Surgery and procedures CPT 43235 Outpatient

Upper endoscopy cost in Seattle, WA

In Seattle-Tacoma-Bellevue, WA, 15 hospitals list a cash price for upper endoscopy (EGD), diagnostic: from $584.43 to $5,517.00, with a median of $997.44. The lowest listed price is at Saint Clare Hospital — $413.01 less than the median here. Across Washington, the median is $1,631.24 at 43 hospitals.

  • The median here, $997.44, is 36% below the US median of $1,552.50.
  • That is 1.1× Medicare's 2026 national rate for the same service ($926.63).
  • 1 of 15 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 15 facilities across 12 cities for code 43235, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 6, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Apr 14, 2026.

Lowest$584.43Saint Clare Hospital
Median$997.44half of hospitals charge less
Highest$5,517.00in this market
Difference9.4×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Seattle-Tacoma-Bellevue, WA.

median
Lowest $584.43Highest $16,158.25

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Saint Clare Hospital lowest Lakewood, WA · (253) 588-1711 HC UPPR GI ENDOSCPY/BRUSH-WASH File of Feb 28, 2026 · source file $584.43 $2,027.55 $906.41–$4,675.75 71%
St Anthony Hospital Gig Harbor, WA · (253) 530-2050 HC UPPR GI ENDOSCPY/BRUSH-WASH File of Feb 28, 2026 · source file $616.68 $2,027.55 $906.41–$4,675.75 70%
Highline Medical Center Burien, WA · (206) 431-5237 HC UPPR GI ENDOSCPY/BRUSH-WASH File of Feb 28, 2026 · source file $619.13 $2,027.55 $871.85–$4,556.00 69%
St Francis Community Hospital Federal Way, WA · (253) 944-8100 HC UPPR GI ENDOSCPY/BRUSH-WASH File of Feb 28, 2026 · source file $636.30 $2,027.55 $906.41–$4,675.75 69%
St Joseph Medical Center Tacoma, WA · (253) 627-4101 HC UPPR GI ENDOSCPY/BRUSH-WASH File of Feb 28, 2026 · source file $671.52 $2,027.55 $906.41–$4,675.75 67%
St Elizabeth Hospital Enumclaw, WA · (360) 825-2505 HC UPPR GI ENDOSCPY/BRUSH-WASH File of Feb 28, 2026 · source file $716.47 $2,027.55 $344.69–$4,556.00 65%
Swedish Medical Center Seattle, WA · (206) 386-6000 HC DIAGNOSTIC GASTROSCOPE File of Apr 1, 2026 · source file $997.44 $2,078.00 — 52%
Swedish Issaquah Issaquah, WA · (425) 313-4000 HC DIAGNOSTIC GASTROSCOPE File of Apr 1, 2026 · source file $997.44 $2,078.00 — 52%
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC DIAGNOSTIC GASTROSCOPE File of Apr 1, 2026 · source file $997.44 $2,078.00 — 52%
Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC UPPER GI ENDOSCOPY/DIAGNOSTIC File of Mar 26, 2026 · source file $1,048.80 $1,311.00 $111.44–$3,439.67 20%
Virginia Mason Medical Center Seattle, WA · (206) 223-6600 ED - EGD DIAGNOSTIC, W/ COLL OF SPEC/S, SEP PROC+1 more line at this price File of Jan 1, 2026 · source file $1,735.53 $3,403.00 $2,041.80–$2,722.40 49%
Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc 43235 Egd Diag/Brushing File of Apr 1, 2026 · source file $1,826.00 $3,652.00 — 50%
Swedish Issaquah Issaquah, WA · (425) 313-4000 HC DIAGNOSTIC GASTROSCOPE File of Apr 1, 2026 · source file $1,828.80 $3,810.00 — 52%
Swedish Medical Center Seattle, WA · (206) 386-6000 HC DIAGNOSTIC GASTROSCOPE File of Apr 1, 2026 · source file $1,828.80 $3,810.00 — 52%
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC DIAGNOSTIC GASTROSCOPE File of Apr 1, 2026 · source file $1,828.80 $3,810.00 — 52%
Snoqualmie Valley Hospital Snoqualmie, WA · (425) 831-2300 Facility Fee HC 43235 EGD DIAG/BRUSHING File of Apr 14, 2026 · source file $1,907.94 $3,289.56 $372.94–$3,026.40 42%
Valley Medical Center Renton, WA · (425) 228-3450 Esophagogastroduodenoscopy Transoral Diagnostic File of Mar 12, 2026 · source file $2,797.90 $3,997.00 — 30%
Valley Medical Center Renton, WA · (425) 228-3450 Esophagogastroduodenoscopy Transoral Diagnostic File of Mar 12, 2026 · source file $3,555.30 $5,079.00 — 30%
Seattle Children's Hospital Seattle, WA · (206) 987-2000 EGD Flexible, Transoral; Diagnostic File of Mar 31, 2026 · source file $5,517.00 $5,517.00 $1,390.28–$5,296.32 —
Seattle Children's Hospital Seattle, WA · (206) 987-2000 EGD Flexible, Transoral; Diagnostic File of Mar 31, 2026 · source file $16,158.25 — — —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $584.43, median $997.44, highest $5,517.00 — a 9.4× difference within the same market.

As an inpatient, the same code is billed by 15 facilities here, median $1,735.53. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 9 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What upper endoscopy is, what the price covers and why prices differ: Upper endoscopy explained.