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Upper endoscopic ultrasound in West Virginia: what insurers pay

Posted commercial rates at 8 West Virginia hospitals, each next to its own Medicare base rate.

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CPT 43259

HospitalMedian across insurers× MedicareInsurersFile date
Cabell Huntington Hospital, Inc Huntington$2,1061.1×12026-01-01
Wheeling Hospital, Inc Wheeling$2,6521.4×42026-07-09
Camden Clark Medical Center Parkersburg$3,2051.7×12026-07-09
Berkeley Medical Center Martinsburg$3,2321.8×12026-07-09
Thomas Memorial Hospital South Charleston$6,2383.4×22026-07-10
St Mary'S Medical Center Huntington$7,6804.2×22026-01-01
Logan Regional Medical Center Logan$12,7756.9×12026-04-01

CPT 43242

HospitalMedian across insurers× MedicareInsurersFile date
Mon Health Medical Center Morgantown$1,6100.9×12026-04-10
Cabell Huntington Hospital, Inc Huntington$2,1061.1×12026-01-01
Wheeling Hospital, Inc Wheeling$2,6521.4×42026-07-09
Berkeley Medical Center Martinsburg$3,2321.8×12026-07-09
Thomas Memorial Hospital South Charleston$6,2383.4×22026-07-10
St Mary'S Medical Center Huntington$7,6804.2×22026-01-01
Logan Regional Medical Center Logan$12,7756.9×12026-04-01

CPT 43237

HospitalMedian across insurers× MedicareInsurersFile date
Cabell Huntington Hospital, Inc Huntington$2,1061.1×12026-01-01
Wheeling Hospital, Inc Wheeling$2,6521.4×42026-07-09
Berkeley Medical Center Martinsburg$3,2321.8×12026-07-09
Thomas Memorial Hospital South Charleston$6,2383.4×22026-07-10
St Mary'S Medical Center Huntington$7,6804.2×22026-01-01
Logan Regional Medical Center Logan$12,7756.9×12026-04-01

Questions

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

8 West Virginia hospitals post usable commercial rates for upper endoscopic ultrasound in their federal price-transparency files. For CPT 43259, hospital outpatient, the median across 7 hospitals is $3,232, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.