Price AtlasInteractive atlas · All states · techysurgeon.comUpper endoscopy with esophagus stretching: what insurers pay
EGD with balloon (43249) or guide-wire (43248) dilation of a narrowed esophagus. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 43249: Esoph Egd Dilation <30 Mm
107 hospitals in 36 markets. National Medicare rate $1,960, surgery center $894.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $3,792–$4,140 |
| Austin TX | 2 | — | — | — | $1,232–$4,282 |
| Boston MA | 7 | $2,178 | $2,410 | $2,504 | $1,576–$3,555 |
| California (statewide) | 1 | — | — | — | $7,693–$7,693 |
| Chicago IL | 7 | $3,128 | $3,731 | $4,490 | $1,694–$4,955 |
| Cleveland OH | 5 | $3,484 | $3,502 | $4,656 | $2,525–$4,831 |
| Dallas-Fort Worth TX | 4 | — | — | — | $3,971–$5,732 |
| Denver CO | 7 | $1,954 | $3,872 | $4,040 | $1,628–$4,195 |
| Detroit MI | 7 | $1,131 | $1,151 | $1,306 | $1,131–$3,200 |
| Georgia (statewide) | 1 | — | — | — | $4,797–$4,797 |
| Houston TX | 1 | — | — | — | $3,578–$3,578 |
| Illinois (statewide) | 1 | — | — | — | $1,728–$1,728 |
| Indianapolis IN | 1 | — | — | — | $1,139–$1,139 |
| Kansas (statewide) | 1 | — | — | — | $2,858–$2,858 |
| Las Vegas NV | 2 | — | — | — | $1,952–$2,727 |
| Los Angeles CA | 2 | — | — | — | $5,705–$14,322 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $1,999–$3,052 |
| Minneapolis-St. Paul MN | 2 | — | — | — | $2,372–$2,386 |
| Nashville TN | 4 | — | — | — | $1,637–$2,895 |
| New York (statewide) | 1 | — | — | — | $5,417–$5,417 |
| New York City | 2 | — | — | — | $4,913–$8,442 |
| Ohio (statewide) | 1 | — | — | — | $3,440–$3,440 |
| Philadelphia PA | 5 | $3,640 | $6,648 | $6,993 | $3,453–$8,155 |
| Phoenix AZ | 3 | — | — | — | $2,788–$2,897 |
| Pittsburgh PA | 1 | — | — | — | $4,387–$4,387 |
| Portland OR | 6 | $6,073 | $6,073 | $6,593 | $6,073–$6,766 |
| Research Triangle NC | 1 | — | — | — | $3,720–$3,720 |
| Richmond VA | 2 | — | — | — | $4,146–$4,177 |
| San Antonio TX | 1 | — | — | — | $3,176–$3,176 |
| San Diego CA | 1 | — | — | — | $2,468–$2,468 |
| San Francisco Bay Area CA | 3 | — | — | — | $11,715–$15,618 |
| Seattle-Tacoma WA | 6 | $6,144 | $6,566 | $7,795 | $5,165–$8,457 |
| St. Louis MO | 7 | $1,820 | $1,925 | $2,174 | $1,349–$3,050 |
| Tampa FL | 2 | — | — | — | $2,494–$5,611 |
| Washington DC | 3 | — | — | — | $3,480–$3,580 |
| Wisconsin (statewide) | 1 | — | — | — | $2,183–$2,183 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $1,131 | 0.6× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $1,131 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $1,131 | 0.6× | 1 | 2026-05-01 |
| Hendricks Regional Health | Indianapolis IN | $1,139 | 0.6× | 2 | 2026-05-20 |
| Trinity Health Oakland Hospital | Detroit MI | $1,151 | 0.6× | 16 | 2026-03-31 |
| Ascension Seton Medical Center Austin | Austin TX | $1,232 | 0.6× | 2 | 2026-01-01 |
| Mclaren Port Huron | Detroit MI | $1,258 | 0.7× | 1 | 2025-12-31 |
| Mercy Hospital South | St. Louis MO | $1,349 | 0.7× | 1 | 2026-06-10 |
| Henry Ford Health Rochester Hospital | Detroit MI | $1,355 | 0.7× | 1 | 2026-01-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,576 | 0.7× | 3 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $1,628 | 0.8× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,628 | 0.8× | 4 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,637 | 0.9× | 1 | 2026-01-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $1,694 | 0.8× | 3 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $1,715 | 0.9× | 1 | 2026-06-04 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $1,728 | 0.8× | 2 | 2026-06-03 |
| Missouri Baptist Medical Center | St. Louis MO | $1,925 | 1.0× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $1,925 | 1.0× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $1,925 | 1.0× | 5 | 2025-12-15 |
| Henderson Hospital | Las Vegas NV | $1,952 | 1.0× | 4 | 2026-09-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $1,999 | 1.0× | 5 | 2026-03-13 |
| Vanderbilt University Medical Center | Nashville TN | $2,025 | 1.1× | 7 | 2025-10-01 |
| Winchester Hospital | Boston MA | $2,051 | 0.9× | 4 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $2,183 | 1.1× | 3 | 2026-01-01 |
| UCHealth University of Colorado Hospital | Denver CO | $2,281 | 1.1× | 3 | 2025-11-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $2,304 | 1.0× | 2 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $2,372 | 1.2× | 4 | 2026-03-31 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $2,386 | 1.2× | 4 | 2026-03-31 |
| New England Baptist Hospital | Boston MA | $2,410 | 1.1× | 4 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $2,410 | 1.3× | 2 | 2026-01-01 |
| Mercy Hospital Jefferson | St. Louis MO | $2,423 | 1.3× | 1 | 2026-06-10 |
| Beverly Hospital Corporation | Boston MA | $2,442 | 1.1× | 5 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $2,468 | 1.0× | 1 | 2026-03-30 |
| Tampa General Hospital | Tampa FL | $2,494 | 1.2× | 3 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,525 | 1.4× | 3 | 2026-07-14 |
| Anna Jaques Hospital | Boston MA | $2,565 | 1.1× | 4 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $2,727 | 1.4× | 7 | 2026-07-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,788 | 1.4× | 4 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $2,858 | 1.6× | 5 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,895 | 1.6× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $2,897 | 1.4× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $2,897 | 1.4× | 5 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $2,962 | 1.4× | 2 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $3,050 | 1.6× | 5 | 2025-12-15 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $3,052 | 1.5× | 3 | 2026-06-15 |
| Methodist Hospital | San Antonio TX | $3,176 | 1.6× | 5 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $3,200 | 1.7× | 2 | 2026-09-02 |
| Endeavor Health Evanston Hospital | Chicago IL | $3,294 | 1.6× | 2 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $3,440 | 1.8× | 4 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $3,453 | 1.8× | 2 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $3,480 | 1.8× | 4 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $3,484 | 1.9× | 4 | 2026-06-15 |
| Stonesprings Hospital Center | Washington DC | $3,488 | 1.8× | 4 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,502 | 1.9× | 3 | 2026-06-15 |
| Beth Israel Deaconess Medical Center | Boston MA | $3,555 | 1.6× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $3,578 | 1.9× | 6 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $3,580 | 1.8× | 5 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $3,640 | 1.9× | 2 | 2026-04-01 |
| Duke University Hospital | Research Triangle NC | $3,720 | 1.9× | 1 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $3,731 | 1.8× | 2 | 2026-04-01 |
| Piedmont Newnan Hospital | Atlanta GA | $3,792 | 2.0× | 6 | 2026-07-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $3,870 | 2.0× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $3,870 | 2.0× | 6 | 2026-07-01 |
| HCA HealthONE Swedish | Denver CO | $3,872 | 1.9× | 4 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $3,971 | 2.1× | 5 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $3,991 | 2.0× | 4 | 2026-09-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $4,063 | 2.1× | 3 | 2026-06-29 |
| HCA HealthONE Sky Ridge | Denver CO | $4,088 | 2.0× | 4 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $4,140 | 2.1× | 6 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $4,146 | 2.2× | 4 | 2026-09-01 |
| Rush University Medical Center | Chicago IL | $4,163 | 2.0× | 2 | 2026-09-25 |
| Henrico Doctors' Hospital | Richmond VA | $4,177 | 2.2× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $4,195 | 2.1× | 4 | 2026-09-01 |
| St David's Medical Center | Austin TX | $4,282 | 2.2× | 5 | 2026-09-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $4,387 | 2.4× | 1 | 2026-03-06 |
| Medical City Mckinney | Dallas-Fort Worth TX | $4,485 | 2.3× | 5 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $4,656 | 2.6× | 2 | 2026-06-16 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $4,797 | 2.9× | 3 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $4,818 | 2.3× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $4,831 | 2.7× | 3 | 2026-06-15 |
| Montefiore Medical Center | New York City | $4,913 | 2.0× | 9 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $4,955 | 2.4× | 1 | 2026-03-31 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $5,165 | 2.3× | 5 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $5,417 | 2.3× | 5 | 2026-06-10 |
| Morton Plant Hospital | Tampa FL | $5,611 | 2.8× | 3 | 2026-01-01 |
| Keck Hospital Of Usc | Los Angeles CA | $5,705 | 2.3× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $5,732 | 3.0× | 2 | 2026-04-21 |
| Legacy Emanuel Medical Center | Portland OR | $6,073 | 2.9× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $6,073 | 2.9× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $6,073 | 2.9× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $6,073 | 2.9× | 5 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $6,144 | 2.7× | 7 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $6,144 | 2.7× | 7 | 2026-02-28 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,648 | 3.1× | 3 | 2026-09-15 |
| Providence St Vincent Medical Center | Portland OR | $6,766 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $6,766 | 3.2× | 3 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $6,989 | 3.1× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $6,993 | 3.5× | 3 | 2026-09-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,693 | 3.1× | 5 | 2026-09-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $8,064 | 3.6× | 5 | 2026-08-27 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 3.8× | 1 | 2026-03-24 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $8,442 | 3.5× | 7 | 2026-01-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $8,457 | 3.8× | 4 | 2026-08-27 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $11,715 | 4.3× | 6 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $11,715 | 4.3× | 6 | 2026-03-23 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,322 | 5.8× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $15,618 | 5.5× | 4 | 2026-04-01 |
CPT 43248: Egd Guide Wire Insertion
103 hospitals in 34 markets. National Medicare rate $927, surgery center $498.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $3,453–$3,792 |
| Austin TX | 2 | — | — | — | $909–$3,598 |
| Boston MA | 7 | $1,454 | $1,482 | $1,603 | $1,257–$1,845 |
| California (statewide) | 1 | — | — | — | $7,139–$7,139 |
| Chicago IL | 7 | $2,186 | $2,592 | $3,490 | $1,520–$4,452 |
| Cleveland OH | 5 | $3,484 | $3,502 | $3,810 | $2,525–$4,656 |
| Dallas-Fort Worth TX | 4 | — | — | — | $2,850–$3,616 |
| Denver CO | 7 | $2,220 | $2,994 | $3,121 | $1,628–$3,227 |
| Detroit MI | 7 | $832 | $1,131 | $1,131 | $716–$2,808 |
| Georgia (statewide) | 1 | — | — | — | $4,221–$4,221 |
| Houston TX | 1 | — | — | — | $3,578–$3,578 |
| Indianapolis IN | 1 | — | — | — | $2,352–$2,352 |
| Kansas (statewide) | 1 | — | — | — | $2,750–$2,750 |
| Las Vegas NV | 2 | — | — | — | $2,017–$2,060 |
| Los Angeles CA | 1 | — | — | — | $4,891–$4,891 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $1,914–$2,844 |
| Minneapolis-St. Paul MN | 2 | — | — | — | $1,491–$1,913 |
| Nashville TN | 4 | — | — | — | $928–$2,895 |
| New York (statewide) | 1 | — | — | — | $4,411–$4,411 |
| New York City | 2 | — | — | — | $1,500–$6,487 |
| Ohio (statewide) | 1 | — | — | — | $1,712–$1,712 |
| Philadelphia PA | 5 | $3,640 | $6,300 | $6,648 | $3,453–$8,155 |
| Phoenix AZ | 3 | — | — | — | $2,678–$2,788 |
| Pittsburgh PA | 1 | — | — | — | $4,387–$4,387 |
| Portland OR | 6 | $5,296 | $6,042 | $6,042 | $5,048–$6,042 |
| Richmond VA | 2 | — | — | — | $4,146–$4,146 |
| San Antonio TX | 1 | — | — | — | $2,592–$2,592 |
| San Diego CA | 1 | — | — | — | $1,167–$1,167 |
| San Francisco Bay Area CA | 2 | — | — | — | $8,960–$8,960 |
| Seattle-Tacoma WA | 6 | $3,282 | $3,292 | $3,366 | $2,770–$3,604 |
| St. Louis MO | 6 | $1,768 | $1,925 | $2,128 | $1,349–$3,050 |
| Tampa FL | 2 | — | — | — | $2,494–$3,294 |
| Washington DC | 4 | — | — | — | $2,857–$3,010 |
| Wisconsin (statewide) | 1 | — | — | — | $2,183–$2,183 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Trinity Health Oakland Hospital | Detroit MI | $716 | 0.8× | 16 | 2026-03-31 |
| Mclaren Port Huron | Detroit MI | $782 | 0.9× | 1 | 2025-12-31 |
| Henry Ford Health Rochester Hospital | Detroit MI | $881 | 1.0× | 2 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $909 | 1.0× | 3 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $928 | 1.1× | 8 | 2025-10-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $1,131 | 1.3× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $1,131 | 1.3× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $1,131 | 1.3× | 1 | 2026-05-01 |
| Scripps Green Hospital | San Diego CA | $1,167 | 1.0× | 1 | 2026-03-30 |
| Anna Jaques Hospital | Boston MA | $1,257 | 1.2× | 5 | 2026-04-01 |
| Mercy Hospital South | St. Louis MO | $1,349 | 1.5× | 1 | 2026-06-10 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,447 | 1.7× | 2 | 2026-01-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $1,448 | 1.3× | 3 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $1,460 | 1.3× | 3 | 2026-04-01 |
| Winchester Hospital | Boston MA | $1,482 | 1.4× | 4 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $1,491 | 1.6× | 4 | 2026-03-31 |
| Montefiore Medical Center | New York City | $1,500 | 1.3× | 8 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $1,520 | 1.6× | 3 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $1,535 | 1.8× | 3 | 2026-01-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,576 | 1.4× | 3 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $1,628 | 1.7× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,628 | 1.7× | 4 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $1,630 | 1.5× | 4 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $1,712 | 1.9× | 4 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $1,715 | 1.9× | 1 | 2026-06-04 |
| Endeavor Health Edward Hospital | Chicago IL | $1,823 | 1.9× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $1,845 | 1.7× | 5 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $1,913 | 2.0× | 4 | 2026-03-31 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $1,914 | 2.0× | 5 | 2026-03-13 |
| Barnes-Jewish West County Hospital | St. Louis MO | $1,925 | 2.1× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $1,925 | 2.1× | 5 | 2025-12-15 |
| Henderson Hospital | Las Vegas NV | $2,017 | 2.1× | 4 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $2,060 | 2.1× | 7 | 2026-07-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $2,183 | 2.4× | 3 | 2026-01-01 |
| Missouri Baptist Medical Center | St. Louis MO | $2,196 | 2.4× | 5 | 2025-12-15 |
| Hendricks Regional Health | Indianapolis IN | $2,352 | 2.5× | 2 | 2026-05-20 |
| Tampa General Hospital | Tampa FL | $2,494 | 2.6× | 3 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,525 | 2.9× | 3 | 2026-07-14 |
| Endeavor Health Evanston Hospital | Chicago IL | $2,550 | 2.6× | 3 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $2,592 | 2.7× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $2,592 | 2.9× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $2,678 | 2.8× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $2,678 | 2.8× | 5 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $2,750 | 3.2× | 5 | 2026-09-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $2,770 | 2.6× | 5 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $2,785 | 2.9× | 2 | 2026-03-31 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,788 | 2.9× | 4 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $2,808 | 3.1× | 2 | 2026-09-02 |
| UCHealth University of Colorado Hospital | Denver CO | $2,812 | 2.9× | 3 | 2025-11-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $2,844 | 3.0× | 3 | 2026-06-15 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $2,850 | 3.1× | 3 | 2026-06-29 |
| Inova Alexandria Hospital | Washington DC | $2,857 | 3.0× | 5 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,895 | 3.3× | 5 | 2026-09-01 |
| George Washington Univ Hospital | Washington DC | $2,978 | 2.8× | 3 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $2,994 | 3.1× | 4 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $3,010 | 3.2× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $3,010 | 3.2× | 4 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $3,016 | 3.3× | 5 | 2026-09-01 |
| Barnes Jewish Hospital | St. Louis MO | $3,050 | 3.4× | 5 | 2025-12-15 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $3,120 | 3.3× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $3,122 | 3.3× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $3,227 | 3.4× | 4 | 2026-09-01 |
| St Clare Hospital | Seattle-Tacoma WA | $3,282 | 3.1× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $3,282 | 3.1× | 6 | 2026-02-28 |
| Morton Plant Hospital | Tampa FL | $3,294 | 3.5× | 2 | 2026-01-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $3,303 | 3.1× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $3,387 | 3.2× | 7 | 2026-08-27 |
| Piedmont Newnan Hospital | Atlanta GA | $3,453 | 3.8× | 6 | 2026-07-01 |
| Riddle Memorial Hospital | Philadelphia PA | $3,453 | 3.7× | 2 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $3,484 | 4.1× | 4 | 2026-06-15 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,502 | 4.1× | 3 | 2026-06-15 |
| Medical City Mckinney | Dallas-Fort Worth TX | $3,522 | 3.9× | 5 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $3,578 | 3.9× | 6 | 2026-04-01 |
| St David's Medical Center | Austin TX | $3,598 | 4.0× | 5 | 2026-09-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $3,604 | 3.4× | 6 | 2026-08-27 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $3,616 | 4.0× | 2 | 2026-04-21 |
| Bryn Mawr Hospital | Philadelphia PA | $3,640 | 3.9× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $3,774 | 4.2× | 6 | 2026-04-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $3,792 | 4.2× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $3,792 | 4.2× | 6 | 2026-07-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $3,810 | 4.4× | 3 | 2026-06-15 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $4,146 | 4.7× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $4,146 | 4.7× | 4 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $4,195 | 4.3× | 2 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $4,221 | 5.3× | 3 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $4,387 | 5.0× | 1 | 2026-03-06 |
| Stony Brook University Hospital | New York (statewide) | $4,411 | 3.9× | 5 | 2026-06-10 |
| Rush University Medical Center | Chicago IL | $4,452 | 4.6× | 2 | 2026-09-25 |
| Cleveland Clinic (main campus) | Cleveland OH | $4,656 | 5.4× | 2 | 2026-06-16 |
| Keck Hospital Of Usc | Los Angeles CA | $4,891 | 4.2× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $5,048 | 5.0× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $5,048 | 5.0× | 2 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $6,042 | 6.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $6,042 | 6.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $6,042 | 6.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $6,042 | 6.0× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $6,300 | 6.8× | 3 | 2026-09-15 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $6,487 | 5.7× | 7 | 2026-01-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,648 | 6.5× | 3 | 2026-09-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,139 | 6.1× | 4 | 2026-09-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 8.0× | 1 | 2026-03-24 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $8,960 | 7.0× | 2 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $8,960 | 7.0× | 2 | 2026-03-23 |
Questions
How much do commercial insurers pay hospitals for upper endoscopy with esophagus stretching?
Across 107 hospitals in 36 metro areas that post a usable dollar rate, the median commercial rate for CPT 43249, hospital outpatient is $3,502, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,379 to $4,872. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for upper endoscopy with esophagus stretching?
Medicare's national hospital outpatient rate for CPT 43249 is $1,960 and its surgery-center rate is $894, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for upper endoscopy with esophagus stretching?
Lowest medians: Corewell Health Beaumont Grosse Pointe Hospital ($1,131), Corewell Health William Beaumont University Hospit ($1,131), Corewell Health Beaumont Troy Hospital ($1,131). Highest: Stanford Health Care ($15,618), Cedars-Sinai Medical Center ($14,322), John Muir Medical Center - Concord Campus ($11,715). Coverage is limited to the markets listed on this page.