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Upper endoscopy with biopsy in Seattle, WA costs $1,089 to $2,738. Here's every hospital's price.

6 hospitals in the Seattle-Tacoma-Bellevue, WA metro area publish a cash price for upper endoscopy with biopsy (CPT 43239). We read their files every month so you don't have to.

Across the Seattle-Tacoma-Bellevue, WA metro area, 6 hospitals list a cash price for upper endoscopy with biopsy (CPT 43239). The lowest is $1,089 at Cascade Valley Hospital, the median is $1,829 and the highest is $2,738 at Valley Medical Center. The most expensive hospital lists 2.5 times the cheapest for the same code.

The Seattle, WA median of $1,829 is 30% above the national median of $1,402 across 335 US hospitals with a cash price for this code.

13 of these hospitals also publish the rates they negotiated with insurers, from $5 to $10,403. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between January 2026 and April 2026. 14 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$1,089
lowest cash price in Seattle, WA
Cascade Valley Hospital · 50 mi
$740 below the median
$1,829
median cash price
6 hospitals
2.5×
highest ÷ lowest
same procedure, same metro
6/27
hospitals with a cash price
14 don't · see who

Sorted by cash price

Hospital facility fee only
1
Cascade Valley Hospital

Arlington · 50 mi · File Mar 2026

$1,089
list $1,361
2
Swedish Medical Center / Cherry Hill

Seattle · 24 mi · File Apr 2026

$1,829
list $3,810
3
Swedish Issaquah

Issaquah · 9 mi · File Apr 2026

$1,829
list $3,810
4
Overlake Hospital Medical Center & Clinics

Bellevue · 19 mi · File Apr 2026

$1,915
list $3,830
5
Virginia Mason Medical Center

Seattle · 24 mi · File Jan 2026

$1,928
list $3,781 · lowest of 4 lines
6
Valley Medical Center

Renton · 18 mi · File Mar 2026

$2,738
list $1,079 · lowest of 2 lines
7
Highline Medical Center

Burien · 24 mi · File Feb 2026

8
Providence Regional Medical Center Everett

Everett · 39 mi · File Apr 2026

9
St Clare Hospital

Lakewood · 39 mi · File Feb 2026

10
St Joseph Medical Center

Tacoma · 33 mi · File Feb 2026

11
St Francis Community Hospital

Federal Way · 27 mi · File Feb 2026

12
St Anthony Hospital

Gig Harbor · 38 mi · File Feb 2026

1

What's in the price

The hospital facility fee for CPT 43239. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 43239, in writing, and whether it covers facility, physician and anesthesia."

About upper endoscopy with biopsy

CPT 43239 is an upper endoscopy (EGD) in which tissue samples are taken from the esophagus, stomach or duodenum. It is the usual code when the exam is done to check for celiac disease, H. pylori, Barrett's esophagus or unexplained inflammation, since all of those need a sample to confirm.

What the price covers

The facility fee: the endoscopy room, nursing, the scope, biopsy forceps, sedation monitoring and recovery. Separately billed: the gastroenterologist, the anesthesia provider and the pathologist. Celiac work-ups often take four to six samples, so ask whether pathology is billed per specimen.

Related codes

  • 43235: EGD, diagnostic, no biopsy
  • 43239: EGD with biopsy (this page)

Hospitals typically price 43239 slightly above 43235. If only one is listed, it is a fair guide for the other.

Why prices vary

The spread within a metro area is usually several times. It tracks the hospital's overall pricing level, not the difficulty of the exam. Community hospitals and hospital-owned outpatient centers sit at the low end; academic medical centers at the high end.

Questions to ask

  • What is the self-pay price for 43239 including pathology?
  • How many samples are planned, and is pathology billed per sample?
  • Who provides anesthesia, and what is their cash rate?

Hospitals in Seattle, WA without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask