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Upper endoscopic ultrasound in Tennessee: what insurers pay

Posted commercial rates at 4 Tennessee 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
Ascension Saint Thomas Rutherford Murfreesboro$1,8691.0×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$2,5821.4×22026-01-01
Vanderbilt University Medical Center Nashville$2,9901.6×72025-10-01
TriStar StoneCrest Medical Center Smyrna$3,6032.0×52026-09-01

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$1,6370.9×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$2,4101.3×22026-01-01
Vanderbilt University Medical Center Nashville$2,6181.4×82025-10-01
TriStar StoneCrest Medical Center Smyrna$2,8951.6×52026-09-01

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$1,6370.9×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$2,4101.3×22026-01-01
Vanderbilt University Medical Center Nashville$2,6181.4×72025-10-01
TriStar StoneCrest Medical Center Smyrna$2,8951.6×52026-09-01

Questions

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

4 Tennessee 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 $2,786, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.