Surgery and procedures CPT 43248 Washington Outpatient

Upper endoscopy with wire-guided dilation cost in Washington

In Washington, 17 hospitals publish a cash price for upper endoscopy (EGD) with widening of the esophagus over a guide wire: from $255.06 to $5,952.50, with a median of $1,184.51. The lowest price is at Snoqualmie Valley Hospital (Snoqualmie). The highest price is 23.3× the lowest.

  • The median here, $1,184.51, is 30% below the US median of $1,698.96.
  • That is 1.3× Medicare's 2026 national rate for the same service ($926.63).
  • Washington ranks 9th of 39 states by median, cheapest first.
  • 1 of 17 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 43248. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map

Lowest$255.06Snoqualmie Valley Hospital
Median$1,184.51half of hospitals charge less
Highest$5,952.50in Washington
Lowest saves$929.45vs the median

Hospitals in Washington, cheapest first

HospitalCash priceList priceFile date
Snoqualmie Valley Hospital lowest Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC 43248 EGD WIRE DILATION $255.06 $439.76 Apr 14, 2026
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Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC PR 43248 EGD GUIDE WIRE INSERTION $326.90 $467.00 Apr 1, 2026
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Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Insertion of guide wire with dilation of esophagus using a flexible endoscope $365.50 $430.00 Oct 7, 2026
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Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC PR 43248 EGD GUIDE WIRE INSERTION $385.00 $550.00 Apr 1, 2026
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Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC EGD - WIRE INSERTION/DILATION $746.40 $933.00 Mar 26, 2026
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Forks Community Hospital Forks · Port Townsend, WA Insertion of guide wire with dilation of esophagus using a flexible endoscope $796.80 $996.00 Oct 27, 2026
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Astria Toppenish Hospital Toppenish · Yakima, WA 43248 Esophagogastroduodenoscopy, flexible, transo $796.90 $1,226.00 Apr 1, 2026
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PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE $876.64 $1,348.67 Mar 21, 2026
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PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE $1,184.51 $1,822.33 Mar 21, 2026
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Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc 43248 Egd Wire Dilation $1,423.00 $2,846.00 Apr 1, 2026
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Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA EGD W/INSERT OF GUIDE WIRE $1,620.78 $3,178.00 Jan 1, 2026
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Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSO $1,892.40 $3,320.00 Apr 1, 2026
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PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE $2,116.18 $3,255.66 Mar 20, 2026
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Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Egd Insert Guide Wire Dilator Passage Esophagus $2,473.80 $3,534.00 Mar 12, 2026
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Lourdes Health Pasco · Kennewick-Richland, WA EGD GUIDE WIRE INSERTION $2,668.54 $6,671.34 Jul 10, 2026
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Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC EGD - WIRE INSERTION/DILATION $4,119.20 $5,149.00 Mar 26, 2026
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Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Egd Guide Wi $5,952.50 $5,952.50 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
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

By metro area

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

Metro areaHospitalsLowestMedian
Seattle-Tacoma-Bellevue, WA 6 $255.06 $1,521.89
Kennewick-Richland, WA 2 $1,892.40 $2,280.47
Mount Vernon-Anacortes, WA 2 $876.64 $2,497.92
Spokane-Spokane Valley, WA 2 $326.90 $355.95
Bellingham, WA 1 $1,184.51 $1,184.51
Ellensburg, WA 1 $365.50 $365.50
Port Townsend, WA 1 $796.80 $796.80
Portland-Vancouver-Hillsboro, OR-WA 1 $2,116.18 $2,116.18
Yakima, WA 1 $796.90 $796.90
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 wire-guided dilation is, what the price covers and why prices differ: Upper endoscopy with wire-guided dilation explained.

Upper endoscopy (EGD) with widening of the esophagus over a guide wire in other states

Median cash price across the state's hospitals.