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Upper endoscopy (EGD) with biopsy in Washington: what insurers pay

Posted commercial rates at 15 Washington hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Swedish Edmonds Hospital Edmonds$2,5562.5×52026-04-01
Overlake Hospital Medical Center Bellevue$2,7702.6×52026-04-01
Swedish Issaquah Issaquah$3,1843.0×42026-04-01
St Clare Hospital Lakewood$3,2823.1×62026-02-28
St Anthony Hospital Gig Harbor$3,2823.1×62026-02-28
St Joseph Medical Center Tacoma$3,2823.1×62026-02-28
St Francis Community Hospital Federal Way$3,2823.1×62026-02-28
Swedish Medical Center Seattle$3,3033.1×52026-04-01
Swedish Medical Center / Cherry Hill Seattle$3,3043.1×52026-04-01
Tacoma General Allenmore Hospital Tacoma$3,3873.2×72026-08-27
Multicare Auburn Medical Center Auburn$3,3873.2×72026-08-27
Multicare Covington Medical Center Covington$3,3873.2×72026-08-27
Multicare Good Samaritan Hospital Puyallup$3,6043.4×62026-08-27
St Anne Hospital Burien$3,9563.8×52026-02-28
Legacy Salmon Creek Medical Center Vancouver$6,0426.0×52026-04-01

Questions

How much do insurers pay for upper endoscopy (egd) with biopsy in Washington?

15 Washington hospitals post usable commercial rates for upper endoscopy (egd) with biopsy in their federal price-transparency files. For CPT 43239, hospital outpatient, the median across 15 hospitals is $3,303, 3.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.