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Upper endoscopic ultrasound in Pennsylvania: what insurers pay

Posted commercial rates at 46 Pennsylvania 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
Upmc Mercy Pittsburgh$1,9371.0×22026-03-06
Upmc Passavant Pittsburgh$1,9721.1×22026-03-07
Conemaugh Memorial Medical Center Johnstown$2,1491.1×12026-04-15
Temple Health - Chestnut Hill Hospital Philadelphia$2,4011.2×72026-04-08
Jefferson Hospital Jefferson Hills$2,4321.3×72026-04-14
Magee Womens Hospital Of Upmc Health System Pittsburgh$2,5321.4×22026-03-06
Saint Vincent Hospital Erie$2,5611.4×72026-04-14
Holy Redeemer Hospital And Medical Center Meadowbrook$2,8731.5×52026-09-21
St Luke'S Hospital Bethlehem Bethlehem$3,0011.5×32026-02-26
Upmc Presbyterian Shadyside Pittsburgh$3,0201.6×22026-03-06
Roxborough Memorial Hospital Philadelphia$3,1021.6×62024-06-21
Lower Bucks Hospital Bristol$3,1091.7×62026-09-01
Hospital Of The Fox Chase Cancer Center Philadelphia$3,2071.6×62026-04-08
Grove City Hospital Grove City$3,4501.9×62026-04-14
Temple University Hospital Philadelphia$3,7481.9×102026-04-13
Allegheny Valley Hospital Natrona$3,8522.1×62026-04-14
Canonsburg General Hospital Canonsburg$3,8622.1×62026-04-14
Forbes Hospital Monroeville$3,9692.1×62026-04-14
Jefferson Lansdale Hospital Lansdale$4,0962.2×52026-09-15
Jefferson Abington Hospital Abington$4,0962.2×52026-09-15
Ahn Wexford Hospital Wexford$4,1542.2×62026-04-14
Riddle Memorial Hospital Media$4,1752.1×22026-04-01
St Clair Hospital Pittsburgh$4,2892.3×72026-03-31
St Luke'S Hospital - Monroe Campus Stroudsburg$4,3002.3×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$4,3002.2×32026-02-27
Paoli Hospital Paoli$4,3202.3×22026-04-01
Bryn Mawr Hospital Bryn Mawr$4,3622.2×22026-04-01
Lankenau Medical Center Wynnewood$4,4022.4×22026-04-01
Allegheny General Hospital Pittsburgh$4,7742.5×62026-04-14
West Penn Hospital Pittsburgh$4,7972.6×62026-04-14
Jefferson Einstein Montgomery Hospital East Norriton$4,7992.6×62026-09-15
Jefferson Health-Northeast Philadelphia$4,8722.5×62026-09-15
Wilkes-Barre General Hospital Wilkes-Barre$5,0902.7×12026-07-01
Geisinger Community Medical Center Scranton$5,5883.0×32026-07-01
St Luke'S Hospital - Easton Campus Easton$5,7382.9×22026-02-26
Penn State Health Hampden Medical Center Enola$6,4123.3×12026-03-27
Wellspan York Hospital York$6,4203.4×32026-01-01
Penn State Health Holy Spirit Medical Center Camp Hill$6,4833.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$6,5833.5×12026-03-27
Geisinger-Lewistown Hospital Lewistown$7,1863.8×22026-07-01
Penn State Health St. Joseph Reading$8,4864.3×12026-03-27
Thomas Jefferson University Hospital Philadelphia$9,3044.7×42026-09-15

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Mercy Pittsburgh$1,9621.1×22026-03-06
Upmc Passavant Pittsburgh$2,1221.1×22026-03-07
Upmc St Margaret Pittsburgh$2,1721.2×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$2,3141.2×72026-04-08
Jefferson Hospital Jefferson Hills$2,4321.3×72026-04-14
Upmc Somerset Somerset$2,4421.3×22026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$2,5911.4×22026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$2,6961.4×52026-09-21
Forbes Hospital Monroeville$2,7741.5×72026-04-14
Conemaugh Memorial Medical Center Johnstown$2,9931.6×12026-04-15
St Luke'S Hospital Bethlehem Bethlehem$3,0011.5×32026-02-26
Temple University Hospital Philadelphia$3,0251.5×102026-04-13
Upmc Presbyterian Shadyside Pittsburgh$3,0641.6×22026-03-06
Jefferson Lansdale Hospital Lansdale$3,0721.6×52026-09-15
Jefferson Abington Hospital Abington$3,1481.7×52026-09-15
Roxborough Memorial Hospital Philadelphia$3,1601.6×62024-06-21
Lower Bucks Hospital Bristol$3,1661.7×62026-09-01
Hospital Of The Fox Chase Cancer Center Philadelphia$3,2071.6×62026-04-08
Saint Vincent Hospital Erie$3,3821.8×62026-04-14
Riddle Memorial Hospital Media$3,4531.8×22026-04-01
Paoli Hospital Paoli$3,5981.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6401.9×22026-04-01
Lankenau Medical Center Wynnewood$3,6802.0×22026-04-01
Jefferson Health-Northeast Philadelphia$3,7541.9×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$3,7542.0×62026-09-15
Allegheny Valley Hospital Natrona$3,8522.1×62026-04-14
Canonsburg General Hospital Canonsburg$3,8622.1×62026-04-14
Grove City Hospital Grove City$3,8822.1×52026-04-14
Ahn Wexford Hospital Wexford$4,1542.2×62026-04-14
St Clair Hospital Pittsburgh$4,2892.3×72026-03-31
Allegheny General Hospital Pittsburgh$4,7742.5×62026-04-14
West Penn Hospital Pittsburgh$4,7972.6×62026-04-14
Wilkes-Barre General Hospital Wilkes-Barre$5,0902.7×12026-07-01
Geisinger Community Medical Center Scranton$5,5883.0×32026-07-01
St Luke'S Hospital - Easton Campus Easton$5,7382.9×22026-02-26
Penn State Health Hampden Medical Center Enola$6,4123.3×12026-03-27
Wellspan York Hospital York$6,4203.4×32026-01-01
Penn State Health Holy Spirit Medical Center Camp Hill$6,4833.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$6,5833.5×12026-03-27
Geisinger-Lewistown Hospital Lewistown$7,1863.8×22026-07-01
Thomas Jefferson University Hospital Philadelphia$7,6383.9×42026-09-15
Penn State Health St. Joseph Reading$8,4864.3×12026-03-27

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Memorial Medical Center Johnstown$1,7250.9×12026-04-15
Upmc Mercy Pittsburgh$1,7730.9×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$2,3141.2×72026-04-08
Jefferson Hospital Jefferson Hills$2,4321.3×72026-04-14
Upmc Presbyterian Shadyside Pittsburgh$2,4521.3×12026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$2,6961.4×52026-09-21
Forbes Hospital Monroeville$2,7371.5×72026-04-14
St Luke'S Hospital Bethlehem Bethlehem$3,0011.5×32026-02-26
Jefferson Lansdale Hospital Lansdale$3,0721.6×52026-09-15
Roxborough Memorial Hospital Philadelphia$3,1021.6×62024-06-21
Lower Bucks Hospital Bristol$3,1091.7×62026-09-01
Jefferson Abington Hospital Abington$3,1481.7×52026-09-15
Hospital Of The Fox Chase Cancer Center Philadelphia$3,2071.6×62026-04-08
Saint Vincent Hospital Erie$3,3821.8×62026-04-14
Temple University Hospital Philadelphia$3,3881.7×92026-04-13
Riddle Memorial Hospital Media$3,4531.8×22026-04-01
Paoli Hospital Paoli$3,5981.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6401.9×22026-04-01
Lankenau Medical Center Wynnewood$3,6802.0×22026-04-01
Jefferson Health-Northeast Philadelphia$3,7541.9×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$3,7542.0×62026-09-15
Allegheny Valley Hospital Natrona$3,8522.1×62026-04-14
Canonsburg General Hospital Canonsburg$3,8622.1×62026-04-14
Grove City Hospital Grove City$3,8822.1×52026-04-14
Ahn Wexford Hospital Wexford$4,1542.2×62026-04-14
Wellspan York Hospital York$4,1882.2×42026-01-01
St Clair Hospital Pittsburgh$4,2892.3×72026-03-31
Allegheny General Hospital Pittsburgh$4,7742.5×62026-04-14
West Penn Hospital Pittsburgh$4,7972.6×62026-04-14
Troy Community Hospital Troy$4,8802.6×22026-03-31
Wilkes-Barre General Hospital Wilkes-Barre$5,0902.7×12026-07-01
Geisinger Community Medical Center Scranton$5,5883.0×32026-07-01
St Luke'S Hospital - Easton Campus Easton$5,7382.9×22026-02-26
Robert Packer Hospital Sayre$6,0203.2×102026-03-31
Penn State Health Hampden Medical Center Enola$6,4123.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$6,4833.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$6,5833.5×12026-03-27
Geisinger-Lewistown Hospital Lewistown$7,1863.8×22026-07-01
Thomas Jefferson University Hospital Philadelphia$7,6383.9×42026-09-15
Penn State Health St. Joseph Reading$8,4864.3×12026-03-27

Questions

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

46 Pennsylvania hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 42 hospitals is $4,165, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.