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Upper endoscopic ultrasound in Massachusetts: what insurers pay

Posted commercial rates at 25 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 43259

HospitalMedian across insurers× MedicareInsurersFile date
Brigham and Women's Hospital Boston$1,3350.6×32026-03-27
Massachusetts General Hospital Boston$1,5160.7×42026-03-27
Brigham and Women's Faulkner Hospital Boston$1,5160.7×62026-03-27
South Shore Hospital South Weymouth$1,6960.7×32026-04-01
Umass Memorial Medical Center Inc Worcester$1,6960.7×32026-03-26
Anna Jaques Hospital Newburyport$1,8940.8×52026-04-01
Beth Israel Deaconess Hospital-Milton Inc Milton$2,2631.0×32026-04-01
Winchester Hospital Winchester$2,3781.0×52026-04-01
New England Baptist Hospital Boston$2,4451.1×52026-04-01
Berkshire Medical Center Inc - 1 Pittsfield$2,4631.1×92026-03-25
Beverly Hospital Corporation Beverly$2,4661.1×62026-04-01
Emerson Hospital - W Concord$2,4681.1×62026-05-18
Lahey Hospital & Medical Center, Burlington Burlington$2,5361.1×42026-04-01
North Adams Regional Hospital North Adams$2,8041.2×92026-03-25
Beth Israel Deaconess Hospital - Plymouth Plymouth$2,8451.2×32026-04-01
Mount Auburn Hospital Cambridge$2,8971.3×32026-04-01
Signature Healthcare Brockton Hospital Brockton$2,9091.3×72026-01-28
Fairview Hospital Great Barrington$2,9161.3×72026-03-25
Boston Medical Center-South Brockton$3,0621.3×42026-03-13
Boston Medical Center-Brighton Brighton$3,1481.4×42026-03-13
Beth Israel Deaconess Hospital - Needham Needham$3,3581.5×32026-04-01
Beth Israel Deaconess Medical Center Boston$3,7261.6×32026-04-01
Lowell General Hospital Lowell$4,1741.8×92026-04-01
Tufts Medical Center Boston$4,1921.8×72026-04-01

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Brigham and Women's Hospital Boston$1,3350.6×52026-03-27
Massachusetts General Hospital Boston$1,5160.7×42026-03-27
South Shore Hospital South Weymouth$1,6960.7×32026-04-01
Umass Memorial Medical Center Inc Worcester$1,6960.7×32026-03-26
Brigham and Women's Faulkner Hospital Boston$1,6960.7×32026-03-27
Beth Israel Deaconess Hospital-Milton Inc Milton$2,2101.0×32026-04-01
Emerson Hospital - W Concord$2,2441.0×62026-05-18
New England Baptist Hospital Boston$2,3101.0×52026-04-01
Winchester Hospital Winchester$2,3781.0×52026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$2,4261.1×42026-04-01
Beverly Hospital Corporation Beverly$2,4551.1×62026-04-01
Berkshire Medical Center Inc - 1 Pittsfield$2,4631.1×92026-03-25
Anna Jaques Hospital Newburyport$2,5651.1×42026-04-01
Signature Healthcare Brockton Hospital Brockton$2,7601.2×72026-01-28
North Adams Regional Hospital North Adams$2,8041.2×92026-03-25
Beth Israel Deaconess Hospital - Plymouth Plymouth$2,8451.2×32026-04-01
Mount Auburn Hospital Cambridge$2,8971.3×32026-04-01
Fairview Hospital Great Barrington$2,9161.3×72026-03-25
Boston Medical Center-South Brockton$3,0621.3×42026-03-13
Boston Medical Center-Brighton Brighton$3,1481.4×42026-03-13
Beth Israel Deaconess Hospital - Needham Needham$3,3581.5×32026-04-01
Beth Israel Deaconess Medical Center Boston$3,7261.6×32026-04-01
Tufts Medical Center Boston$4,4972.0×52026-04-01

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Massachusetts General Hospital Boston$1,5160.7×22026-03-27
Brigham and Women's Hospital Boston$1,5160.7×42026-03-27
South Shore Hospital South Weymouth$1,6960.7×32026-04-01
Umass Memorial Medical Center Inc Worcester$1,6960.7×32026-03-26
Brigham and Women's Faulkner Hospital Boston$1,6960.7×32026-03-27
Boston Medical Center-South Brockton$1,7770.8×42026-03-13
Boston Medical Center-Brighton Brighton$1,8130.8×42026-03-13
Emerson Hospital - W Concord$1,9350.8×62026-05-18
Tufts Medical Center Boston$2,0100.9×32026-04-01
Holyoke Medical Center Holyoke$2,2031.0×132026-05-01
Beth Israel Deaconess Hospital-Milton Inc Milton$2,2101.0×32026-04-01
New England Baptist Hospital Boston$2,3101.0×52026-04-01
Winchester Hospital Winchester$2,3781.0×52026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$2,4261.1×42026-04-01
Beverly Hospital Corporation Beverly$2,4551.1×62026-04-01
Berkshire Medical Center Inc - 1 Pittsfield$2,4631.1×92026-03-25
Anna Jaques Hospital Newburyport$2,5651.1×42026-04-01
Lowell General Hospital Lowell$2,6301.1×82026-04-01
Signature Healthcare Brockton Hospital Brockton$2,7601.2×72026-01-28
North Adams Regional Hospital North Adams$2,8041.2×92026-03-25
Beth Israel Deaconess Hospital - Plymouth Plymouth$2,8451.2×32026-04-01
Mount Auburn Hospital Cambridge$2,8971.3×32026-04-01
Fairview Hospital Great Barrington$2,9161.3×72026-03-25
Beth Israel Deaconess Hospital - Needham Needham$3,3581.5×32026-04-01
Beth Israel Deaconess Medical Center Boston$3,7261.6×32026-04-01

Questions

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

25 Massachusetts hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 24 hospitals is $2,502, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.