CPT 45386

Lower GI Endoscopy - Other

Current code43 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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 45386 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	—	$979	$1,224
EvergreenHealth Medical CenterKirkland	—	$2,939	$3,674
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$3,297	$4,710
Island HospitalAnacortes	—	$626	$626
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$134 – $382Doctor’s fee: $248 – $382	$206 – $588Doctor’s fee: $382 – $588
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$990	$1,979
Seattle Children's HospitalSeattle	$1,3361 plan	$5,301	$5,301
Skagit Valley HospitalMount Vernon	—	$3,234	$4,042
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$2,526	$5,263
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$2,526	$5,263
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$2,526	$5,263
Trios HealthKennewick	—	—	$56,068
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$3,629	$5,184
Virginia Mason Medical CenterSeattle	—	$2,005	$3,931

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): $795 in an office; $202 in a hospital or surgery center
Doctor's fee, rest of Washington: $697 in an office; $188 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 45386:

45386P (with a letter after it, P; 2 price lines)
45386T (with a letter after it, T; 1 price line)