Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Upper endoscopic ultrasound in Pennsylvania: what insurers pay

Posted commercial rates at 4 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
Riddle Memorial Hospital Media$4,1752.1×22026-04-01
Bryn Mawr Hospital Bryn Mawr$4,3622.2×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$5,0312.7×12026-03-06
Thomas Jefferson University Hospital Philadelphia$9,1724.7×32026-09-15

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$3,4531.8×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6401.9×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$4,7192.5×12026-03-06
Thomas Jefferson University Hospital Philadelphia$6,9933.5×32026-09-15

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$2,4521.3×12026-03-06
Riddle Memorial Hospital Media$3,4531.8×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6401.9×22026-04-01
Thomas Jefferson University Hospital Philadelphia$6,9933.5×32026-09-15

Questions

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

4 Pennsylvania 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 $4,697, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.