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Upper endoscopic ultrasound in New Mexico: what insurers pay

Posted commercial rates at 5 New Mexico 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
Presbyterian Espanola Hospital Espanola$1,2440.7×12026-04-01
Presbyterian Santa Fe Medical Center Santa Fe$1,7680.9×12026-04-01
Unm Hospital Albuquerque$3,7812.0×12026-03-25
Presbyterian Hospital Albuquerque$4,8122.5×22026-04-01

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Cibola General Hospital Grants$1,1860.6×1
Presbyterian Espanola Hospital Espanola$2,6171.4×12026-04-01
Presbyterian Santa Fe Medical Center Santa Fe$3,7181.9×12026-04-01
Unm Hospital Albuquerque$3,7812.0×12026-03-25
Presbyterian Hospital Albuquerque$5,4702.9×22026-04-01

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Presbyterian Espanola Hospital Espanola$2,1191.1×12026-04-01
Presbyterian Santa Fe Medical Center Santa Fe$3,0111.5×12026-04-01
Unm Hospital Albuquerque$3,7812.0×12026-03-25
Presbyterian Hospital Albuquerque$5,2322.8×22026-04-01

Questions

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

5 New Mexico hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 4 hospitals is $2,775, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.