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Upper endoscopic ultrasound in New Jersey: what insurers pay

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

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CPT 43259

HospitalMedian across insurers× MedicareInsurersFile date
Morristown Medical Center Morristown$2,2011.0×12026-04-01
Chilton Medical Center Pompton Plains$2,2011.0×112026-04-01
Newton Medical Center Newton$2,2011.0×112026-04-01
Overlook Medical Center Summit$2,2011.0×112026-04-01
Hackettstown Medical Center Hackettstown$2,2011.0×102026-04-01
Centrastate Medical Center Freehold$2,2361.0×162026-01-01
Englewood Hospital Englewood$3,9101.7×52026-02-02
St Joseph'S University Medical Center Inc Paterson$3,9211.7×32026-04-24
Raritan Bay Medical Center Perth Amboy$4,8842.3×82025-12-31
Southern Ocean Medical Center Manahawkin$4,8882.3×62025-12-31
Palisades Medical Center North Bergen$6,0802.7×52025-12-31
Shore Medical Center Somers Point$6,1042.8×22026-08-30
Bayshore Medical Center Holmdel$6,1762.9×62025-12-31
Ocean University Medical Center Brick$6,1962.9×62025-12-31
Riverview Medical Center Red Bank$6,2262.9×62025-12-31
Jersey Shore University Medical Center Neptune$6,3452.9×32025-12-31
Jfk University Medical Center Edison$6,7303.1×52025-12-31
Capital Health Medical Center - Hopewell Pennington$7,1873.3×22026-06-24
Capital Health Regional Medical Center Trenton$7,1873.3×22026-06-24
Jefferson Stratford Hospital Stratford$7,4093.4×32026-09-15
Hackensack University Medical Center Hackensack$7,4603.3×42025-12-31
Valley Hospital Paramus$8,2363.6×42026-05-06
Inspira Medical Center Vineland Vineland$11,2085.2×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$11,2085.2×12026-03-24

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Centrastate Medical Center Freehold$2,1001.0×162026-01-01
Morristown Medical Center Morristown$2,2011.0×12026-04-01
Chilton Medical Center Pompton Plains$2,2011.0×112026-04-01
Newton Medical Center Newton$2,2011.0×112026-04-01
Overlook Medical Center Summit$2,2011.0×112026-04-01
Hackettstown Medical Center Hackettstown$2,2011.0×102026-04-01
University Hospital Newark$3,6501.7×32026-08-13
Englewood Hospital Englewood$3,9101.7×52026-02-02
St Joseph'S University Medical Center Inc Paterson$3,9211.7×32026-04-24
Southern Ocean Medical Center Manahawkin$4,6612.2×62025-12-31
Raritan Bay Medical Center Perth Amboy$4,8842.3×82025-12-31
Palisades Medical Center North Bergen$6,0802.7×52025-12-31
Shore Medical Center Somers Point$6,1042.8×22026-08-30
Bayshore Medical Center Holmdel$6,1762.9×62025-12-31
Ocean University Medical Center Brick$6,1962.9×62025-12-31
Riverview Medical Center Red Bank$6,2262.9×62025-12-31
Jersey Shore University Medical Center Neptune$6,3452.9×32025-12-31
Jefferson Stratford Hospital Stratford$6,6483.1×32026-09-15
Jfk University Medical Center Edison$6,7303.1×52025-12-31
Valley Hospital Paramus$7,2273.2×42026-05-06
Hackensack University Medical Center Hackensack$7,4603.3×42025-12-31
Inspira Medical Center Vineland Vineland$8,1553.8×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$8,1553.8×12026-03-24

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Morristown Medical Center Morristown$2,2011.0×12026-04-01
Chilton Medical Center Pompton Plains$2,2011.0×112026-04-01
Newton Medical Center Newton$2,2011.0×112026-04-01
Overlook Medical Center Summit$2,2011.0×112026-04-01
Hackettstown Medical Center Hackettstown$2,2011.0×102026-04-01
Centrastate Medical Center Freehold$2,6801.2×162026-01-01
University Hospital Newark$3,6501.7×32026-08-13
Englewood Hospital Englewood$3,6861.6×32026-02-02
St Joseph'S University Medical Center Inc Paterson$3,9211.7×32026-04-24
Southern Ocean Medical Center Manahawkin$4,6612.2×62025-12-31
Raritan Bay Medical Center Perth Amboy$4,8842.3×82025-12-31
Palisades Medical Center North Bergen$6,0802.7×52025-12-31
Shore Medical Center Somers Point$6,1042.8×22026-08-30
Bayshore Medical Center Holmdel$6,1762.9×62025-12-31
Ocean University Medical Center Brick$6,1962.9×62025-12-31
Riverview Medical Center Red Bank$6,2262.9×62025-12-31
Jersey Shore University Medical Center Neptune$6,3452.9×32025-12-31
Jefferson Stratford Hospital Stratford$6,6483.1×32026-09-15
Jfk University Medical Center Edison$6,7303.1×52025-12-31
Valley Hospital Paramus$7,2273.2×42026-05-06
Hackensack University Medical Center Hackensack$7,4603.3×42025-12-31
Inspira Medical Center Vineland Vineland$8,1553.8×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$8,1553.8×12026-03-24

Questions

How much do insurers pay for upper endoscopic ultrasound in New Jersey?

25 New Jersey 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 $6,140, 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.