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Upper endoscopic ultrasound in Idaho: what insurers pay

Posted commercial rates at 12 Idaho hospitals, each next to its own Medicare base rate.

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CPT 43259

HospitalMedian across insurers× MedicareInsurersFile date
Saint Alphonsus Regional Medical Center Boise$1,6590.9×12026-03-31
St Joseph Regional Medical Center Lewiston$1,7420.9×12026-04-01
North Canyon Medical Center Gooding$1,8971.0×12026-04-13
Kootenai Health Coeur D'Alene$1,9811.0×32026-03-27
Treasure Valley Hospital Boise$2,6941.4×22026-09-02
St Luke'S Nampa Medical Center Nampa$4,8182.5×72026-03-25
St Luke'S Jerome Jerome$4,8182.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$4,8182.5×82026-03-25
West Valley Medical Center Caldwell$4,9302.5×32026-09-01
St Luke'S Regional Medical Center Boise$5,7653.0×32026-03-25

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$1,7420.9×12026-04-01
North Canyon Medical Center Gooding$1,8971.0×12026-04-13
Kootenai Health Coeur D'Alene$2,3311.2×32026-03-27
Treasure Valley Hospital Boise$2,6941.4×22026-09-02
St Luke'S Nampa Medical Center Nampa$4,8182.5×72026-03-25
St Luke'S Jerome Jerome$4,8182.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$4,8182.5×82026-03-25
West Valley Medical Center Caldwell$4,9302.5×32026-09-01
St Luke'S Regional Medical Center Boise$5,7653.0×32026-03-25
Saint Alphonsus Regional Medical Center Boise$7,1543.7×22026-03-31

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$1,7420.9×12026-04-01
Kootenai Health Coeur D'Alene$1,8130.9×32026-03-27
North Canyon Medical Center Gooding$1,8971.0×12026-04-13
Treasure Valley Hospital Boise$2,6941.4×22026-09-02
Mountain View Hospital Idaho Falls$4,2452.2×12026-03-16
Idaho Falls Community Hospital, Llc Idaho Falls$4,7392.5×22026-03-16
St Luke'S Nampa Medical Center Nampa$4,8182.5×72026-03-25
St Luke'S Jerome Jerome$4,8182.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$4,8182.5×82026-03-25
West Valley Medical Center Caldwell$4,9302.5×32026-09-01
St Luke'S Regional Medical Center Boise$5,7653.0×32026-03-25
Saint Alphonsus Regional Medical Center Boise$7,1543.7×22026-03-31

Questions

How much do insurers pay for upper endoscopic ultrasound in Idaho?

12 Idaho hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 10 hospitals is $3,756, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.