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Upper endoscopic ultrasound in Texas: what insurers pay

Posted commercial rates at 8 Texas 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 Seton Medical Center Austin Austin$1,2320.6×22026-01-01
Methodist Hospital San Antonio$3,3151.7×52026-09-01
Houston Methodist Hospital Houston$3,8712.0×62026-04-01
St David's Medical Center Austin$4,2822.2×52026-09-01
Baylor University Medical Center Dallas$4,3612.3×32026-06-29
Medical City Plano Plano$4,7232.5×52026-09-01
Medical City Mckinney McKinney$4,7232.5×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$5,7323.0×22026-04-21

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$1,2320.6×22026-01-01
Methodist Hospital San Antonio$3,1761.6×52026-09-01
Houston Methodist Hospital Houston$3,5781.9×62026-04-01
Medical City Plano Plano$3,9712.1×52026-09-01
Baylor University Medical Center Dallas$4,0632.1×32026-06-29
St David's Medical Center Austin$4,2822.2×52026-09-01
Medical City Mckinney McKinney$4,4852.3×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$5,7323.0×22026-04-21

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$1,2320.6×22026-01-01
Methodist Hospital San Antonio$3,1761.6×52026-09-01
Houston Methodist Hospital Houston$3,5781.9×62026-04-01
Medical City Plano Plano$3,9712.1×52026-09-01
Baylor University Medical Center Dallas$4,0632.1×32026-06-29
St David's Medical Center Austin$4,2822.2×52026-09-01
Medical City Mckinney McKinney$4,4852.3×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$5,7323.0×22026-04-21

Questions

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

8 Texas hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 8 hospitals is $4,322, 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.