Harborview Medical CenterSeattleFile dated 2026-04-01—$4,696$6,708
Island HospitalAnacortes$244 – $2,57115 plans$369$369
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$538Doctor’s fee: $350 – $538$828Doctor’s fee: $538 – $828
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$921$1,842
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$289$413
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$289$413
Seattle Children's HospitalSeattle$5,810 – $10,33098 plans$10,760$10,760
Skagit Valley HospitalMount Vernon$1,887 – $5,34411 plans$3,566$4,458
Three Rivers HospitalBrewster—Doctor’s fee: $1,419Doctor’s fee: $1,419
Trios HealthKennewick——$9,055
University of Washington Medical CtrSeattleFile dated 2026-04-01—$4,779$6,827
Virginia Mason Medical CenterSeattle$2,568 – $3,2074 plans$2,045$4,009

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)
$396 in an office; $118 in a hospital or surgery center
Doctor's fee, rest of Washington
$348 in an office; $110 in a hospital or surgery center
Hospital outpatient payment (national)
$1,223 (APC 5312)
Surgery center payment (national)
$657

How hospitals also write this code

Some price files write it differently. These are counted as CPT 45338:

  • 45338P (with a letter after it, P; 2 price lines)