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: Egd Us Exam Duodenum/Jejunum
102 hospitals in 33 markets. National Medicare rate $1,960, surgery center $894.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $3,792–$4,975 |
| Austin TX | 2 | — | — | — | $1,232–$4,282 |
| Boston MA | 7 | $2,048 | $2,460 | $2,480 | $1,796–$3,555 |
| California (statewide) | 1 | — | — | — | $7,693–$7,693 |
| Chicago IL | 7 | $2,756 | $3,731 | $4,886 | $2,118–$5,836 |
| Cleveland OH | 5 | $3,441 | $3,930 | $4,641 | $2,525–$5,784 |
| Dallas-Fort Worth TX | 4 | — | — | — | $4,361–$5,732 |
| Denver CO | 7 | $2,806 | $3,991 | $4,142 | $1,740–$4,354 |
| Detroit MI | 6 | $1,131 | $1,327 | $1,726 | $1,131–$5,085 |
| Georgia (statewide) | 1 | — | — | — | $5,051–$5,051 |
| Houston TX | 1 | — | — | — | $3,871–$3,871 |
| Kansas (statewide) | 1 | — | — | — | $3,444–$3,444 |
| Las Vegas NV | 2 | — | — | — | $2,460–$2,727 |
| Los Angeles CA | 2 | — | — | — | $5,705–$13,680 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $2,235–$3,130 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $3,000–$3,000 |
| Nashville TN | 4 | — | — | — | $1,869–$3,603 |
| New York (statewide) | 1 | — | — | — | $5,417–$5,417 |
| New York City | 2 | — | — | — | $6,228–$7,334 |
| Ohio (statewide) | 1 | — | — | — | $3,440–$3,440 |
| Philadelphia PA | 5 | $4,362 | $7,409 | $9,172 | $4,175–$11,208 |
| Phoenix AZ | 3 | — | — | — | $3,054–$3,065 |
| Pittsburgh PA | 1 | — | — | — | $5,031–$5,031 |
| Portland OR | 6 | $6,890 | $7,385 | $7,385 | $6,725–$7,385 |
| Richmond VA | 2 | — | — | — | $4,174–$4,205 |
| San Antonio TX | 1 | — | — | — | $3,315–$3,315 |
| San Diego CA | 1 | — | — | — | $2,468–$2,468 |
| San Francisco Bay Area CA | 3 | — | — | — | $12,246–$13,980 |
| Seattle-Tacoma WA | 6 | $6,499 | $6,744 | $7,795 | $5,165–$8,457 |
| St. Louis MO | 6 | $2,322 | $4,325 | $4,506 | $1,349–$6,690 |
| Tampa FL | 2 | — | — | — | $2,676–$5,611 |
| Washington DC | 4 | — | — | — | $3,400–$5,029 |
| 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 |
| Ascension Seton Medical Center Austin | Austin TX | $1,232 | 0.6× | 2 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $1,349 | 0.7× | 1 | 2026-06-10 |
| Trinity Health Oakland Hospital | Detroit MI | $1,523 | 0.8× | 16 | 2026-03-31 |
| Mercy Hospital St Louis | St. Louis MO | $1,715 | 0.9× | 1 | 2026-06-04 |
| Adventhealth Porter | Denver CO | $1,740 | 0.9× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,740 | 0.9× | 4 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $1,793 | 0.9× | 1 | 2026-01-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,796 | 0.8× | 3 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 1.0× | 1 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $1,894 | 0.8× | 5 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $2,118 | 1.0× | 3 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $2,183 | 1.1× | 3 | 2026-01-01 |
| Winchester Hospital | Boston MA | $2,201 | 1.0× | 4 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $2,235 | 1.1× | 5 | 2026-03-13 |
| Beverly Hospital Corporation | Boston MA | $2,460 | 1.1× | 5 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $2,460 | 1.2× | 4 | 2026-09-01 |
| Scripps Green Hospital | San Diego CA | $2,468 | 1.0× | 1 | 2026-03-30 |
| New England Baptist Hospital | Boston MA | $2,478 | 1.1× | 4 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $2,482 | 1.1× | 2 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,525 | 1.4× | 3 | 2026-07-14 |
| Endeavor Health Evanston Hospital | Chicago IL | $2,550 | 1.2× | 3 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $2,582 | 1.4× | 2 | 2026-01-01 |
| Tampa General Hospital | Tampa FL | $2,676 | 1.3× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $2,727 | 1.4× | 7 | 2026-07-01 |
| Endeavor Health Edward Hospital | Chicago IL | $2,962 | 1.4× | 2 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $2,990 | 1.6× | 7 | 2025-10-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $3,000 | 1.5× | 4 | 2026-03-31 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $3,054 | 1.5× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,065 | 1.5× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,065 | 1.5× | 5 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $3,130 | 1.6× | 3 | 2026-06-15 |
| Methodist Hospital | San Antonio TX | $3,315 | 1.7× | 5 | 2026-09-01 |
| George Washington Univ Hospital | Washington DC | $3,400 | 1.5× | 3 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $3,440 | 1.8× | 4 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $3,441 | 1.9× | 1 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $3,444 | 1.9× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $3,555 | 1.6× | 2 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 2.0× | 5 | 2026-09-01 |
| 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 |
| Houston Methodist Hospital | Houston TX | $3,871 | 2.0× | 6 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $3,872 | 1.9× | 4 | 2026-09-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $3,904 | 2.0× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $3,904 | 2.0× | 6 | 2026-07-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,930 | 2.2× | 1 | 2026-06-15 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $3,991 | 2.0× | 4 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $4,035 | 2.0× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $4,042 | 2.0× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $4,088 | 2.0× | 4 | 2026-09-01 |
| Barnes Jewish Hospital | St. Louis MO | $4,144 | 2.2× | 5 | 2025-12-15 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $4,174 | 2.2× | 4 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $4,175 | 2.1× | 2 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $4,195 | 2.1× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $4,205 | 2.3× | 4 | 2026-09-01 |
| St David's Medical Center | Austin TX | $4,282 | 2.2× | 5 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $4,354 | 2.1× | 3 | 2025-11-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $4,361 | 2.3× | 3 | 2026-06-29 |
| Bryn Mawr Hospital | Philadelphia PA | $4,362 | 2.2× | 2 | 2026-04-01 |
| Missouri Baptist Medical Center | St. Louis MO | $4,506 | 2.3× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $4,506 | 2.3× | 5 | 2025-12-15 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $4,641 | 2.6× | 2 | 2026-06-15 |
| Medical City Plano | Dallas-Fort Worth TX | $4,723 | 2.5× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $4,723 | 2.5× | 5 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $4,818 | 2.3× | 2 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $4,955 | 2.4× | 1 | 2026-03-31 |
| Emory University Hospital | Atlanta GA | $4,975 | 2.6× | 6 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $5,029 | 2.5× | 5 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $5,031 | 2.7× | 1 | 2026-03-06 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,051 | 3.0× | 3 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $5,085 | 2.7× | 1 | 2026-09-02 |
| 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 |
| Cleveland Clinic (main campus) | Cleveland OH | $5,784 | 3.2× | 3 | 2026-06-16 |
| Rush University Medical Center | Chicago IL | $5,836 | 2.8× | 2 | 2026-09-25 |
| Montefiore Medical Center | New York City | $6,228 | 2.6× | 8 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $6,499 | 2.9× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $6,499 | 2.9× | 6 | 2026-02-28 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $6,690 | 3.5× | 3 | 2025-12-15 |
| Providence St Vincent Medical Center | Portland OR | $6,725 | 3.1× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $6,725 | 3.1× | 2 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $6,989 | 3.1× | 5 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $7,334 | 3.1× | 7 | 2026-01-01 |
| Legacy Emanuel Medical Center | Portland OR | $7,385 | 3.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $7,385 | 3.5× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $7,385 | 3.5× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $7,385 | 3.5× | 5 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 3.4× | 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 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $8,457 | 3.8× | 4 | 2026-08-27 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 4.7× | 3 | 2026-09-15 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 5.2× | 1 | 2026-03-24 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $12,246 | 4.5× | 6 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $12,471 | 4.6× | 6 | 2026-03-23 |
| 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 |
CPT 43242: Egd Us Fine Needle Bx/Aspir
98 hospitals in 33 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 | $2,756 | $3,731 | $4,886 | $1,694–$5,995 |
| 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 | $2,750 | $3,991 | $4,142 | $1,628–$4,354 |
| Detroit MI | 6 | $1,131 | $1,548 | $2,226 | $1,131–$5,085 |
| Georgia (statewide) | 1 | — | — | — | $4,797–$4,797 |
| Houston TX | 1 | — | — | — | $3,578–$3,578 |
| Kansas (statewide) | 1 | — | — | — | $2,858–$2,858 |
| Las Vegas NV | 1 | — | — | — | $2,727–$2,727 |
| Los Angeles CA | 2 | — | — | — | $5,705–$13,037 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $3,052–$3,052 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $3,000–$3,000 |
| Nashville TN | 4 | — | — | — | $1,637–$2,895 |
| New York (statewide) | 1 | — | — | — | $5,417–$5,417 |
| New York City | 2 | — | — | — | $5,670–$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 | — | — | — | $2,968–$3,039 |
| Pittsburgh PA | 1 | — | — | — | $4,719–$4,719 |
| Portland OR | 6 | $6,073 | $6,073 | $6,593 | $6,073–$6,766 |
| 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 | — | — | — | $10,436–$15,618 |
| Seattle-Tacoma WA | 6 | $6,144 | $6,566 | $7,795 | $5,165–$8,457 |
| St. Louis MO | 5 | $4,506 | $5,232 | $5,792 | $1,715–$6,690 |
| 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 |
| Ascension Seton Medical Center Austin | Austin TX | $1,232 | 0.6× | 2 | 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 |
| Trinity Health Oakland Hospital | Detroit MI | $1,965 | 1.0× | 16 | 2026-03-31 |
| 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 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $2,304 | 1.0× | 2 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $2,313 | 1.2× | 1 | 2026-01-01 |
| 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 |
| 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 |
| Endeavor Health Evanston Hospital | Chicago IL | $2,550 | 1.2× | 3 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $2,565 | 1.1× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $2,618 | 1.4× | 8 | 2025-10-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $2,727 | 1.4× | 7 | 2026-07-01 |
| 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 |
| Endeavor Health Edward Hospital | Chicago IL | $2,962 | 1.4× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,968 | 1.4× | 4 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $3,000 | 1.5× | 4 | 2026-03-31 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,039 | 1.5× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,039 | 1.5× | 5 | 2026-04-01 |
| 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 |
| 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 |
| 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 |
| 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 |
| UCHealth University of Colorado Hospital | Denver CO | $4,354 | 2.1× | 3 | 2025-11-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $4,485 | 2.3× | 5 | 2026-09-01 |
| Barnes-Jewish West County Hospital | St. Louis MO | $4,506 | 2.3× | 5 | 2025-12-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $4,656 | 2.6× | 2 | 2026-06-16 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $4,719 | 2.5× | 1 | 2026-03-06 |
| 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 |
| Loyola University Medical Center | Chicago IL | $4,955 | 2.4× | 1 | 2026-03-31 |
| Harper University Hospital | Detroit MI | $5,085 | 2.7× | 1 | 2026-09-02 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $5,165 | 2.3× | 5 | 2026-04-01 |
| Missouri Baptist Medical Center | St. Louis MO | $5,232 | 2.7× | 5 | 2025-12-15 |
| 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 |
| Montefiore Medical Center | New York City | $5,670 | 2.4× | 8 | 2026-04-01 |
| 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 |
| Barnes Jewish Hospital | St. Louis MO | $5,792 | 3.0× | 5 | 2025-12-15 |
| Rush University Medical Center | Chicago IL | $5,995 | 2.9× | 2 | 2026-09-25 |
| 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× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $6,144 | 2.7× | 6 | 2026-02-28 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,648 | 3.1× | 3 | 2026-09-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $6,690 | 3.5× | 3 | 2025-12-15 |
| 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 | $10,436 | 3.9× | 6 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $10,632 | 3.9× | 6 | 2026-03-23 |
| Cedars-Sinai Medical Center | Los Angeles CA | $13,037 | 5.3× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $15,618 | 5.5× | 4 | 2026-04-01 |
CPT 43237: Endoscopic Us Exam Esoph
100 hospitals in 33 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 | $4,886 | $1,694–$5,124 |
| 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 | $3,407 | $3,991 | $4,142 | $2,942–$4,354 |
| Detroit MI | 6 | $1,131 | $1,400 | $1,889 | $1,131–$5,085 |
| Georgia (statewide) | 1 | — | — | — | $4,797–$4,797 |
| Houston TX | 1 | — | — | — | $3,578–$3,578 |
| Kansas (statewide) | 1 | — | — | — | $2,858–$2,858 |
| Las Vegas NV | 1 | — | — | — | $2,727–$2,727 |
| Los Angeles CA | 2 | — | — | — | $5,705–$13,493 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $1,999–$3,052 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $3,000–$3,000 |
| Nashville TN | 4 | — | — | — | $1,637–$2,895 |
| New York (statewide) | 1 | — | — | — | $5,417–$5,417 |
| New York City | 2 | — | — | — | $5,810–$8,442 |
| Ohio (statewide) | 1 | — | — | — | $4,422–$4,422 |
| Philadelphia PA | 5 | $3,640 | $6,648 | $6,993 | $3,453–$8,155 |
| Phoenix AZ | 3 | — | — | — | $2,788–$2,897 |
| Pittsburgh PA | 1 | — | — | — | $2,452–$2,452 |
| Portland OR | 6 | $6,073 | $6,073 | $6,593 | $6,073–$6,766 |
| 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 | 6 | $1,768 | $2,488 | $5,841 | $1,349–$12,874 |
| 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 |
| Ascension Seton Medical Center Austin | Austin TX | $1,232 | 0.6× | 2 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $1,349 | 0.7× | 1 | 2026-06-10 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,576 | 0.7× | 3 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,637 | 0.9× | 1 | 2026-01-01 |
| Trinity Health Oakland Hospital | Detroit MI | $1,668 | 0.9× | 16 | 2026-03-31 |
| 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 |
| Barnes-Jewish West County Hospital | St. Louis MO | $1,925 | 1.0× | 5 | 2025-12-15 |
| Henry Ford Health Rochester Hospital | Detroit MI | $1,963 | 1.0× | 1 | 2026-01-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $1,999 | 1.0× | 5 | 2026-03-13 |
| 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 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $2,304 | 1.0× | 2 | 2026-04-01 |
| 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 |
| Beverly Hospital Corporation | Boston MA | $2,442 | 1.1× | 5 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $2,452 | 1.3× | 1 | 2026-03-06 |
| 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 |
| Vanderbilt University Medical Center | Nashville TN | $2,618 | 1.4× | 7 | 2025-10-01 |
| 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 |
| Adventhealth Porter | Denver CO | $2,942 | 1.4× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $2,942 | 1.4× | 4 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $2,962 | 1.4× | 2 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $3,000 | 1.5× | 4 | 2026-03-31 |
| 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 |
| Endeavor Health Evanston Hospital | Chicago IL | $3,294 | 1.6× | 2 | 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 |
| 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 |
| 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 |
| UCHealth University of Colorado Hospital | Denver CO | $4,354 | 2.1× | 3 | 2025-11-01 |
| Bethesda North | Ohio (statewide) | $4,422 | 2.4× | 4 | 2026-04-01 |
| 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 |
| Loyola University Medical Center | Chicago IL | $4,955 | 2.4× | 1 | 2026-03-31 |
| Harper University Hospital | Detroit MI | $5,085 | 2.7× | 1 | 2026-09-02 |
| Rush University Medical Center | Chicago IL | $5,124 | 2.5× | 2 | 2026-09-25 |
| 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 |
| Montefiore Medical Center | New York City | $5,810 | 2.4× | 8 | 2026-04-01 |
| 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× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $6,144 | 2.7× | 6 | 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 |
| Missouri Baptist Medical Center | St. Louis MO | $6,771 | 3.5× | 5 | 2025-12-15 |
| 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 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $12,874 | 6.7× | 3 | 2025-12-15 |
| 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 |
Questions
How much do commercial insurers pay hospitals for upper endoscopic ultrasound?
Across 102 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 43259, hospital outpatient is $4,065, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,689 to $5,682. 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: 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 ($13,980), Cedars-Sinai Medical Center ($13,680), John Muir Medical Center - Concord Campus ($12,471). Coverage is limited to the markets listed on this page.