EGD with an ultrasound probe (43259); 43242/43237 with needle biopsy or limited exam. What Medicare pays in each setting, in every state, and where it costs less.
EGD with an ultrasound probe (43259); 43242/43237 with needle biopsy or limited exam.
Every bill for the whole procedure: facility, surgeon, anesthesia and the care around it
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Medicare's 2026 national price for upper endoscopic ultrasound is $1,093 at surgery center; $2,159 at hospital outpatient. Prices vary by area; private insurance usually pays more.
Usually at surgery center ($1,093) rather than hospital outpatient ($2,159), about $1,066 less for the same service at Medicare's national rates.
These are Medicare's payment rates, a public benchmark for a fair price. What you pay depends on your insurance, deductible and the provider. Ask for a written estimate before you book; if you are uninsured or paying yourself, you are entitled to a Good Faith Estimate.