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Upper endoscopic ultrasound in Oregon: what insurers pay

Posted commercial rates at 6 Oregon hospitals, each next to its own Medicare base rate.

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CPT 43259

HospitalMedian across insurers× MedicareInsurersFile date
Providence St Vincent Medical Center Portland$6,7253.1×22026-04-01
Providence Portland Medical Center Portland$6,7253.1×22026-04-01
Legacy Emanuel Medical Center Portland$7,3853.5×52026-04-01
Legacy Good Samaritan Medical Center Portland$7,3853.5×52026-04-01
Legacy Mount Hood Medical Center Gresham$7,3853.5×52026-04-01
Legacy Meridian Park Medical Center Tualatin$7,3853.5×52026-04-01

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Emanuel Medical Center Portland$6,0732.9×52026-04-01
Legacy Good Samaritan Medical Center Portland$6,0732.9×52026-04-01
Legacy Mount Hood Medical Center Gresham$6,0732.9×52026-04-01
Legacy Meridian Park Medical Center Tualatin$6,0732.9×52026-04-01
Providence St Vincent Medical Center Portland$6,7663.2×32026-04-01
Providence Portland Medical Center Portland$6,7663.2×32026-04-01

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Emanuel Medical Center Portland$6,0732.9×52026-04-01
Legacy Good Samaritan Medical Center Portland$6,0732.9×52026-04-01
Legacy Mount Hood Medical Center Gresham$6,0732.9×52026-04-01
Legacy Meridian Park Medical Center Tualatin$6,0732.9×52026-04-01
Providence St Vincent Medical Center Portland$6,7663.2×32026-04-01
Providence Portland Medical Center Portland$6,7663.2×32026-04-01

Questions

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

6 Oregon hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 6 hospitals is $7,385, 3.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.