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Upper endoscopic ultrasound in Cleveland OH

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 43259

Hospital · insurer	Rate	× Medicare	Plans
Cleveland Clinic Lutheran Hospital median $1,997 · local Medicare $1,815 · file 2026-06-15
Elevance/Anthem/Empire	$3,930	2.2×	1
Pphp	$1,997	1.1×	1
Valor	$1,815	1.0×	1
Marymount Hospital median $1,997 · local Medicare $1,815 · file 2026-06-15
Elevance/Anthem/Empire	$3,930	2.2×	1
Pphp	$1,997	1.1×	1
Valor	$1,815	1.0×	1
University Hospitals St. John Medical Center median $2,464 · local Medicare $1,815 · file 2026-07-14
Aetna	$4,208	2.3×	1
Cigna	$2,475	1.4×	1
Elevance/Anthem/Empire	$2,119	1.2×	1
Medical Mutual of Ohio	$2,792	1.5×	3
UnitedHealthcare	$2,017	1.1×	2
University Health Employee Plan (Contigo)	$2,453	1.4×	1
University Hospitals - Elyria Medical Center median $2,525 · local Medicare $1,815 · file 2026-07-14
Aetna	$4,208	2.3×	1
Elevance/Anthem/Empire	$2,525	1.4×	2
Medical Mutual of Ohio	$3,737	2.1×	3
UnitedHealthcare	$2,084	1.1×	2
University Health Employee Plan (Contigo)	$2,453	1.4×	1
Medina Hospital median $2,590 · local Medicare $1,815 · file 2026-06-15
Elevance/Anthem/Empire	$3,441	1.9×	3
MMO	$3,182	1.8×	1
Pphp	$1,997	1.1×	1
Valor	$1,815	1.0×	1
University Hospitals Cleveland Medical Center median $3,042 · local Medicare $1,815 · file 2026-07-14
AultCare	$3,631	2.0×	1
University Health Employee Plan (Contigo)	$2,453	1.4×	1
University Hospitals Ahuja Medical Center median $3,136 · local Medicare $1,815 · file 2026-07-14
Aetna	$3,942	2.2×	2
Cigna	$3,100	1.7×	1
Elevance/Anthem/Empire	$3,173	1.7×	2
Medical Mutual of Ohio	$3,963	2.2×	3
UnitedHealthcare	$2,124	1.2×	2
University Health Employee Plan (Contigo)	$2,453	1.4×	1
MetroHealth System median $3,276 · local Medicare $1,815 · file 2026-04-01
Aetna	$1,724	0.9×	2
Cigna	$2,577	1.4×	1
Clarity Health	$4,720	2.6×	1
Elevance/Anthem/Empire	$6,921	3.8×	1
Health E Ohio	$3,812	2.1×	1
Medical Mutual	$3,202	1.8×	4
Summacare	$1,879	1.0×	1
UnitedHealthcare	$3,350	1.8×	1
Cleveland Clinic Fairview Hospital median $4,451 · local Medicare $1,815 · file 2026-06-15
Elevance/Anthem/Empire	$4,451	2.5×	2
MMO	$4,992	2.8×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,831	2.7×	1
Valor	$1,815	1.0×	1
Cleveland Clinic Hillcrest Hospital median $4,451 · local Medicare $1,815 · file 2026-06-15
Elevance/Anthem/Empire	$4,451	2.5×	2
MMO	$4,992	2.8×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,831	2.7×	1
Valor	$1,815	1.0×	1
Cleveland Clinic (main campus) median $5,690 · local Medicare $1,815 · file 2026-06-16
Aetna	$7,431	4.1×	1
Cigna	$5,597	3.1×	1
MMO	$7,813	4.3×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$5,784	3.2×	2
Valor	$1,815	1.0×	1

CPT 43242

Hospital · insurer	Rate	× Medicare	Plans
University Hospitals St. John Medical Center median $2,068 · local Medicare $1,815 · file 2026-07-14
Aetna	$3,710	2.0×	1
Cigna	$2,018	1.1×	1
Elevance/Anthem/Empire	$2,119	1.2×	1
Medical Mutual of Ohio	$2,792	1.5×	3
UnitedHealthcare	$2,017	1.1×	2
University Health Employee Plan (Contigo)	$1,857	1.0×	1
University Hospitals - Elyria Medical Center median $2,525 · local Medicare $1,815 · file 2026-07-14
Aetna	$3,710	2.0×	1
Elevance/Anthem/Empire	$2,525	1.4×	2
Medical Mutual of Ohio	$3,737	2.1×	3
UnitedHealthcare	$2,084	1.1×	2
University Health Employee Plan (Contigo)	$1,857	1.0×	1
University Hospitals Cleveland Medical Center median $2,744 · local Medicare $1,815 · file 2026-07-14
AultCare	$3,631	2.0×	1
University Health Employee Plan (Contigo)	$1,857	1.0×	1
University Hospitals Ahuja Medical Center median $2,932 · local Medicare $1,815 · file 2026-07-14
Aetna	$3,476	1.9×	2
Cigna	$2,690	1.5×	1
Elevance/Anthem/Empire	$3,173	1.7×	2
Medical Mutual of Ohio	$3,963	2.2×	3
UnitedHealthcare	$2,124	1.2×	2
University Health Employee Plan (Contigo)	$1,857	1.0×	1
Cleveland Clinic Lutheran Hospital median $3,029 · local Medicare $1,815 · file 2026-06-15
Aetna	$3,502	1.9×	3
Cigna	$3,465	1.9×	1
MMO	$2,593	1.4×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,338	2.4×	1
Valor	$1,815	1.0×	1
Marymount Hospital median $3,029 · local Medicare $1,815 · file 2026-06-15
Aetna	$3,502	1.9×	3
Cigna	$3,465	1.9×	1
MMO	$2,593	1.4×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,338	2.4×	1
Valor	$1,815	1.0×	1
MetroHealth System median $3,276 · local Medicare $1,815 · file 2026-04-01
Aetna	$2,214	1.2×	2
Cigna	$2,299	1.3×	1
Clarity Health	$4,720	2.6×	1
Elevance/Anthem/Empire	$6,921	3.8×	1
Health E Ohio	$3,812	2.1×	1
Medical Mutual	$3,202	1.8×	4
Summacare	$1,643	0.9×	1
UnitedHealthcare	$3,350	1.8×	1
Medina Hospital median $3,465 · local Medicare $1,815 · file 2026-06-15
Aetna	$3,502	1.9×	3
Cigna	$3,465	1.9×	1
Elevance/Anthem/Empire	$3,341	1.8×	2
MMO	$4,170	2.3×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,338	2.4×	1
Valor	$1,815	1.0×	1
Cleveland Clinic (main campus) median $3,528 · local Medicare $1,815 · file 2026-06-16
Cigna	$3,528	1.9×	1
MMO	$5,265	2.9×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$5,784	3.2×	2
Valor	$1,815	1.0×	1
Cleveland Clinic Fairview Hospital median $4,320 · local Medicare $1,815 · file 2026-06-15
Aetna	$3,810	2.1×	3
Elevance/Anthem/Empire	$5,236	2.9×	1
MMO	$5,267	2.9×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,831	2.7×	1
Valor	$1,815	1.0×	1
Cleveland Clinic Hillcrest Hospital median $4,320 · local Medicare $1,815 · file 2026-06-15
Aetna	$3,810	2.1×	3
Elevance/Anthem/Empire	$5,236	2.9×	1
MMO	$5,267	2.9×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,831	2.7×	1
Valor	$1,815	1.0×	1

CPT 43237

Hospital · insurer	Rate	× Medicare	Plans
University Hospitals St. John Medical Center median $2,068 · local Medicare $1,815 · file 2026-07-14
Aetna	$3,710	2.0×	1
Cigna	$2,018	1.1×	1
Elevance/Anthem/Empire	$2,119	1.2×	1
Medical Mutual of Ohio	$2,792	1.5×	3
UnitedHealthcare	$2,017	1.1×	2
University Health Employee Plan (Contigo)	$1,857	1.0×	1
University Hospitals - Elyria Medical Center median $2,525 · local Medicare $1,815 · file 2026-07-14
Aetna	$3,710	2.0×	1
Elevance/Anthem/Empire	$2,525	1.4×	2
Medical Mutual of Ohio	$3,737	2.1×	3
UnitedHealthcare	$2,084	1.1×	2
University Health Employee Plan (Contigo)	$1,857	1.0×	1
University Hospitals Cleveland Medical Center median $2,744 · local Medicare $1,815 · file 2026-07-14
AultCare	$3,631	2.0×	1
University Health Employee Plan (Contigo)	$1,857	1.0×	1
University Hospitals Ahuja Medical Center median $2,932 · local Medicare $1,815 · file 2026-07-14
Aetna	$3,476	1.9×	2
Cigna	$2,690	1.5×	1
Elevance/Anthem/Empire	$3,173	1.7×	2
Medical Mutual of Ohio	$3,963	2.2×	3
UnitedHealthcare	$2,124	1.2×	2
University Health Employee Plan (Contigo)	$1,857	1.0×	1
Cleveland Clinic Lutheran Hospital median $3,029 · local Medicare $1,815 · file 2026-06-15
Aetna	$3,502	1.9×	3
Cigna	$3,465	1.9×	1
MMO	$2,593	1.4×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,338	2.4×	1
Valor	$1,815	1.0×	1
Marymount Hospital median $3,029 · local Medicare $1,815 · file 2026-06-15
Aetna	$3,502	1.9×	3
Cigna	$3,465	1.9×	1
MMO	$2,593	1.4×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,338	2.4×	1
Valor	$1,815	1.0×	1
MetroHealth System median $3,276 · local Medicare $1,815 · file 2026-04-01
Aetna	$2,214	1.2×	2
Cigna	$2,299	1.3×	1
Clarity Health	$4,720	2.6×	1
Elevance/Anthem/Empire	$6,921	3.8×	1
Health E Ohio	$3,812	2.1×	1
Medical Mutual	$3,202	1.8×	4
Summacare	$1,643	0.9×	1
UnitedHealthcare	$3,350	1.8×	1
Medina Hospital median $3,465 · local Medicare $1,815 · file 2026-06-15
Aetna	$3,502	1.9×	3
Cigna	$3,465	1.9×	1
Elevance/Anthem/Empire	$3,341	1.8×	2
MMO	$4,170	2.3×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,338	2.4×	1
Valor	$1,815	1.0×	1
Cleveland Clinic (main campus) median $3,528 · local Medicare $1,815 · file 2026-06-16
Cigna	$3,528	1.9×	1
MMO	$5,265	2.9×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$5,784	3.2×	2
Valor	$1,815	1.0×	1
Cleveland Clinic Fairview Hospital median $4,320 · local Medicare $1,815 · file 2026-06-15
Aetna	$3,810	2.1×	3
Elevance/Anthem/Empire	$5,236	2.9×	1
MMO	$5,267	2.9×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,831	2.7×	1
Valor	$1,815	1.0×	1
Cleveland Clinic Hillcrest Hospital median $4,320 · local Medicare $1,815 · file 2026-06-15
Aetna	$3,810	2.1×	3
Elevance/Anthem/Empire	$5,236	2.9×	1
MMO	$5,267	2.9×	1
Pphp	$1,997	1.1×	1
UnitedHealthcare	$4,831	2.7×	1
Valor	$1,815	1.0×	1

Questions

How much does upper endoscopic ultrasound cost with commercial insurance in Cleveland OH?

11 Cleveland OH hospitals post usable commercial rates for CPT 43259, hospital outpatient. The median across hospitals is $3,042; hospital medians range from $1,997 to $5,690. Your cost depends on your plan's deductible and coinsurance.