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.
Open the interactive explorerAll operations
CPT 45391: Lower Endoscopic Ultrasound
1035 hospitals in 79 markets. National Medicare rate $1,223, surgery center $657.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $1,409 | $1,996 | $2,205 | $729–$3,099 |
| Alaska (statewide) | 3 | — | — | — | $929–$7,564 |
| Arizona (statewide) | 5 | $772 | $2,441 | $2,788 | $770–$5,282 |
| Arkansas (statewide) | 3 | — | — | — | $1,668–$1,686 |
| Atlanta GA | 10 | $3,792 | $3,792 | $4,140 | $3,601–$4,140 |
| Austin TX | 11 | $966 | $966 | $3,385 | $966–$3,385 |
| Boston MA | 13 | $1,694 | $1,822 | $1,984 | $1,120–$2,348 |
| California (statewide) | 55 | $2,742 | $3,479 | $4,462 | $1,153–$7,693 |
| Charlotte NC | 5 | $1,402 | $1,402 | $1,402 | $1,383–$1,402 |
| Chicago IL | 11 | $2,668 | $3,247 | $3,622 | $1,634–$4,584 |
| Cleveland OH | 11 | $1,812 | $2,060 | $2,432 | $1,245–$3,528 |
| Colorado (statewide) | 14 | $1,575 | $3,275 | $4,339 | $784–$7,154 |
| Connecticut (statewide) | 2 | — | — | — | $1,566–$3,362 |
| Dallas-Fort Worth TX | 10 | $2,831 | $2,923 | $3,016 | $2,655–$4,598 |
| Denver CO | 15 | $2,074 | $4,001 | $4,312 | $1,336–$5,026 |
| Detroit MI | 12 | $1,200 | $1,200 | $1,957 | $678–$5,085 |
| Florida (statewide) | 66 | $2,684 | $3,059 | $3,442 | $673–$9,199 |
| Georgia (statewide) | 36 | $2,578 | $3,532 | $3,763 | $1,094–$4,797 |
| Hawaii (statewide) | 3 | — | — | — | $1,537–$3,788 |
| Houston TX | 19 | $2,284 | $2,613 | $2,810 | $1,734–$3,695 |
| Idaho (statewide) | 9 | $1,209 | $2,995 | $2,995 | $1,083–$3,575 |
| Illinois (statewide) | 27 | $1,778 | $2,246 | $3,153 | $1,068–$3,775 |
| Indiana (statewide) | 28 | $1,899 | $2,656 | $5,678 | $735–$8,220 |
| Indianapolis IN | 1 | — | — | — | $735–$735 |
| Iowa (statewide) | 14 | $1,982 | $2,240 | $2,538 | $690–$3,262 |
| Kansas (statewide) | 10 | $2,026 | $3,181 | $3,292 | $1,354–$7,564 |
| Kentucky (statewide) | 16 | $1,749 | $1,988 | $2,424 | $1,421–$4,082 |
| Las Vegas NV | 2 | — | — | — | $2,268–$3,010 |
| Los Angeles CA | 16 | $2,869 | $3,074 | $3,547 | $2,156–$6,910 |
| Louisiana (statewide) | 20 | $1,098 | $1,332 | $1,866 | $944–$3,728 |
| Maine (statewide) | 15 | $4,831 | $5,541 | $5,609 | $3,050–$7,052 |
| Maryland (statewide) | 1 | — | — | — | $766–$766 |
| Massachusetts (statewide) | 8 | $1,422 | $1,766 | $2,095 | $1,120–$2,553 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $1,760–$2,744 |
| Michigan (statewide) | 22 | $1,106 | $1,124 | $1,192 | $808–$1,989 |
| Minneapolis-St. Paul MN | 8 | $2,389 | $2,808 | $2,896 | $1,561–$2,898 |
| Minnesota (statewide) | 12 | $2,777 | $3,177 | $3,681 | $2,348–$4,363 |
| Mississippi (statewide) | 13 | $1,190 | $1,848 | $2,596 | $1,137–$3,264 |
| Missouri (statewide) | 12 | $2,472 | $3,076 | $3,248 | $909–$3,672 |
| Montana (statewide) | 5 | $2,476 | $3,423 | $3,534 | $2,394–$4,764 |
| Nashville TN | 8 | $2,295 | $2,404 | $2,426 | $1,637–$2,474 |
| Nebraska (statewide) | 16 | $768 | $2,793 | $3,262 | $669–$6,799 |
| Nevada (statewide) | 5 | $2,376 | $2,377 | $2,377 | $2,268–$2,408 |
| New Hampshire (statewide) | 6 | $2,851 | $3,770 | $4,643 | $2,262–$5,359 |
| New Jersey (statewide) | 21 | $1,368 | $4,661 | $6,226 | $1,175–$8,615 |
| New Mexico (statewide) | 4 | — | — | — | $2,033–$3,564 |
| New York (statewide) | 28 | $2,366 | $2,559 | $3,378 | $842–$4,820 |
| New York City | 7 | $2,538 | $2,538 | $3,548 | $1,494–$7,034 |
| North Carolina (statewide) | 5 | $2,964 | $2,964 | $3,172 | $1,728–$4,154 |
| North Dakota (statewide) | 5 | $2,084 | $2,382 | $2,696 | $2,040–$5,550 |
| Ohio (statewide) | 38 | $1,817 | $2,756 | $4,053 | $615–$4,830 |
| Oklahoma (statewide) | 11 | $1,097 | $2,444 | $2,765 | $639–$6,536 |
| Oregon (statewide) | 7 | $3,020 | $3,356 | $4,447 | $2,687–$5,460 |
| Pennsylvania (statewide) | 18 | $2,440 | $2,809 | $3,870 | $1,943–$5,292 |
| Philadelphia PA | 11 | $3,070 | $3,544 | $3,660 | $2,605–$8,155 |
| Phoenix AZ | 8 | $2,658 | $2,678 | $2,706 | $2,600–$2,788 |
| Pittsburgh PA | 8 | $1,442 | $2,130 | $2,454 | $1,222–$2,968 |
| Portland OR | 9 | $5,144 | $5,158 | $5,762 | $5,144–$5,762 |
| Rhode Island (statewide) | 5 | $1,606 | $2,403 | $2,462 | $1,159–$3,317 |
| Richmond VA | 3 | — | — | — | $4,146–$4,816 |
| Rio Grande Valley TX | 5 | $1,615 | $2,158 | $2,993 | $1,555–$3,154 |
| Salt Lake City UT | 9 | $1,227 | $1,236 | $1,236 | $1,074–$1,258 |
| San Antonio TX | 3 | — | — | — | $1,882–$2,800 |
| San Diego CA | 6 | $2,616 | $2,616 | $2,642 | $2,616–$2,838 |
| San Francisco Bay Area CA | 5 | $3,903 | $5,384 | $5,606 | $3,546–$13,697 |
| Seattle-Tacoma WA | 16 | $3,432 | $3,558 | $4,128 | $2,873–$4,870 |
| South Carolina (statewide) | 28 | $2,628 | $3,150 | $4,938 | $756–$8,667 |
| South Dakota (statewide) | 2 | — | — | — | $1,467–$2,831 |
| St. Louis MO | 5 | $1,920 | $1,920 | $1,920 | $1,711–$2,740 |
| Tampa FL | 6 | $3,420 | $3,420 | $3,420 | $2,219–$6,648 |
| Tennessee (statewide) | 20 | $1,808 | $1,958 | $2,108 | $1,144–$2,500 |
| Texas (statewide) | 65 | $1,758 | $2,613 | $2,923 | $943–$8,220 |
| Utah (statewide) | 6 | $1,114 | $1,272 | $3,904 | $1,074–$4,770 |
| Vermont (statewide) | 1 | — | — | — | $3,491–$3,491 |
| Virginia (statewide) | 21 | $4,356 | $4,564 | $5,051 | $2,524–$6,169 |
| Washington (statewide) | 11 | $2,939 | $3,338 | $3,658 | $2,442–$6,476 |
| Washington DC | 9 | $2,857 | $2,857 | $3,273 | $2,857–$3,488 |
| West Virginia (statewide) | 4 | — | — | — | $1,309–$7,967 |
| Wisconsin (statewide) | 35 | $3,077 | $3,077 | $5,052 | $945–$6,834 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Selby General Hospital | Ohio (statewide) | $615 | 0.5× | 1 | 2026-10-01 |
| Ascension St John Jane Phillips | Oklahoma (statewide) | $639 | 0.6× | 1 | 2026-01-01 |
| Ascension St John Nowata | Oklahoma (statewide) | $639 | 0.6× | 1 | 2026-01-01 |
| Ascension St John Owasso | Oklahoma (statewide) | $646 | 0.6× | 1 | 2026-01-01 |
| Bellevue Medical Center | Nebraska (statewide) | $669 | 0.5× | 1 | 2026-08-10 |
| Baptist Hospital | Florida (statewide) | $673 | 0.5× | 10 | 2025-12-23 |
| Jay Hospital | Florida (statewide) | $673 | 0.5× | 8 | 2025-12-23 |
| Henry Ford Health -St John Hospital | Detroit MI | $678 | 0.6× | 1 | 2026-01-01 |
| Gulf Breeze Hospital | Florida (statewide) | $680 | 0.5× | 8 | 2025-12-23 |
| Chi Health - Mercy Corning | Iowa (statewide) | $690 | 0.6× | 10 | 2026-02-28 |
| Chi Health Missouri Valley | Iowa (statewide) | $690 | 0.6× | 10 | 2026-02-28 |
| Chi Health Schuyler | Nebraska (statewide) | $690 | 0.6× | 11 | 2026-02-28 |
| Providence Medical Center | Kansas (statewide) | $7,564 | 6.7× | 1 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,693 | 5.0× | 5 | 2026-09-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $7,967 | 6.9× | 1 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $8,155 | 6.1× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 6.1× | 1 | 2026-03-24 |
| Parkview Regional Medical Center | Indiana (statewide) | $8,220 | 6.5× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $8,220 | 6.8× | 1 | 2026-09-01 |
| Jfk University Medical Center | New Jersey (statewide) | $8,615 | 6.4× | 5 | 2025-12-31 |
| Mcleod Loris Hospital | South Carolina (statewide) | $8,667 | 7.8× | 1 | 2026-07-20 |
| Mcleod Health Clarendon | South Carolina (statewide) | $8,667 | 7.8× | 1 | 2026-07-20 |
| Holy Cross Hospital | Florida (statewide) | $9,199 | 7.4× | 24 | 2026-03-31 |
| Stanford Health Care | San Francisco Bay Area CA | $13,697 | 7.8× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for lower endoscopic ultrasound?
Across 1035 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 45391, hospital outpatient is $2,803, 2.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,915 to $3,622. 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: Selby General Hospital ($615), Ascension St John Jane Phillips ($639), Ascension St John Nowata ($639). Highest: Stanford Health Care ($13,697), Holy Cross Hospital ($9,199), Mcleod Health Clarendon ($8,667). Coverage: every hospital whose price file we could read.