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Endoscopy Cost in Seattle, WA (2026): Average Prices & What You'll Pay

What does a endoscopy cost in Seattle, WA?

Where you have an endoscopy done in Seattle, WA swings the bill from $716 to $1,111 for identical care. The median cash price across 10 reporting hospitals is $997. The numbers are pulled directly from federally mandated hospital price transparency files.

Where endoscopy costs vary in Seattle, WA

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

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One upper endoscopy can become four separate bills - and a biopsy adds a fifth surprise weeks later.

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  • ✓ The four separate bills (facility, gastroenterologist, anesthesia, pathology) and which to scrutinize
  • ✓ How a biopsy adds a pathology bill that arrives weeks after the procedure
  • ✓ Why anesthesia ends up out-of-network even at an in-network surgery center
  • ✓ Why an ambulatory surgery center costs less than a hospital for the identical procedure
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Cheapest Endoscopy Providers in Seattle, WA

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 St. Joseph Medical Center Tacoma, WA $671 -$326
2 Harborview Medical Center Seattle, WA $687 -$310
3 St. Elizabeth Hospital Enumclaw, WA $716 -$281
4 Swedish Health Services Seattle, WA $997 +$0
5 Swedish Health Services Issaquah, WA $997 +$0
6 Providence Health And Services - Washington Everett, WA $1,032 +$35
7 Fred Hutchinson Cancer Center Seattle, WA $1,111 +$114
8 Franciscan Specialty Care LLC WA $1,144 +$147

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • St. Joseph Medical Center is the lowest-cost option at $671 - $326 below the state median, just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $997, and it's often lower than what insurance pays before your deductible is satisfied.
  • Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.

Providence Health, Swedish Health Services (a Providence affiliate), and UW Medicine compete in the Western Washington market. Kaiser Permanente Washington has substantial commercial market share in the Puget Sound area. Eastern Washington operates as a distinct, lower-cost market anchored by Providence and MultiCare. Washington state has active price transparency enforcement.

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Why prices vary - and what it means for your coverage

A small number of hospitals (2) report prices above $1,767, including Kindred Hospital Seattle - First Hill at $2,757, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $997 versus $1,111 inpatient, so where a procedure happens often matters more than which hospital you pick. The biggest swing for this procedure is screening versus diagnostic coding - a polyp removed during a routine screening can recode the whole visit as diagnostic and trigger cost-sharing you weren't expecting.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$997
Deductible met - 20% coinsurance ~$199
Out-of-network provider $2,193+

Frequently asked questions: endoscopy costs in Seattle, WA

How much does an endoscopy cost in Seattle, WA?

Across 10 Seattle, WA hospitals that publish prices, an endoscopy ranges from $660 to $2,757, with a median of $997. Most facilities fall between $702 and $1,111. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an endoscopy in Seattle, WA?

Based on declared prices, the lowest-cost facility in our Seattle, WA data is KAISER PERMANENTE CENTRAL HOSPITAL at about $660. By metro, Seattle has the lowest median ($1,054). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is an endoscopy so much cheaper at some Seattle, WA hospitals?

Prices vary up to 4.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Seattle, WA, the median cash (self-pay) price is $997 versus a median negotiated rate of $1,041 - about 1× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for an endoscopy in Seattle, WA?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Seattle, WA

Endoscopy, elsewhere

What matters before you schedule

ASC vs. hospital

Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same endoscopy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.

What's on your bill

A endoscopy involves multiple providers who bill separately - typically Facility Fee, Gastroenterologist Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.

Cost by type

Which type your doctor orders for this endoscopy changes the billing code, and what you pay. For example: Ordered to investigate symptoms or a prior finding - standard cost-sharing (deductible, coinsurance) applies.

What to ask before you book

Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for endoscopy before you schedule.


CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Seattle, WA

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published June 12, 2026

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