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Upper endoscopic ultrasound in Virginia: what insurers pay

Posted commercial rates at 32 Virginia 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
Sentara Northern Virginia Medical Center Woodbridge$3,3021.7×42026-04-01
Sentara Martha Jefferson Hospital Charlottesville$3,6001.9×42026-04-01
Inova Alexandria Hospital Alexandria$3,8681.9×72026-04-01
Inova Loudoun Hospital Leesburg$3,8681.9×72026-04-01
Inova Fairfax Hospital Falls Church$3,8681.9×72026-04-01
Inova Fair Oaks Hospital Fairfax$3,8681.9×72026-04-01
Inova Mount Vernon Hospital Alexandria$3,8681.9×72026-04-01
Spotsylvania Regional Medical Center Fredericksburg$3,9932.0×52026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$4,4322.4×62026-09-01
Henrico Doctors' Hospital Richmond$4,4322.4×62026-09-01
Reston Hospital Center Reston$4,5042.3×62026-09-01
Stonesprings Hospital Center Dulles$4,5042.3×62026-09-01
Augusta Health Fishersville$4,8242.6×32026-04-01
Tricities Hospital Hopewell$4,8722.6×52026-09-01
Sentara Obici Hospital Suffolk$5,2202.8×32026-04-01
Sentara Leigh Hospital Norfolk$5,2202.8×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$5,2202.8×32026-04-01
Sentara Norfolk General Hospital Norfolk$5,2262.8×32026-04-01
Lewisgale Hospital Pulaski Pulaski$5,3012.8×32026-09-01
Lewisgale Hospital Alleghany Low Moor$5,3932.9×32026-09-01
Lewisgale Medical Center Salem$5,6583.0×22026-09-01
Sentara Careplex Hospital Hampton$5,7273.1×22026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$5,8203.1×32026-04-01
Sentara Rmh Medical Center Harrisonburg$5,9043.1×12026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$5,9943.2×22026-04-01
Sentara Halifax Regional Hospital South Boston$6,5033.5×12026-04-01
Carilion Roanoke Memorial Hospital Roanoke$6,9843.7×12025-12-15
Lewisgale Hospital Montgomery Blacksburg$7,2083.9×32026-09-01
Carilion New River Valley Medical Center Christiansburg$8,1534.4×12025-12-15
Carilion Rockbridge Community Hospital Lexington$8,9554.8×12025-12-15
Carilion Franklin Memorial Hospital Rocky Mount$9,4035.0×12025-12-15
Carilion Giles Community Hospital Pearisburg$9,8925.3×12025-12-15

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Sentara Martha Jefferson Hospital Charlottesville$2,9731.6×42026-04-01
Sentara Northern Virginia Medical Center Woodbridge$3,1881.6×42026-04-01
Spotsylvania Regional Medical Center Fredericksburg$3,2731.6×52026-09-01
Reston Hospital Center Reston$3,4801.8×62026-09-01
Stonesprings Hospital Center Dulles$3,4881.8×62026-09-01
Inova Alexandria Hospital Alexandria$3,5291.8×72026-04-01
Inova Loudoun Hospital Leesburg$3,5291.8×72026-04-01
Inova Fairfax Hospital Falls Church$3,5291.8×72026-04-01
Inova Fair Oaks Hospital Fairfax$3,5291.8×72026-04-01
Inova Mount Vernon Hospital Alexandria$3,5291.8×72026-04-01
Augusta Health Fishersville$3,5331.9×32026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$4,1462.2×62026-09-01
Henrico Doctors' Hospital Richmond$4,1772.2×62026-09-01
Tricities Hospital Hopewell$4,8162.6×52026-09-01
Lewisgale Hospital Montgomery Blacksburg$5,0512.7×32026-09-01
Lewisgale Hospital Pulaski Pulaski$5,0512.7×32026-09-01
Lewisgale Hospital Alleghany Low Moor$5,0512.7×32026-09-01
Sentara Obici Hospital Suffolk$5,1692.8×32026-04-01
Sentara Leigh Hospital Norfolk$5,1692.8×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$5,1692.8×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$5,2022.8×32026-04-01
Sentara Norfolk General Hospital Norfolk$5,2262.8×32026-04-01
Lewisgale Medical Center Salem$5,6583.0×22026-09-01
Sentara Careplex Hospital Hampton$5,7273.1×22026-04-01
Sentara Rmh Medical Center Harrisonburg$5,9043.1×12026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$5,9943.2×22026-04-01
Sentara Halifax Regional Hospital South Boston$6,5033.5×12026-04-01
Carilion Roanoke Memorial Hospital Roanoke$6,9843.7×12025-12-15
Carilion New River Valley Medical Center Christiansburg$8,1534.4×12025-12-15
Carilion Rockbridge Community Hospital Lexington$8,9554.8×12025-12-15
Carilion Franklin Memorial Hospital Rocky Mount$9,4035.0×12025-12-15
Carilion Giles Community Hospital Pearisburg$9,8925.3×12025-12-15

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Inova Alexandria Hospital Alexandria$2,8571.4×72026-04-01
Inova Loudoun Hospital Leesburg$2,8571.4×72026-04-01
Inova Fairfax Hospital Falls Church$2,8571.4×72026-04-01
Inova Fair Oaks Hospital Fairfax$2,8571.4×72026-04-01
Inova Mount Vernon Hospital Alexandria$2,8571.4×72026-04-01
Sentara Martha Jefferson Hospital Charlottesville$2,9731.6×42026-04-01
Sentara Northern Virginia Medical Center Woodbridge$3,1271.6×42026-04-01
Spotsylvania Regional Medical Center Fredericksburg$3,2731.6×52026-09-01
Reston Hospital Center Reston$3,4801.8×62026-09-01
Stonesprings Hospital Center Dulles$3,4881.8×62026-09-01
Augusta Health Fishersville$3,5331.9×32026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$4,1462.2×62026-09-01
Henrico Doctors' Hospital Richmond$4,1772.2×62026-09-01
Tricities Hospital Hopewell$4,8162.6×52026-09-01
Lewisgale Hospital Montgomery Blacksburg$5,0512.7×32026-09-01
Lewisgale Hospital Pulaski Pulaski$5,0512.7×32026-09-01
Lewisgale Hospital Alleghany Low Moor$5,0512.7×32026-09-01
Sentara Obici Hospital Suffolk$5,1692.8×32026-04-01
Sentara Leigh Hospital Norfolk$5,1692.8×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$5,1692.8×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$5,2022.8×32026-04-01
Sentara Norfolk General Hospital Norfolk$5,2262.8×32026-04-01
Lewisgale Medical Center Salem$5,6583.0×22026-09-01
Sentara Careplex Hospital Hampton$5,7273.1×22026-04-01
Sentara Rmh Medical Center Harrisonburg$5,9043.1×12026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$5,9943.2×22026-04-01
Sentara Halifax Regional Hospital South Boston$6,5033.5×12026-04-01
Carilion Roanoke Memorial Hospital Roanoke$6,9843.7×12025-12-15
Carilion New River Valley Medical Center Christiansburg$8,1534.4×12025-12-15
Carilion Rockbridge Community Hospital Lexington$8,9554.8×12025-12-15
Carilion Franklin Memorial Hospital Rocky Mount$9,4035.0×12025-12-15
Carilion Giles Community Hospital Pearisburg$9,8925.3×12025-12-15

Questions

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

32 Virginia hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 32 hospitals is $5,220, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.