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Upper endoscopic ultrasound in Ohio: what insurers pay

Posted commercial rates at 48 Ohio 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
Akron Children'S Hospital Akron$1,0840.6×12025-11-11
Fisher-Titus Hospital Norwalk$1,8331.0×32026-04-29
Union Hospital Dover$1,9061.1×22026-06-15
Euclid Hospital Euclid$1,9971.1×32026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$1,9971.1×32026-06-15
Marymount Hospital Garfield Heights$1,9971.1×32026-06-15
South Pointe Hospital Warrensville Heights$1,9971.1×32026-06-15
University Hospitals Samaritan Medical Center Ashland$2,3591.3×12026-07-14
University Hospitals St. John Medical Center Westlake$2,4641.4×62026-07-14
University Hospitals - Elyria Medical Center Elyria$2,5251.4×52026-07-14
University Hospitals Portage Medical Center Ravenna$2,5621.4×52026-07-14
Medina Hospital Medina$2,5901.4×42026-06-15
Parma Community General Hospital Parma$2,5961.4×42026-07-14
University Hospitals Conneaut Medical Center Conneaut$2,7761.5×42026-07-14
Mercy Medical Center Canton$2,8801.6×12026-06-15
University Hospitals Cleveland Medical Center Cleveland$3,0421.7×22026-07-14
University Hospitals Ahuja Medical Center Beachwood$3,1361.7×62026-07-14
MetroHealth System Cleveland$3,2761.8×82026-04-01
Adena Pike Medical Center Waverly$3,2931.8×22026-08-19
Bethesda North Cincinnati$3,4401.8×42026-04-01
West Chester Hospital, Llc West Chester$3,6592.0×42026-07-01
University Of Cincinnati Medical Center, Llc Cincinnati$3,6622.0×52026-07-01
Summa Health System Akron$3,9212.2×92026-04-01
Adena Fayette Medical Center Washington Ch$3,9212.2×12026-08-19
Adena Regional Medical Center Chillicothe$4,3522.4×42026-08-19
Aultman Hospital Canton$4,4232.4×42026-04-01
Cleveland Clinic Fairview Hospital Cleveland$4,4512.5×52026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$4,4512.5×52026-06-15
Mccullough-Hyde Memorial Hospital Oxford$4,4852.4×72026-04-01
Good Samaritan Hospital Cincinnati$4,4852.4×72026-04-01
Marietta Memorial Hospital Marietta$4,5392.5×12026-10-01
Akron General Medical Center Akron$4,5722.5×52026-06-15
Miami Valley Hospital Dayton$4,9652.6×22026-04-01
Atrium Medical Center Franklin$4,9722.7×22026-04-01
Upper Valley Medical Center Troy$5,0162.7×22026-04-01
Lima Memorial Health System Lima$5,3122.9×22026-04-01
Cleveland Clinic (main campus) Cleveland$5,6903.1×62026-06-16
Nationwide Children'S Hospital Toledo, Llc Toledo$5,8813.2×12026-04-01
Alliance Community Hospital Alliance$6,5543.6×12026-04-01
Aultman Orrville Hospital Orrville$6,5543.6×12026-04-01
Kettering Health Dayton Dayton$6,5753.5×62026-04-01
Soin Medical Center Beaver Creek$6,5753.5×62026-04-01
Kettering Health Main Campus Kettering$6,5763.5×62026-04-01
Kettering Health Greene Memorial Xenia$6,6123.5×62026-04-01
Kettering Health Troy Troy$6,6123.5×62026-04-01
Kettering Health Miamisburg Miamisburg$6,6423.5×62026-04-01
Mount Carmel East Columbus$6,9023.7×242026-03-31
Salem Regional Medical Center Salem$7,3764.1×22026-04-01

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Akron Children'S Hospital Akron$1,0840.6×12025-11-11
University Hospitals Samaritan Medical Center Ashland$1,7861.0×12026-07-14
Fisher-Titus Hospital Norwalk$1,8331.0×32026-04-29
University Hospitals St. John Medical Center Westlake$2,0681.1×62026-07-14
Union Hospital Dover$2,2951.3×42026-06-15
University Hospitals Conneaut Medical Center Conneaut$2,3761.3×42026-07-14
University Hospitals - Elyria Medical Center Elyria$2,5251.4×52026-07-14
University Hospitals Portage Medical Center Ravenna$2,5621.4×52026-07-14
Parma Community General Hospital Parma$2,5961.4×42026-07-14
University Hospitals Cleveland Medical Center Cleveland$2,7441.5×22026-07-14
University Hospitals Ahuja Medical Center Beachwood$2,9321.6×62026-07-14
Euclid Hospital Euclid$3,0291.7×62026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$3,0291.7×62026-06-15
Marymount Hospital Garfield Heights$3,0291.7×62026-06-15
South Pointe Hospital Warrensville Heights$3,0291.7×62026-06-15
MetroHealth System Cleveland$3,2761.8×82026-04-01
Akron General Medical Center Akron$3,2841.8×42026-06-15
Adena Pike Medical Center Waverly$3,2931.8×22026-08-19
Bethesda North Cincinnati$3,4401.8×42026-04-01
Medina Hospital Medina$3,4651.9×72026-06-15
Cleveland Clinic (main campus) Cleveland$3,5281.9×52026-06-16
University Of Cincinnati Medical Center, Llc Cincinnati$3,5531.9×52026-07-01
West Chester Hospital, Llc West Chester$3,6592.0×42026-07-01
Mercy Medical Center Canton$3,8522.1×62026-06-15
Summa Health System Akron$3,9212.2×92026-04-01
Adena Fayette Medical Center Washington Ch$3,9212.2×12026-08-19
Aultman Hospital Canton$4,0632.2×42026-04-01
Cleveland Clinic Fairview Hospital Cleveland$4,3202.4×62026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$4,3202.4×62026-06-15
Adena Regional Medical Center Chillicothe$4,3522.4×42026-08-19
Mccullough-Hyde Memorial Hospital Oxford$4,4852.4×72026-04-01
Good Samaritan Hospital Cincinnati$4,4852.4×72026-04-01
Marietta Memorial Hospital Marietta$4,5392.5×12026-10-01
Miami Valley Hospital Dayton$4,9652.6×22026-04-01
Atrium Medical Center Franklin$4,9722.7×22026-04-01
Upper Valley Medical Center Troy$5,0162.7×22026-04-01
Lima Memorial Health System Lima$5,3122.9×22026-04-01
Nationwide Children'S Hospital Toledo, Llc Toledo$5,8813.2×12026-04-01
Alliance Community Hospital Alliance$6,5543.6×12026-04-01
Aultman Orrville Hospital Orrville$6,5543.6×12026-04-01
Kettering Health Dayton Dayton$6,5753.5×62026-04-01
Soin Medical Center Beaver Creek$6,5753.5×62026-04-01
Kettering Health Main Campus Kettering$6,5763.5×62026-04-01
Kettering Health Greene Memorial Xenia$6,6123.5×62026-04-01
Kettering Health Troy Troy$6,6123.5×62026-04-01
Kettering Health Miamisburg Miamisburg$6,6423.5×62026-04-01
Mount Carmel East Columbus$6,9023.7×242026-03-31
Salem Regional Medical Center Salem$7,3764.1×22026-04-01

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Akron Children'S Hospital Akron$1,0840.6×12025-11-11
University Hospitals Samaritan Medical Center Ashland$1,7861.0×12026-07-14
Fisher-Titus Hospital Norwalk$1,8331.0×32026-04-29
University Hospitals St. John Medical Center Westlake$2,0681.1×62026-07-14
Union Hospital Dover$2,2951.3×42026-06-15
University Hospitals Conneaut Medical Center Conneaut$2,3761.3×42026-07-14
University Hospitals - Elyria Medical Center Elyria$2,5251.4×52026-07-14
University Hospitals Portage Medical Center Ravenna$2,5621.4×52026-07-14
Parma Community General Hospital Parma$2,5961.4×42026-07-14
University Hospitals Cleveland Medical Center Cleveland$2,7441.5×22026-07-14
University Hospitals Ahuja Medical Center Beachwood$2,9321.6×62026-07-14
Euclid Hospital Euclid$3,0291.7×62026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$3,0291.7×62026-06-15
Marymount Hospital Garfield Heights$3,0291.7×62026-06-15
South Pointe Hospital Warrensville Heights$3,0291.7×62026-06-15
MetroHealth System Cleveland$3,2761.8×82026-04-01
Adena Pike Medical Center Waverly$3,2931.8×22026-08-19
Medina Hospital Medina$3,4651.9×72026-06-15
Cleveland Clinic (main campus) Cleveland$3,5281.9×52026-06-16
University Of Cincinnati Medical Center, Llc Cincinnati$3,5531.9×52026-07-01
West Chester Hospital, Llc West Chester$3,6592.0×42026-07-01
Mercy Medical Center Canton$3,8522.1×62026-06-15
Summa Health System Akron$3,9212.2×92026-04-01
Adena Fayette Medical Center Washington Ch$3,9212.2×12026-08-19
Aultman Hospital Canton$4,0632.2×42026-04-01
Cleveland Clinic Fairview Hospital Cleveland$4,3202.4×62026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$4,3202.4×62026-06-15
Adena Regional Medical Center Chillicothe$4,3522.4×42026-08-19
Bethesda North Cincinnati$4,4222.4×42026-04-01
Marietta Memorial Hospital Marietta$4,5392.5×12026-10-01
Akron General Medical Center Akron$4,5722.5×52026-06-15
Mccullough-Hyde Memorial Hospital Oxford$4,7032.5×72026-04-01
Good Samaritan Hospital Cincinnati$4,7032.5×72026-04-01
Miami Valley Hospital Dayton$4,9652.6×22026-04-01
Atrium Medical Center Franklin$4,9722.7×22026-04-01
Upper Valley Medical Center Troy$5,0162.7×22026-04-01
Lima Memorial Health System Lima$5,3122.9×22026-04-01
Nationwide Children'S Hospital Toledo, Llc Toledo$5,8813.2×12026-04-01
Alliance Community Hospital Alliance$6,5543.6×12026-04-01
Aultman Orrville Hospital Orrville$6,5543.6×12026-04-01
Kettering Health Dayton Dayton$6,5753.5×62026-04-01
Soin Medical Center Beaver Creek$6,5753.5×62026-04-01
Kettering Health Main Campus Kettering$6,5763.5×62026-04-01
Kettering Health Greene Memorial Xenia$6,6123.5×62026-04-01
Kettering Health Troy Troy$6,6123.5×62026-04-01
Kettering Health Miamisburg Miamisburg$6,6423.5×62026-04-01
Mount Carmel East Columbus$6,9023.7×242026-03-31
Salem Regional Medical Center Salem$7,3764.1×22026-04-01

Questions

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

48 Ohio hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 48 hospitals is $4,137, 2.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.