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

Posted commercial rates at 33 Washington hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Columbia Basin Hospital Ephrata$5270.5×22026-03-30
Astria Toppenish Hospital Toppenish$9340.9×52026-04-01
Trios Kennewick$1,0001.0×52026-07-17
Snoqualmie Valley Hospital Snoqualmie$1,4711.4×52026-04-14
Multicare Deaconess Hospital Spokane$1,9081.9×82026-08-27
St Elizabeth Hospital Enumclaw$2,3182.2×72026-02-28
Multicare Capital Medical Center Olympia$2,3632.3×112026-08-27
Multicare Valley Hospital Spokane$2,3992.4×92026-08-27
Mary Bridge Children'S Hospital Tacoma$2,4082.3×82026-08-27
Providence Regional Medical Center Everett Everett$2,5352.5×72026-04-01
Swedish Edmonds Hospital Edmonds$2,6242.6×72026-04-01
Tacoma General Allenmore Hospital Tacoma$2,6492.5×112026-08-27
Providence Holy Family Hospital Spokane$2,6532.6×72026-04-01
Skagit Valley Hospital Mount Vernon$2,6612.6×52026-03-26
Lourdes Medical Center Pasco$2,6672.6×112026-07-10
Overlake Hospital Medical Center Bellevue$2,8152.7×62026-04-01
Kadlec Regional Medical Center Richland$2,8392.8×32026-04-01
St Anne Hospital Burien$2,8442.7×82026-02-28
Multicare Auburn Medical Center Auburn$3,0192.9×112026-08-27
Multicare Covington Medical Center Covington$3,0192.9×112026-08-27
St Clare Hospital Lakewood$3,0332.9×92026-02-28
St Joseph Medical Center Tacoma$3,0332.9×92026-02-28
St Francis Community Hospital Federal Way$3,0332.9×92026-02-28
St Anthony Hospital Gig Harbor$3,0332.9×92026-02-28
Virginia Mason Medical Center Seattle$3,0842.9×62026-01-01
Swedish Issaquah Issaquah$3,0982.9×62026-04-01
Providence St Mary Medical Center Walla Walla$3,2273.2×62026-04-01
Swedish Medical Center / Cherry Hill Seattle$3,3033.1×72026-04-01
Swedish Medical Center Seattle$3,3033.1×72026-04-01
Multicare Good Samaritan Hospital Puyallup$3,3873.2×92026-08-27
St Michael Medical Center Bremerton$3,8913.7×32026-02-28
Providence Centralia Hospital Centralia$4,5984.5×32026-04-01
Legacy Salmon Creek Medical Center Vancouver$5,1585.1×72026-04-01

Questions

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

33 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 33 hospitals is $2,839, 2.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.