Price AtlasInteractive atlas · All states · techysurgeon.comUpper endoscopic ultrasound: what insurers pay
EGD with an ultrasound probe (43259); 43242/43237 with needle biopsy or limited exam. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 43259: Upper Endoscopic Ultrasound
1065 hospitals in 78 markets. National Medicare rate $1,960, surgery center $894.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $1,904 | $2,345 | $2,546 | $1,698–$3,383 |
| Alaska (statewide) | 3 | — | — | — | $2,851–$8,996 |
| Arizona (statewide) | 6 | $1,518 | $2,670 | $3,015 | $1,208–$6,047 |
| Arkansas (statewide) | 4 | — | — | — | $1,385–$4,000 |
| Atlanta GA | 10 | $3,904 | $4,975 | $4,975 | $3,792–$5,272 |
| Austin TX | 12 | $1,232 | $2,361 | $3,490 | $1,232–$4,463 |
| Boston MA | 16 | $1,844 | $2,467 | $3,012 | $1,335–$4,192 |
| California (statewide) | 56 | $3,980 | $5,597 | $7,179 | $1,763–$9,858 |
| Charlotte NC | 5 | $2,255 | $2,255 | $2,255 | $2,225–$2,255 |
| Chicago IL | 11 | $3,134 | $3,622 | $4,274 | $2,118–$5,836 |
| Cleveland OH | 11 | $2,494 | $3,042 | $3,864 | $1,997–$5,690 |
| Colorado (statewide) | 13 | $3,312 | $4,242 | $5,692 | $1,636–$8,822 |
| Columbus OH | 1 | — | — | — | $6,902–$6,902 |
| Connecticut (statewide) | 3 | — | — | — | $2,184–$7,995 |
| Dallas-Fort Worth TX | 12 | $3,479 | $3,798 | $4,353 | $2,923–$5,698 |
| Denver CO | 15 | $2,614 | $4,179 | $4,469 | $1,636–$5,852 |
| Detroit MI | 12 | $1,131 | $1,327 | $2,319 | $1,131–$5,085 |
| Florida (statewide) | 63 | $2,984 | $3,818 | $4,458 | $1,942–$13,250 |
| Georgia (statewide) | 39 | $3,049 | $4,051 | $5,272 | $1,752–$14,335 |
| Hawaii (statewide) | 3 | — | — | — | $2,474–$4,338 |
| Houston TX | 19 | $2,979 | $3,016 | $3,663 | $2,679–$4,004 |
| Idaho (statewide) | 10 | $1,918 | $3,756 | $4,818 | $1,659–$5,765 |
| Illinois (statewide) | 31 | $2,353 | $3,084 | $3,752 | $1,426–$10,500 |
| Indiana (statewide) | 30 | $3,110 | $4,858 | $6,585 | $1,897–$8,220 |
| Indianapolis IN | 1 | — | — | — | $7,982–$7,982 |
| Iowa (statewide) | 13 | $2,910 | $3,732 | $4,212 | $1,960–$8,645 |
| Kansas (statewide) | 13 | $2,250 | $2,800 | $4,147 | $914–$8,996 |
| Kentucky (statewide) | 15 | $2,567 | $3,186 | $3,848 | $2,152–$4,396 |
| Las Vegas NV | 2 | — | — | — | $2,460–$3,010 |
| Los Angeles CA | 17 | $4,612 | $4,891 | $6,161 | $3,897–$13,680 |
| Louisiana (statewide) | 20 | $1,650 | $1,738 | $2,957 | $1,133–$5,125 |
| Maine (statewide) | 16 | $7,773 | $8,822 | $9,024 | $1,893–$11,346 |
| Massachusetts (statewide) | 8 | $2,413 | $2,856 | $2,952 | $1,696–$3,148 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $2,505–$3,336 |
| Michigan (statewide) | 22 | $1,740 | $1,912 | $2,010 | $1,022–$3,090 |
| Minneapolis-St. Paul MN | 9 | $2,732 | $2,778 | $3,332 | $2,426–$3,550 |
| Minnesota (statewide) | 13 | $2,685 | $5,038 | $5,868 | $1,021–$7,035 |
| Mississippi (statewide) | 13 | $1,829 | $2,162 | $2,554 | $1,421–$5,233 |
| Missouri (statewide) | 13 | $2,923 | $3,284 | $3,773 | $965–$4,774 |
| Montana (statewide) | 5 | $3,984 | $5,489 | $5,683 | $3,800–$5,890 |
| Nashville TN | 8 | $3,226 | $3,529 | $3,591 | $1,869–$3,975 |
| Nebraska (statewide) | 13 | $3,357 | $4,600 | $8,645 | $2,460–$10,363 |
| Nevada (statewide) | 5 | $2,460 | $2,460 | $3,550 | $2,460–$3,653 |
| New Hampshire (statewide) | 6 | $2,851 | $4,986 | $7,451 | $2,265–$8,593 |
| New Jersey (statewide) | 22 | $2,654 | $6,092 | $6,634 | $2,201–$11,208 |
| New Mexico (statewide) | 4 | — | — | — | $1,244–$4,812 |
| New York (statewide) | 28 | $2,780 | $3,992 | $5,047 | $2,070–$7,350 |
| New York City | 7 | $2,780 | $2,780 | $6,140 | $2,780–$7,334 |
| North Carolina (statewide) | 5 | $4,154 | $4,753 | $4,753 | $1,960–$5,088 |
| North Dakota (statewide) | 5 | $3,360 | $3,437 | $4,348 | $3,282–$6,540 |
| Ohio (statewide) | 36 | $2,854 | $4,454 | $6,049 | $1,084–$7,376 |
| Oklahoma (statewide) | 9 | $2,135 | $3,317 | $3,924 | $1,861–$6,536 |
| Oregon (statewide) | 7 | $4,858 | $5,397 | $7,141 | $4,310–$8,677 |
| Pennsylvania (statewide) | 24 | $3,107 | $4,294 | $5,906 | $2,149–$8,486 |
| Philadelphia PA | 11 | $4,248 | $4,402 | $6,140 | $3,748–$11,208 |
| Phoenix AZ | 8 | $3,024 | $3,060 | $3,065 | $2,936–$3,065 |
| Pittsburgh PA | 9 | $2,432 | $3,020 | $3,969 | $1,937–$4,774 |
| Portland OR | 9 | $7,364 | $8,245 | $8,249 | $7,364–$8,249 |
| Rhode Island (statewide) | 6 | $2,248 | $3,338 | $4,263 | $1,616–$4,447 |
| Richmond VA | 3 | — | — | — | $4,432–$4,872 |
| Rio Grande Valley TX | 5 | $2,590 | $2,606 | $3,537 | $2,494–$4,093 |
| Salt Lake City UT | 9 | $2,065 | $2,136 | $2,136 | $1,732–$2,206 |
| San Antonio TX | 3 | — | — | — | $2,716–$2,982 |
| San Diego CA | 6 | $4,196 | $4,196 | $4,236 | $4,196–$4,551 |
| San Francisco Bay Area CA | 6 | $5,166 | $5,898 | $6,196 | $4,959–$13,980 |
| Seattle-Tacoma WA | 16 | $5,392 | $6,063 | $6,789 | $4,918–$7,586 |
| South Carolina (statewide) | 28 | $2,797 | $4,189 | $6,132 | $1,520–$8,667 |
| South Dakota (statewide) | 2 | — | — | — | $2,365–$2,530 |
| St. Louis MO | 8 | $1,711 | $3,465 | $3,537 | $1,576–$4,587 |
| Tampa FL | 6 | $5,611 | $5,611 | $5,611 | $2,676–$10,426 |
| Tennessee (statewide) | 21 | $2,060 | $2,163 | $3,187 | $1,611–$3,938 |
| Texas (statewide) | 67 | $2,664 | $2,923 | $3,663 | $1,232–$8,220 |
| Utah (statewide) | 6 | $1,765 | $1,964 | $2,065 | $1,732–$2,136 |
| Virginia (statewide) | 21 | $5,220 | $5,727 | $6,984 | $3,302–$9,892 |
| Washington (statewide) | 12 | $5,142 | $5,570 | $6,471 | $1,960–$9,944 |
| Washington DC | 9 | $3,868 | $3,868 | $3,993 | $3,400–$4,504 |
| West Virginia (statewide) | 7 | $2,928 | $3,232 | $6,959 | $2,106–$12,775 |
| Wisconsin (statewide) | 31 | $3,094 | $4,326 | $5,511 | $2,183–$8,692 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Russell Regional Hospital | Kansas (statewide) | $914 | 0.5× | 1 | 2026-06-01 |
| Mercy Hospital Springfield | Missouri (statewide) | $965 | 0.5× | 18 | 2026-06-04 |
| Ascension Via Christi Hospital Manhattan, Inc | Kansas (statewide) | $990 | 0.6× | 1 | 2026-01-01 |
| North Valley Health Center | Minnesota (statewide) | $1,021 | 0.5× | 1 | 2026-08-03 |
| Henry Ford Health Providence Southfield Hospital | Michigan (statewide) | $1,022 | 0.5× | 1 | 2026-01-01 |
| Henry Ford Genesys Hospital | Michigan (statewide) | $1,037 | 0.5× | 2 | 2026-01-01 |
| Akron Children'S Hospital | Ohio (statewide) | $1,084 | 0.6× | 1 | 2025-11-11 |
| Corewell Health Dearborn Hospital | Detroit MI | $1,131 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Corewell Health Wayne Hospital | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Tampa General Hospital Brooksville | Tampa FL | $10,426 | 5.2× | 3 | 2026-04-01 |
| Ann & Robert H Lurie Childrens Hospital Of Chicago | Illinois (statewide) | $10,500 | 5.1× | 3 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $11,208 | 5.2× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 5.2× | 1 | 2026-03-24 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $11,346 | 6.0× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $12,775 | 6.9× | 1 | 2026-04-01 |
| Holy Cross Hospital | Florida (statewide) | $13,250 | 6.6× | 24 | 2026-03-31 |
| Cedars-Sinai Medical Center | Los Angeles CA | $13,680 | 5.5× | 2 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $13,980 | 5.0× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $14,335 | 7.8× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $14,335 | 7.5× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $14,335 | 7.5× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 43242: Upper Endoscopic Ultrasound
1049 hospitals in 77 markets. National Medicare rate $1,960, surgery center $894.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $1,904 | $2,345 | $2,546 | $1,698–$3,383 |
| Alaska (statewide) | 3 | — | — | — | $2,851–$11,506 |
| Arizona (statewide) | 6 | $1,578 | $2,822 | $3,176 | $1,208–$7,469 |
| Arkansas (statewide) | 5 | $1,765 | $1,803 | $1,803 | $1,746–$2,500 |
| Atlanta GA | 10 | $3,870 | $4,140 | $4,140 | $3,792–$4,714 |
| Austin TX | 11 | $1,232 | $1,232 | $3,490 | $1,232–$3,490 |
| Boston MA | 15 | $1,970 | $2,426 | $2,871 | $1,335–$4,497 |
| California (statewide) | 54 | $3,733 | $5,597 | $7,179 | $1,542–$9,116 |
| Charlotte NC | 5 | $2,255 | $2,255 | $2,255 | $2,225–$2,255 |
| Chicago IL | 11 | $2,756 | $3,622 | $4,274 | $1,653–$5,995 |
| Cleveland OH | 11 | $2,838 | $3,029 | $3,496 | $2,068–$4,320 |
| Colorado (statewide) | 13 | $2,862 | $4,179 | $4,642 | $1,416–$7,154 |
| Columbus OH | 1 | — | — | — | $6,902–$6,902 |
| Connecticut (statewide) | 3 | — | — | — | $2,184–$7,995 |
| Dallas-Fort Worth TX | 12 | $3,018 | $3,348 | $3,487 | $2,923–$5,698 |
| Denver CO | 15 | $2,471 | $4,108 | $4,356 | $1,416–$5,238 |
| Detroit MI | 12 | $1,131 | $1,548 | $2,698 | $1,131–$5,085 |
| Florida (statewide) | 61 | $2,997 | $3,818 | $4,452 | $1,704–$13,250 |
| Georgia (statewide) | 42 | $3,137 | $3,708 | $4,714 | $1,605–$12,890 |
| Hawaii (statewide) | 3 | — | — | — | $2,474–$3,788 |
| Houston TX | 19 | $2,664 | $2,774 | $3,663 | $2,650–$3,695 |
| Idaho (statewide) | 10 | $2,422 | $4,818 | $4,902 | $1,742–$7,154 |
| Illinois (statewide) | 28 | $2,498 | $2,992 | $3,740 | $1,068–$10,500 |
| Indiana (statewide) | 27 | $3,045 | $4,316 | $6,232 | $1,897–$8,220 |
| Iowa (statewide) | 14 | $2,648 | $3,013 | $3,632 | $1,960–$4,659 |
| Kansas (statewide) | 12 | $1,712 | $2,757 | $3,680 | $1,350–$7,564 |
| Kentucky (statewide) | 15 | $2,289 | $2,627 | $2,966 | $1,788–$4,330 |
| Las Vegas NV | 1 | — | — | — | $3,010–$3,010 |
| Los Angeles CA | 17 | $3,579 | $4,627 | $5,046 | $3,416–$13,037 |
| Louisiana (statewide) | 20 | $1,626 | $1,731 | $2,658 | $1,133–$5,125 |
| Maine (statewide) | 15 | $7,773 | $8,916 | $9,024 | $4,786–$11,346 |
| Massachusetts (statewide) | 8 | $2,400 | $2,782 | $2,952 | $1,696–$3,148 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $3,297–$3,297 |
| Michigan (statewide) | 22 | $1,968 | $2,010 | $2,179 | $1,131–$2,927 |
| Minneapolis-St. Paul MN | 9 | $2,732 | $2,778 | $3,332 | $2,426–$3,550 |
| Minnesota (statewide) | 13 | $2,685 | $5,038 | $5,868 | $1,080–$7,035 |
| Mississippi (statewide) | 13 | $1,829 | $2,162 | $2,554 | $1,421–$5,233 |
| Missouri (statewide) | 13 | $2,923 | $3,081 | $3,086 | $1,804–$3,672 |
| Montana (statewide) | 5 | $3,984 | $4,764 | $5,489 | $3,800–$5,683 |
| Nashville TN | 8 | $2,404 | $2,442 | $2,740 | $1,637–$3,946 |
| Nebraska (statewide) | 12 | $3,004 | $3,262 | $3,537 | $2,862–$6,799 |
| Nevada (statewide) | 2 | — | — | — | $3,653–$3,690 |
| New Hampshire (statewide) | 6 | $3,994 | $5,464 | $6,695 | $2,619–$8,593 |
| New Jersey (statewide) | 21 | $2,201 | $4,884 | $6,226 | $2,100–$8,155 |
| New Mexico (statewide) | 5 | $2,617 | $3,718 | $3,781 | $1,186–$5,470 |
| New York (statewide) | 27 | $2,780 | $3,960 | $4,605 | $1,714–$6,338 |
| New York City | 8 | $2,780 | $3,090 | $5,405 | $2,780–$8,434 |
| North Carolina (statewide) | 5 | $4,154 | $4,753 | $4,753 | $1,960–$5,088 |
| North Dakota (statewide) | 5 | $3,282 | $3,360 | $4,348 | $2,500–$5,560 |
| Ohio (statewide) | 36 | $3,220 | $4,208 | $6,049 | $1,084–$7,376 |
| Oklahoma (statewide) | 8 | $2,978 | $3,620 | $4,102 | $1,798–$6,536 |
| Oregon (statewide) | 7 | $4,858 | $5,397 | $7,141 | $4,310–$8,677 |
| Pennsylvania (statewide) | 23 | $3,116 | $3,882 | $6,075 | $2,314–$8,486 |
| Philadelphia PA | 11 | $3,526 | $3,680 | $5,201 | $3,025–$8,155 |
| Phoenix AZ | 8 | $3,021 | $3,039 | $3,055 | $2,968–$3,102 |
| Pittsburgh PA | 10 | $2,237 | $2,682 | $3,655 | $1,962–$4,774 |
| Portland OR | 9 | $6,073 | $6,073 | $6,766 | $6,058–$6,766 |
| Rhode Island (statewide) | 6 | $2,248 | $3,314 | $4,087 | $1,616–$4,447 |
| Richmond VA | 3 | — | — | — | $4,146–$4,816 |
| Rio Grande Valley TX | 5 | $2,590 | $2,606 | $3,537 | $2,494–$3,537 |
| Salt Lake City UT | 9 | $5,797 | $7,522 | $7,522 | $1,732–$7,522 |
| San Antonio TX | 3 | — | — | — | $2,716–$2,911 |
| San Diego CA | 6 | $4,196 | $4,196 | $4,236 | $4,196–$4,551 |
| San Francisco Bay Area CA | 6 | $5,018 | $5,327 | $5,570 | $4,959–$15,618 |
| Seattle-Tacoma WA | 16 | $5,392 | $6,063 | $6,789 | $4,918–$7,586 |
| South Carolina (statewide) | 26 | $3,240 | $4,222 | $6,467 | $1,174–$11,592 |
| South Dakota (statewide) | 2 | — | — | — | $2,365–$2,530 |
| St. Louis MO | 7 | $2,588 | $3,499 | $4,118 | $1,576–$4,936 |
| Tampa FL | 6 | $5,611 | $5,611 | $5,611 | $2,494–$9,268 |
| Tennessee (statewide) | 21 | $1,944 | $2,163 | $2,492 | $1,541–$3,824 |
| Texas (statewide) | 66 | $2,650 | $2,923 | $3,436 | $1,232–$8,220 |
| Utah (statewide) | 6 | $2,214 | $5,591 | $8,816 | $1,732–$9,247 |
| Virginia (statewide) | 21 | $5,051 | $5,226 | $6,503 | $2,973–$9,892 |
| Washington (statewide) | 12 | $4,983 | $5,537 | $6,471 | $1,960–$9,944 |
| Washington DC | 8 | $3,486 | $3,529 | $3,529 | $3,273–$3,529 |
| West Virginia (statewide) | 7 | $2,379 | $3,232 | $6,959 | $1,610–$12,775 |
| Wisconsin (statewide) | 37 | $3,077 | $3,609 | $5,176 | $965–$8,692 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Ne Wisconsin - St Elizabeth Campus | Wisconsin (statewide) | $965 | 0.5× | 2 | 2026-01-01 |
| Ascension Calumet Hospital | Wisconsin (statewide) | $965 | 0.5× | 2 | 2026-01-01 |
| Ascension St Francis Hospital | Wisconsin (statewide) | $1,004 | 0.5× | 1 | 2026-01-01 |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Wisconsin (statewide) | $1,004 | 0.5× | 1 | 2026-01-01 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $1,055 | 0.6× | 3 | 2026-01-01 |
| Northwestern Medicine Mchenry Hospital | Illinois (statewide) | $1,068 | 0.5× | 2 | 2026-04-01 |
| Northwestern Lake Forest Hospital | Illinois (statewide) | $1,068 | 0.5× | 1 | 2026-04-01 |
| Northwestern Medicine Delnor Community Hospital | Illinois (statewide) | $1,068 | 0.5× | 1 | 2026-04-01 |
| North Valley Health Center | Minnesota (statewide) | $1,080 | 0.6× | 1 | 2026-08-03 |
| Akron Children'S Hospital | Ohio (statewide) | $1,084 | 0.6× | 1 | 2025-11-11 |
| Corewell Health Dearborn Hospital | Detroit MI | $1,131 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Ann & Robert H Lurie Childrens Hospital Of Chicago | Illinois (statewide) | $10,500 | 5.1× | 3 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $11,346 | 6.0× | 1 | 2025-09-09 |
| Northeast Georgia Medical Center Habersham | Georgia (statewide) | $11,458 | 6.8× | 1 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $11,506 | 5.4× | 2 | 2026-04-01 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $11,592 | 6.5× | 1 | 2026-07-20 |
| Logan Regional Medical Center | West Virginia (statewide) | $12,775 | 6.9× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $12,890 | 7.0× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $12,890 | 6.7× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $12,890 | 6.7× | 1 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $13,037 | 5.3× | 3 | 2025-11-26 |
| Holy Cross Hospital | Florida (statewide) | $13,250 | 6.6× | 24 | 2026-03-31 |
| Stanford Health Care | San Francisco Bay Area CA | $15,618 | 5.5× | 4 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 43237: Upper Endoscopic Ultrasound
1055 hospitals in 79 markets. National Medicare rate $1,960, surgery center $894.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $1,904 | $2,345 | $2,546 | $1,698–$3,383 |
| Alaska (statewide) | 3 | — | — | — | $2,851–$11,124 |
| Arizona (statewide) | 6 | $1,518 | $2,554 | $2,758 | $1,208–$5,282 |
| Arkansas (statewide) | 6 | $1,751 | $1,784 | $1,803 | $1,343–$2,500 |
| Atlanta GA | 10 | $3,870 | $4,140 | $4,140 | $3,792–$4,714 |
| Austin TX | 11 | $1,232 | $1,232 | $3,490 | $1,232–$3,490 |
| Boston MA | 16 | $1,875 | $2,402 | $2,684 | $1,516–$3,726 |
| California (statewide) | 53 | $3,684 | $5,597 | $7,179 | $2,277–$9,570 |
| Charlotte NC | 5 | $2,255 | $2,255 | $2,255 | $2,225–$2,255 |
| Chicago IL | 11 | $3,270 | $3,622 | $4,274 | $1,694–$5,124 |
| Cleveland OH | 11 | $2,838 | $3,029 | $3,496 | $2,068–$4,320 |
| Colorado (statewide) | 14 | $2,912 | $4,210 | $5,790 | $1,906–$7,154 |
| Columbus OH | 1 | — | — | — | $6,902–$6,902 |
| Connecticut (statewide) | 3 | — | — | — | $2,184–$7,995 |
| Dallas-Fort Worth TX | 12 | $3,018 | $3,348 | $3,487 | $2,923–$5,698 |
| Denver CO | 15 | $3,293 | $4,108 | $4,356 | $3,060–$5,238 |
| Detroit MI | 12 | $1,131 | $1,400 | $2,148 | $1,131–$5,085 |
| Florida (statewide) | 61 | $2,997 | $3,818 | $4,452 | $1,704–$13,250 |
| Georgia (statewide) | 40 | $3,244 | $3,772 | $4,714 | $1,605–$12,890 |
| Hawaii (statewide) | 5 | $3,380 | $3,493 | $3,788 | $2,474–$5,408 |
| Houston TX | 19 | $2,664 | $2,774 | $3,663 | $2,650–$3,695 |
| Idaho (statewide) | 12 | $2,495 | $4,778 | $4,846 | $1,742–$7,154 |
| Illinois (statewide) | 28 | $2,406 | $2,992 | $3,740 | $1,473–$10,500 |
| Indiana (statewide) | 30 | $3,206 | $4,858 | $6,585 | $1,897–$8,220 |
| Indianapolis IN | 1 | — | — | — | $7,982–$7,982 |
| Iowa (statewide) | 15 | $2,842 | $3,334 | $4,159 | $974–$5,823 |
| Kansas (statewide) | 10 | $2,790 | $3,437 | $3,838 | $2,636–$6,800 |
| Kentucky (statewide) | 15 | $2,298 | $2,627 | $2,966 | $1,788–$3,853 |
| Las Vegas NV | 1 | — | — | — | $3,010–$3,010 |
| Los Angeles CA | 17 | $3,469 | $4,099 | $5,015 | $3,288–$13,493 |
| Louisiana (statewide) | 19 | $1,557 | $1,698 | $2,749 | $1,133–$5,125 |
| Maine (statewide) | 15 | $7,773 | $8,916 | $9,024 | $4,786–$11,346 |
| Massachusetts (statewide) | 9 | $1,813 | $2,210 | $2,760 | $1,696–$2,916 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $2,505–$3,297 |
| Michigan (statewide) | 21 | $1,912 | $1,962 | $2,010 | $1,131–$2,486 |
| Minneapolis-St. Paul MN | 9 | $3,000 | $3,114 | $3,332 | $2,426–$4,083 |
| Minnesota (statewide) | 13 | $2,994 | $5,038 | $5,868 | $1,021–$7,035 |
| Mississippi (statewide) | 12 | $1,804 | $2,219 | $2,564 | $1,421–$5,233 |
| Missouri (statewide) | 13 | $2,860 | $3,081 | $3,086 | $1,530–$3,672 |
| Montana (statewide) | 5 | $3,800 | $3,984 | $5,489 | $3,607–$5,683 |
| Nashville TN | 8 | $2,404 | $2,442 | $2,740 | $1,637–$3,674 |
| Nebraska (statewide) | 10 | $3,262 | $3,338 | $3,889 | $2,910–$6,799 |
| Nevada (statewide) | 2 | — | — | — | $2,794–$3,653 |
| New Hampshire (statewide) | 6 | $2,654 | $4,414 | $6,336 | $2,262–$8,593 |
| New Jersey (statewide) | 21 | $2,680 | $4,884 | $6,226 | $2,201–$8,155 |
| New Mexico (statewide) | 4 | — | — | — | $2,119–$5,232 |
| New York (statewide) | 31 | $2,713 | $3,960 | $4,605 | $1,714–$6,338 |
| New York City | 8 | $2,711 | $3,056 | $5,405 | $2,694–$8,434 |
| North Carolina (statewide) | 5 | $4,154 | $4,753 | $4,753 | $1,960–$5,088 |
| North Dakota (statewide) | 5 | $3,282 | $3,360 | $4,348 | $2,500–$6,540 |
| Ohio (statewide) | 36 | $3,227 | $4,480 | $6,049 | $1,084–$7,376 |
| Oklahoma (statewide) | 8 | $2,978 | $3,620 | $4,102 | $1,798–$6,536 |
| Oregon (statewide) | 7 | $4,858 | $5,397 | $7,141 | $4,310–$8,677 |
| Pennsylvania (statewide) | 24 | $3,107 | $4,238 | $5,808 | $1,725–$8,486 |
| Philadelphia PA | 11 | $3,526 | $3,680 | $5,201 | $3,148–$8,155 |
| Phoenix AZ | 8 | $2,741 | $2,842 | $2,897 | $2,600–$2,897 |
| Pittsburgh PA | 7 | $2,442 | $2,737 | $4,003 | $1,773–$4,774 |
| Portland OR | 9 | $6,073 | $6,073 | $6,766 | $6,058–$6,766 |
| Rhode Island (statewide) | 6 | $2,248 | $3,270 | $4,065 | $1,616–$4,274 |
| Richmond VA | 3 | — | — | — | $4,146–$4,816 |
| Rio Grande Valley TX | 5 | $2,590 | $2,606 | $3,537 | $2,494–$3,537 |
| Salt Lake City UT | 9 | $1,557 | $1,557 | $1,732 | $1,546–$1,820 |
| San Antonio TX | 3 | — | — | — | $2,716–$2,911 |
| San Diego CA | 6 | $4,196 | $4,196 | $4,236 | $4,196–$4,551 |
| San Francisco Bay Area CA | 6 | $5,018 | $5,289 | $5,550 | $4,959–$15,618 |
| Seattle-Tacoma WA | 16 | $5,392 | $6,063 | $6,789 | $4,918–$7,586 |
| South Carolina (statewide) | 29 | $3,198 | $4,392 | $6,467 | $1,203–$11,592 |
| South Dakota (statewide) | 2 | — | — | — | $2,365–$2,530 |
| St. Louis MO | 8 | $1,711 | $1,920 | $3,724 | $1,576–$10,975 |
| Tampa FL | 6 | $5,611 | $5,611 | $5,611 | $2,494–$9,268 |
| Tennessee (statewide) | 21 | $1,944 | $2,163 | $2,500 | $1,541–$3,938 |
| Texas (statewide) | 67 | $2,664 | $2,923 | $3,436 | $1,232–$8,220 |
| Utah (statewide) | 6 | $1,360 | $1,614 | $1,717 | $1,294–$1,732 |
| Vermont (statewide) | 1 | — | — | — | $3,973–$3,973 |
| Virginia (statewide) | 21 | $5,051 | $5,226 | $6,503 | $2,973–$9,892 |
| Washington (statewide) | 13 | $4,703 | $5,519 | $5,892 | $1,960–$9,944 |
| Washington DC | 8 | $2,857 | $2,857 | $3,325 | $2,857–$3,488 |
| West Virginia (statewide) | 6 | $2,797 | $4,735 | $7,320 | $2,106–$12,775 |
| Wisconsin (statewide) | 32 | $3,077 | $4,124 | $5,622 | $2,183–$8,692 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Monroe County Hospital | Iowa (statewide) | $974 | 0.5× | 2 | 2026-03-17 |
| North Valley Health Center | Minnesota (statewide) | $1,021 | 0.5× | 1 | 2026-08-03 |
| Akron Children'S Hospital | Ohio (statewide) | $1,084 | 0.6× | 1 | 2025-11-11 |
| Corewell Health Dearborn Hospital | Detroit MI | $1,131 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Corewell Health Wayne Hospital | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Corewell Health Trenton Hospital | Detroit MI | $1,131 | 0.6× | 2 | 2026-05-01 |
| Corewell Health Taylor Hospital | Michigan (statewide) | $1,131 | 0.6× | 2 | 2026-05-01 |
| St James Parish Hospital | Louisiana (statewide) | $1,133 | 0.6× | 3 | 2026-04-01 |
| Musc Medical Center | South Carolina (statewide) | $1,203 | 0.7× | 1 | 2026-04-01 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $10,975 | 5.7× | 5 | 2025-12-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $11,124 | 5.2× | 2 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $11,346 | 6.0× | 1 | 2025-09-09 |
| Northeast Georgia Medical Center Habersham | Georgia (statewide) | $11,458 | 6.8× | 1 | 2026-04-01 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $11,592 | 6.5× | 1 | 2026-07-20 |
| Logan Regional Medical Center | West Virginia (statewide) | $12,775 | 6.9× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $12,890 | 7.0× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $12,890 | 6.7× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $12,890 | 6.7× | 1 | 2026-04-01 |
| Holy Cross Hospital | Florida (statewide) | $13,250 | 6.6× | 24 | 2026-03-31 |
| Cedars-Sinai Medical Center | Los Angeles CA | $13,493 | 5.5× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $15,618 | 5.5× | 4 | 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 upper endoscopic ultrasound?
Across 1065 hospitals in 78 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 43259, hospital outpatient is $3,732, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,642 to $5,220. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for upper endoscopic ultrasound?
Medicare's national hospital outpatient rate for CPT 43259 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 endoscopic ultrasound?
Lowest medians: Russell Regional Hospital ($914), Mercy Hospital Springfield ($965), Ascension Via Christi Hospital Manhattan, Inc ($990). Highest: Northeast Georgia Medical Center Lumpkin ($14,335), Northeast Georgia Medical Center Barrow ($14,335), Northeast Georgia Medical Center, Inc ($14,335). Coverage: every hospital whose price file we could read.