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Upper endoscopic ultrasound in Montana: what insurers pay

Posted commercial rates at 5 Montana hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43259

HospitalMedian across insurers× MedicareInsurersFile date
Intermountain Health St Vincent Regional Hospital Billings$3,8001.9×82026-03-22
Intermountain Health St James Hospital Butte$3,9842.0×32026-03-22
Logan Health Medical Center Kalispell$5,4892.8×12026-04-01
Providence St Joseph Medical Center Polson$5,6832.9×12026-04-01
St Peters Health Helena$5,8903.0×222026-03-31

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Intermountain Health St Vincent Regional Hospital Billings$3,8001.9×82026-03-22
Intermountain Health St James Hospital Butte$3,9842.0×32026-03-22
St Peters Health Helena$4,7642.4×222026-03-31
Logan Health Medical Center Kalispell$5,4892.8×12026-04-01
Providence St Joseph Medical Center Polson$5,6832.9×12026-04-01

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
St Peters Health Helena$3,6071.8×222026-03-31
Intermountain Health St Vincent Regional Hospital Billings$3,8001.9×82026-03-22
Intermountain Health St James Hospital Butte$3,9842.0×32026-03-22
Logan Health Medical Center Kalispell$5,4892.8×12026-04-01
Providence St Joseph Medical Center Polson$5,6832.9×12026-04-01

Questions

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

5 Montana hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 5 hospitals is $5,489, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.