Price AtlasInteractive atlas · All states · techysurgeon.comLower endoscopic ultrasound: what insurers pay
Colonoscopy with an ultrasound probe to look through the bowel wall. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 45391: Colonoscopy W/Endoscope Us
97 hospitals in 33 markets. National Medicare rate $1,223, surgery center $657.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $3,792–$4,140 |
| Austin TX | 2 | — | — | — | $966–$3,598 |
| Boston MA | 7 | $1,671 | $1,716 | $1,792 | $1,576–$2,026 |
| California (statewide) | 1 | — | — | — | $7,693–$7,693 |
| Chicago IL | 7 | $2,284 | $2,786 | $3,665 | $1,634–$4,584 |
| Cleveland OH | 5 | $2,451 | $2,525 | $2,776 | $2,146–$4,656 |
| Dallas-Fort Worth TX | 4 | — | — | — | $2,850–$4,215 |
| Denver CO | 7 | $2,220 | $3,872 | $4,040 | $1,628–$4,195 |
| Detroit MI | 5 | $1,200 | $1,200 | $1,200 | $1,057–$5,085 |
| Georgia (statewide) | 1 | — | — | — | $4,797–$4,797 |
| Houston TX | 1 | — | — | — | $3,578–$3,578 |
| Indianapolis IN | 1 | — | — | — | $735–$735 |
| Kansas (statewide) | 1 | — | — | — | $3,081–$3,081 |
| Las Vegas NV | 2 | — | — | — | $2,265–$2,377 |
| Los Angeles CA | 1 | — | — | — | $4,386–$4,386 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $1,939–$3,052 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $1,561–$1,561 |
| Nashville TN | 4 | — | — | — | $1,637–$2,895 |
| New York City | 2 | — | — | — | $2,372–$7,334 |
| Ohio (statewide) | 1 | — | — | — | $1,910–$1,910 |
| Philadelphia PA | 5 | $3,459 | $3,640 | $6,648 | $3,453–$8,155 |
| Phoenix AZ | 3 | — | — | — | $2,678–$2,788 |
| Pittsburgh PA | 1 | — | — | — | $3,063–$3,063 |
| Portland OR | 6 | $5,648 | $6,042 | $6,042 | $5,516–$6,042 |
| Richmond VA | 2 | — | — | — | $4,146–$4,177 |
| San Antonio TX | 1 | — | — | — | $2,592–$2,592 |
| San Diego CA | 1 | — | — | — | $1,539–$1,539 |
| San Francisco Bay Area CA | 2 | — | — | — | $11,715–$13,697 |
| Seattle-Tacoma WA | 6 | $4,194 | $4,276 | $4,396 | $3,597–$4,712 |
| St. Louis MO | 4 | — | — | — | $1,715–$3,050 |
| Tampa FL | 2 | — | — | — | $2,494–$3,420 |
| Washington DC | 4 | — | — | — | $2,978–$3,488 |
| Wisconsin (statewide) | 1 | — | — | — | $2,183–$2,183 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension St Vincent Anderson | Indianapolis IN | $735 | 0.6× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $966 | 0.8× | 2 | 2026-01-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $1,057 | 0.9× | 1 | 2026-01-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $1,200 | 1.0× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $1,200 | 1.0× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $1,200 | 1.0× | 1 | 2026-05-01 |
| Scripps Green Hospital | San Diego CA | $1,539 | 1.0× | 1 | 2026-03-30 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $1,561 | 1.3× | 3 | 2026-03-31 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,576 | 1.1× | 3 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $1,628 | 1.3× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,628 | 1.3× | 4 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $1,634 | 1.3× | 3 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,637 | 1.4× | 1 | 2026-01-01 |
| Winchester Hospital | Boston MA | $1,648 | 1.1× | 4 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $1,694 | 1.2× | 4 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $1,715 | 1.4× | 1 | 2026-06-04 |
| Beth Israel Deaconess Medical Center | Boston MA | $1,716 | 1.2× | 3 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $1,764 | 1.2× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $1,820 | 1.3× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $1,849 | 1.6× | 8 | 2025-10-01 |
| Bethesda North | Ohio (statewide) | $1,910 | 1.6× | 4 | 2026-04-01 |
| Missouri Baptist Medical Center | St. Louis MO | $1,925 | 1.6× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $1,925 | 1.6× | 5 | 2025-12-15 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $1,939 | 1.6× | 5 | 2026-03-13 |
| Endeavor Health Edward Hospital | Chicago IL | $2,017 | 1.6× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $2,026 | 1.4× | 5 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $2,146 | 1.9× | 1 | 2026-06-15 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $2,183 | 1.8× | 3 | 2026-01-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $2,265 | 1.8× | 7 | 2026-07-01 |
| Montefiore Medical Center | New York City | $2,372 | 1.6× | 9 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $2,377 | 1.9× | 4 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $2,410 | 2.1× | 2 | 2026-01-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $2,451 | 2.2× | 1 | 2026-06-15 |
| Tampa General Hospital | Tampa FL | $2,494 | 2.0× | 3 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,525 | 2.2× | 3 | 2026-07-14 |
| Endeavor Health Evanston Hospital | Chicago IL | $2,550 | 2.0× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $2,592 | 2.2× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $2,678 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $2,678 | 2.1× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $2,776 | 2.5× | 1 | 2026-06-15 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $2,786 | 2.2× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,788 | 2.2× | 4 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $2,812 | 2.2× | 3 | 2025-11-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $2,850 | 2.4× | 3 | 2026-06-29 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,895 | 2.5× | 5 | 2026-09-01 |
| Loyola University Medical Center | Chicago IL | $2,956 | 2.3× | 2 | 2026-03-31 |
| George Washington Univ Hospital | Washington DC | $2,978 | 2.1× | 3 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $3,016 | 2.5× | 5 | 2026-09-01 |
| Barnes Jewish Hospital | St. Louis MO | $3,050 | 2.5× | 5 | 2025-12-15 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $3,052 | 2.4× | 3 | 2026-06-15 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $3,063 | 2.6× | 1 | 2026-03-06 |
| Menorah Medical Center | Kansas (statewide) | $3,081 | 2.7× | 5 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $3,126 | 2.5× | 5 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $3,420 | 2.7× | 2 | 2026-01-01 |
| Riddle Memorial Hospital | Philadelphia PA | $3,453 | 2.8× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $3,459 | 2.8× | 3 | 2026-09-15 |
| Reston Hospital Center | Washington DC | $3,480 | 2.8× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $3,488 | 2.8× | 4 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $3,522 | 2.9× | 5 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $3,578 | 3.0× | 6 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $3,597 | 2.6× | 5 | 2026-04-01 |
| St David's Medical Center | Austin TX | $3,598 | 3.0× | 5 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $3,640 | 3.0× | 2 | 2026-04-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $3,792 | 3.2× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $3,792 | 3.2× | 6 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $3,792 | 3.2× | 6 | 2026-07-01 |
| HCA HealthONE Swedish | Denver CO | $3,872 | 3.1× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $3,991 | 3.2× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $4,088 | 3.2× | 4 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $4,140 | 3.5× | 6 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $4,146 | 3.5× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $4,177 | 3.6× | 4 | 2026-09-01 |
| St Clare Hospital | Seattle-Tacoma WA | $4,194 | 3.0× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $4,194 | 3.0× | 6 | 2026-02-28 |
| Hca Healthone Rose | Denver CO | $4,195 | 3.3× | 4 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $4,215 | 3.5× | 2 | 2026-04-21 |
| Swedish Medical Center | Seattle-Tacoma WA | $4,358 | 3.1× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $4,374 | 3.4× | 2 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $4,386 | 2.9× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $4,409 | 3.2× | 7 | 2026-08-27 |
| Rush University Medical Center | Chicago IL | $4,584 | 3.6× | 2 | 2026-09-25 |
| Cleveland Clinic (main campus) | Cleveland OH | $4,656 | 4.1× | 2 | 2026-06-16 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $4,712 | 3.4× | 6 | 2026-08-27 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $4,797 | 4.6× | 3 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $5,085 | 4.3× | 1 | 2026-09-02 |
| Providence St Vincent Medical Center | Portland OR | $5,516 | 4.2× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $5,516 | 4.2× | 2 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $6,042 | 4.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $6,042 | 4.5× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $6,042 | 4.5× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $6,042 | 4.5× | 5 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,648 | 4.9× | 3 | 2026-09-15 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $7,334 | 4.9× | 7 | 2026-01-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,693 | 5.0× | 5 | 2026-09-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 6.1× | 1 | 2026-03-24 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $11,715 | 6.9× | 5 | 2026-03-23 |
| Stanford Health Care | San Francisco Bay Area CA | $13,697 | 7.8× | 1 | 2026-04-01 |
Questions
How much do commercial insurers pay hospitals for lower endoscopic ultrasound?
Across 97 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 45391, hospital outpatient is $3,050, 2.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,017 to $4,194. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for lower endoscopic ultrasound?
Medicare's national hospital outpatient rate for CPT 45391 is $1,223 and its surgery-center rate is $657, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for lower endoscopic ultrasound?
Lowest medians: Ascension St Vincent Anderson ($735), Ascension Seton Medical Center Austin ($966), Henry Ford Health Rochester Hospital ($1,057). Highest: Stanford Health Care ($13,697), John Muir Medical Center - Walnut Creek Campus ($11,715), Inspira Medical Center Mullica Hill ($8,155). Coverage is limited to the markets listed on this page.