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Upper endoscopy with esophagus stretching in Virginia: what insurers pay

Posted commercial rates at 35 Virginia hospitals, each next to its own Medicare base rate.

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CPT 43249

HospitalMedian across insurers× MedicareInsurersFile date
Lonesome Pine Hospital Big Stone Gap$1,8721.0×52026-03-23
Sentara Martha Jefferson Hospital Charlottesville$2,9731.6×42026-04-01
Sentara Northern Virginia Medical Center Woodbridge$3,1881.6×42026-04-01
Spotsylvania Regional Medical Center Fredericksburg$3,2731.6×52026-09-01
Reston Hospital Center Reston$3,4801.8×62026-09-01
Stonesprings Hospital Center Dulles$3,4881.8×62026-09-01
Inova Alexandria Hospital Alexandria$3,5291.8×72026-04-01
Inova Loudoun Hospital Leesburg$3,5291.8×72026-04-01
Inova Fairfax Hospital Falls Church$3,5291.8×72026-04-01
Inova Fair Oaks Hospital Fairfax$3,5291.8×72026-04-01
Inova Mount Vernon Hospital Alexandria$3,5291.8×72026-04-01
Augusta Health Fishersville$3,5331.9×32026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$4,1462.2×62026-09-01
Henrico Doctors' Hospital Richmond$4,1772.2×62026-09-01
Fauquier Hospital Warrenton$4,5402.3×12026-07-14
Tricities Hospital Hopewell$4,8162.6×52026-09-01
Lewisgale Hospital Montgomery Blacksburg$5,0512.7×32026-09-01
Lewisgale Hospital Pulaski Pulaski$5,0512.7×32026-09-01
Lewisgale Hospital Alleghany Low Moor$5,0512.7×32026-09-01
Sentara Obici Hospital Suffolk$5,1692.8×32026-04-01
Sentara Leigh Hospital Norfolk$5,1692.8×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$5,1692.8×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$5,2022.8×32026-04-01
Sentara Norfolk General Hospital Norfolk$5,2262.8×32026-04-01
Lewisgale Medical Center Salem$5,6583.0×22026-09-01
Sentara Careplex Hospital Hampton$5,7273.1×22026-04-01
Sentara Rmh Medical Center Harrisonburg$5,9043.1×12026-04-01
Carilion Tazewell Community Hospital Tazewell$5,9613.2×22025-12-15
Sentara Williamsburg Regional Medical Center Williamsburg$5,9943.2×22026-04-01
Sentara Halifax Regional Hospital South Boston$6,5033.5×12026-04-01
Carilion Roanoke Memorial Hospital Roanoke$6,9843.7×12025-12-15
Carilion New River Valley Medical Center Christiansburg$8,1534.4×12025-12-15
Carilion Rockbridge Community Hospital Lexington$8,9554.8×12025-12-15
Carilion Franklin Memorial Hospital Rocky Mount$9,4035.0×12025-12-15
Carilion Giles Community Hospital Pearisburg$9,8925.3×12025-12-15

CPT 43248

HospitalMedian across insurers× MedicareInsurersFile date
Sentara Northern Virginia Medical Center Woodbridge$2,2102.4×42026-04-01
Lewisgale Medical Center Salem$2,3662.7×12026-09-01
Inova Alexandria Hospital Alexandria$2,4862.6×72026-04-01
Inova Mount Vernon Hospital Alexandria$2,5072.7×72026-04-01
Inova Loudoun Hospital Leesburg$2,5252.7×72026-04-01
Inova Fair Oaks Hospital Fairfax$2,5362.7×72026-04-01
Inova Fairfax Hospital Falls Church$2,5632.7×72026-04-01
Augusta Health Fishersville$2,7283.1×32026-04-01
Sentara Rmh Medical Center Harrisonburg$2,7913.1×12026-04-01
Carilion Tazewell Community Hospital Tazewell$2,8183.2×22025-12-15
Sentara Martha Jefferson Hospital Charlottesville$2,8403.1×42026-04-01
Sentara Halifax Regional Hospital South Boston$3,0743.5×12026-04-01
Reston Hospital Center Reston$3,1893.4×62026-09-01
Stonesprings Hospital Center Dulles$3,1893.4×62026-09-01
Spotsylvania Regional Medical Center Fredericksburg$3,2733.5×52026-09-01
Carilion Roanoke Memorial Hospital Roanoke$3,3013.7×12025-12-15
Carilion New River Valley Medical Center Christiansburg$3,8544.3×12025-12-15
Lewisgale Hospital Montgomery Blacksburg$3,9864.5×22026-09-01
Sentara Careplex Hospital Hampton$4,0704.6×22026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$4,1464.7×62026-09-01
Henrico Doctors' Hospital Richmond$4,1464.7×62026-09-01
Sentara Williamsburg Regional Medical Center Williamsburg$4,2114.8×22026-04-01
Carilion Rockbridge Community Hospital Lexington$4,2334.8×12025-12-15
Carilion Franklin Memorial Hospital Rocky Mount$4,4445.0×12025-12-15
Sentara Norfolk General Hospital Norfolk$4,5645.2×32026-04-01
Sentara Obici Hospital Suffolk$4,5645.2×32026-04-01
Sentara Leigh Hospital Norfolk$4,5645.2×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$4,5645.2×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$4,5645.2×32026-04-01
Carilion Giles Community Hospital Pearisburg$4,6755.3×12025-12-15
Tricities Hospital Hopewell$4,8165.4×52026-09-01
Lewisgale Hospital Pulaski Pulaski$5,0515.7×32026-09-01
Lewisgale Hospital Alleghany Low Moor$5,0515.7×32026-09-01

Questions

How much do insurers pay for upper endoscopy with esophagus stretching in Virginia?

35 Virginia hospitals post usable commercial rates for upper endoscopy with esophagus stretching in their federal price-transparency files. For CPT 43249, hospital outpatient, the median across 35 hospitals is $5,051, 2.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.