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Upper endoscopic ultrasound in New York: what insurers pay

Posted commercial rates at 3 New York 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
Stony Brook University Hospital Stony Brook$5,4172.3×52026-06-10
Montefiore Medical Center Bronx$6,2282.6×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$7,3343.1×72026-01-01

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,4172.3×52026-06-10
Montefiore Medical Center Bronx$5,6702.4×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$8,4423.5×72026-01-01

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,4172.3×52026-06-10
Montefiore Medical Center Bronx$5,8102.4×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$8,4423.5×72026-01-01

Questions

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

3 New York hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 3 hospitals is $6,228, 2.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.