Surgery and procedures CPT 43239 Washington Outpatient

Upper endoscopy with biopsy cost in Washington

In Washington, 35 hospitals publish a cash price for upper endoscopy (EGD) with biopsy: from $350.70 to $5,382.40, with a median of $1,935.05. The lowest price is at Providence Mount Carmel Hospital (Colville) and 1 other hospital. The highest price is 15.3× the lowest.

  • The median here, $1,935.05, is 17% above the US median of $1,656.60.
  • That is 2.1× Medicare's 2026 national rate for the same service ($926.63).
  • Washington ranks 34th of 49 states by median, cheapest first.
  • 2 of 35 hospitals list a cash price equal to their full list price, with no self-pay discount.

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 43239. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map

Lowest$350.70Providence Mount Carmel Hospital + 1 more
Median$1,935.05half of hospitals charge less
Highest$5,382.40in Washington
Lowest saves$1,584.35vs the median

Hospitals in Washington, cheapest first

HospitalCash priceList priceFile date
Providence Mount Carmel Hospital lowest Colville · Spokane-Spokane Valley, WA HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE $350.70 $501.00 Apr 1, 2026
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Providence St Joseph Hospital lowest Chewelah · Spokane-Spokane Valley, WA HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE $350.70 $501.00 Apr 1, 2026
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Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope $637.50 $750.00 Oct 7, 2026
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Astria Toppenish Hospital Toppenish · Yakima, WA 43239 Esophagogastroduodenoscopy, flexible, transo $776.10 $1,194.00 Apr 1, 2026
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PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $868.40 $1,336.00 Mar 21, 2026
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Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC EGD - BIOPSY $1,088.80 $1,361.00 Mar 26, 2026
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Willapa Harbor Hospital South Bend · South Bend, WA BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,547.00 $2,210.00 Feb 24, 2026
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Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $1,610.00 $2,300.00 Apr 1, 2026
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Providence Centralia Hospital Centralia · Centralia, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $1,631.24 $3,137.00 Apr 1, 2026
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Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $1,631.24 $3,137.00 Apr 1, 2026
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Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $1,828.80 $3,810.00 Apr 1, 2026
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Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $1,828.80 $3,810.00 Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $1,828.80 $3,810.00 Apr 1, 2026
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PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,852.50 $2,850.00 Mar 20, 2026
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Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA GASTROSCOPY W/BX $1,892.40 $3,320.00 Apr 1, 2026
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Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc 43239 Egd Biopsy $1,915.00 $3,830.00 Apr 1, 2026
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Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA ED - EGD BIOPSY, SINGLE OR MULTIPLE $1,928.31 $3,781.00 Jan 1, 2026
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PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,935.05 $2,977.00 Mar 21, 2026
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PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA EGD BIOPSY SINGLE/MULTIPLE $1,970.80 $3,032.00 Mar 20, 2026
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PeaceHealth St John Medical Center Longview · Longview-Kelso, WA EGD BIOPSY SINGLE/MULTIPLE $1,970.80 $3,032.00 Mar 21, 2026
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Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC 43239 EGD BIOPSY $1,984.79 $3,422.06 Apr 14, 2026
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Lourdes Health Pasco · Kennewick-Richland, WA EGD BIOPSY SINGLE/MULTIPLE $2,013.53 $5,033.83 Jul 10, 2026
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Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA EGD diag w/biopsy $2,040.80 $2,551.00 May 15, 2026
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Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $2,046.10 $2,923.00 Apr 1, 2026
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Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $2,046.10 $2,923.00 Apr 1, 2026
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Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $2,057.30 $2,939.00 Apr 1, 2026
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Klickitat Valley Hospital Goldendale · Goldendale, WA EGD W Bx OR $2,560.00 $3,200.00 Dec 2, 2024
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Pullman Regional Hospital Pullman · Pullman, WA Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope $2,673.25 $3,145.00 Jun 9, 2026
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Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Egd Transoral Biopsy Single/Multiple $2,738.40 $3,912.00 Mar 12, 2026
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Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC EGD - BIOPSY $3,160.00 $3,950.00 Mar 26, 2026
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Olympic Medical Center Port Angeles · Port Angeles, WA Endoscopy - Biopsy of the esophagus, stomach and/or upper small bowel using an endoscope $3,200.00 $4,000.00 Jun 24, 2026
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Ferry County Memorial Hospital Republic · Republic, WA EGD W/BIOPSY SINGLE/MULT $3,596.42 $4,231.08 Sep 14, 2026
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Forks Community Hospital Forks · Port Townsend, WA Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope $3,885.60 $4,857.00 Oct 27, 2026
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Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope $4,341.47 $4,341.47 Sep 1, 2026
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Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Upper GI Endoscopy Biopsy $5,382.40 $5,382.40 Mar 31, 2026
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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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Seattle-Tacoma-Bellevue, WA 9 $1,088.80 $1,915.00
Spokane-Spokane Valley, WA 4 $350.70 $980.35
Kennewick-Richland, WA 3 $1,892.40 $2,013.53
Mount Vernon-Anacortes, WA 2 $868.40 $2,014.20
Wenatchee-East Wenatchee, WA 2 $2,040.80 $3,191.14
Bellingham, WA 1 $1,935.05 $1,935.05
Centralia, WA 1 $1,631.24 $1,631.24
Ellensburg, WA 1 $637.50 $637.50
Friday Harbor, WA 1 $1,852.50 $1,852.50
Goldendale, WA 1 $2,560.00 $2,560.00
Longview-Kelso, WA 1 $1,970.80 $1,970.80
Olympia-Lacey-Tumwater, WA 1 $1,631.24 $1,631.24
Port Angeles, WA 1 $3,200.00 $3,200.00
Port Townsend, WA 1 $3,885.60 $3,885.60
Portland-Vancouver-Hillsboro, OR-WA 1 $1,970.80 $1,970.80
Pullman, WA 1 $2,673.25 $2,673.25
Republic, WA 1 $3,596.42 $3,596.42
South Bend, WA 1 $1,547.00 $1,547.00
Walla Walla, WA 1 $2,046.10 $2,046.10
Yakima, WA 1 $776.10 $776.10
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

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

Upper endoscopy (EGD) with biopsy in other states

Median cash price across the state's hospitals.