▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in OH
Hospitals
27
Min
$348.75
Median
$1,643.20
Max
$3,844.40
Range multiplier
11.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| medical mutual of ohio | 17 | 111 | $651.00 | $1,589.48 | $4,138.77 | 6.4× |
| Aetna | 20 | 92 | $137.00 | $1,547.10 | $4,349.66 | 31.7× |
| Anthem BCBS | 18 | 91 | $158.10 | $2,167.51 | $4,433.00 | 28.0× |
| UnitedHealthcare | 20 | 76 | $87.33 | $967.30 | $3,959.73 | 45.3× |
| Cigna | 19 | 69 | $404.55 | $1,781.90 | $3,783.99 | 9.4× |
| ohio health choice | 18 | 66 | $325.50 | $2,397.60 | $4,371.63 | 13.4× |
| First Health | 19 | 41 | $362.70 | $2,622.80 | $4,305.73 | 11.9× |
| healthsmart | 17 | 40 | $255.75 | $2,054.00 | $4,668.20 | 18.3× |
| Medicare | 2 | 38 | $121.55 | $852.47 | $1,463.01 | 12.0× |
| the health plan | 18 | 37 | $158.10 | $2,085.60 | $3,844.40 | 24.3× |
| Multiplan | 17 | 34 | $2,397.60 | $2,844.00 | $5,217.40 | 2.2× |
| summacare | 16 | 33 | $158.10 | $869.16 | $2,663.77 | 16.8× |
| ohio preferred network | 16 | 32 | $348.75 | $2,844.00 | $3,284.10 | 9.4× |
| immergrun | 15 | 30 | $1,332.00 | $1,580.00 | $2,189.40 | 1.6× |
| amish aid community plan | 15 | 30 | $1,225.44 | $1,453.60 | $1,824.50 | 1.5× |
| amish church fund and workers aid plan | 15 | 30 | $1,225.44 | $1,453.60 | $1,824.50 | 1.5× |
| beech street | 15 | 30 | $2,131.20 | $2,844.00 | $3,284.10 | 1.5× |
| buckeye plain ministries | 15 | 30 | $1,225.44 | $1,453.60 | $1,824.50 | 1.5× |
| private healthcare system | 15 | 30 | $2,291.04 | $2,717.60 | $3,138.14 | 1.4× |
| century health network | 15 | 30 | $2,264.40 | $2,686.00 | $3,101.65 | 1.4× |
| christian healthcare ministries | 15 | 30 | $1,332.00 | $1,580.00 | $1,824.50 | 1.4× |
| clarity | 15 | 30 | $1,516.80 | $1,516.80 | $2,554.30 | 1.7× |
| configurenet | 15 | 30 | $2,397.60 | $2,844.00 | $3,284.10 | 1.4× |
| fortified provider network | 15 | 30 | $2,397.60 | $2,844.00 | $3,284.10 | 1.4× |
| Humana | 20 | 27 | $121.55 | $869.16 | $5,217.40 | 42.9× |
| medical mutual traditional/health ohio | 11 | 22 | $1,864.80 | $2,212.00 | $2,554.30 | 1.4× |
| aultcare | 16 | 22 | $158.10 | $1,738.00 | $2,408.34 | 15.2× |
| Molina | 18 | 21 | $158.10 | $869.16 | $2,476.89 | 15.7× |
| CareSource | 16 | 18 | $161.27 | $1,564.48 | $1,970.46 | 12.2× |
| transplants-case rates [5750] | 1 | 17 | $595.00 | $765.00 | $1,401.82 | 2.4× |
| jp farley | 14 | 16 | $1,485.20 | $1,529.85 | $2,397.60 | 1.6× |
| Ambetter | 15 | 16 | $1,171.80 | $1,564.48 | $2,043.44 | 1.7× |
| sunrise plan communities | 8 | 16 | $1,580.00 | $1,580.00 | $1,627.50 | 1.0× |
| perennial advantage of ohio | 15 | 15 | $683.55 | $912.61 | $1,059.50 | 1.5× |
| primetime health plan | 15 | 15 | $651.00 | $869.16 | $1,009.05 | 1.5× |
| Medicaid | 2 | 15 | $87.33 | $512.85 | $1,700.00 | 19.5× |
| valor health plans | 15 | 15 | $683.55 | $912.61 | $1,059.50 | 1.5× |
| WellCare | 15 | 15 | $651.00 | $869.16 | $1,009.05 | 1.5× |
| paramount | 15 | 15 | $670.53 | $895.23 | $1,039.32 | 1.5× |
| university health employee plan (contigo) | 13 | 14 | $1,786.00 | $1,857.44 | $1,857.44 | 1.0× |
| devoted health | 14 | 14 | $651.00 | $869.16 | $869.16 | 1.3× |
| sunrise plain communities | 7 | 14 | $1,332.00 | $1,824.50 | $1,824.50 | 1.4× |
| enterprise group planning | 4 | 8 | $2,043.44 | $2,043.44 | $2,554.30 | 1.3× |
| health ohio network | 4 | 8 | $2,116.42 | $2,116.42 | $2,444.83 | 1.2× |
| Blue Cross Blue Shield | 2 | 7 | $218.37 | $1,153.42 | $1,666.00 | 7.6× |
| medical mutual | 1 | 5 | $158.10 | $316.20 | $339.45 | 2.1× |
| commercial-contracted [8000] | 1 | 4 | $816.00 | $1,133.48 | $1,275.00 | 1.6× |
| ohio ppo connect | 2 | 4 | $3,844.40 | $3,844.40 | $3,844.40 | 1.0× |
| integrated health plan | 1 | 2 | $5,217.40 | $5,217.40 | $5,217.40 | 1.0× |
| medical mutual of ohio supermed | 1 | 2 | $4,138.77 | $4,138.77 | $4,138.77 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Adams County Regional Medical Center | Seaman | OH | 10 | $1,700.00 | $1,020.00 | $234.00 | $901.68 | $1,700.00 |
| St. Lukes Hospital | Maumee | OH | 12 | $4,467.61 | $2,233.81 | $87.33 | $450.00 | $1,463.01 |
| Adena Regional Medical Center | Chillicothe | OH | 21 | $5,492.00 | $2,746.00 | $893.40 | $3,844.40 | $5,217.40 |
| Fayette County Memorial Hosp | Washington Court House | OH | 18 | $5,492.00 | $2,746.00 | $1,867.28 | $3,641.20 | $6,205.96 |
| Twin City Hospital | Dennison | OH | 16 | $465.00 | $230.64 | $137.00 | $348.75 | $4,072.01 |
| Rainbow Babies & Childrens Hospital | Cleveland | OH | 40 | $3,649.00 | $2,736.75 | $869.16 | $2,309.82 | $3,284.10 |
| Uh Samaritan Medical Center | Ashland | OH | 38 | $2,664.00 | $1,998.00 | $783.89 | $2,237.76 | $2,640.02 |
| Uh Geneva Medical Center | Geneva | OH | 37 | $3,255.00 | $2,441.25 | $651.00 | $2,115.75 | $3,601.91 |
| Uh Conneaut Medical Center | Conneaut | OH | 38 | $3,255.00 | $2,441.25 | $1,009.05 | $2,064.43 | $3,601.91 |
| University Hospitals Rehab Hospital | Beachwood | OH | 40 | $3,649.00 | $2,736.75 | $869.16 | $2,043.44 | $3,284.10 |
| Uh Cleveland Medical Center | Cleveland | OH | 40 | $3,649.00 | $2,736.75 | $869.16 | $2,043.44 | $3,284.10 |
| University Hospitals Avon Rehab Hosp | Avon | OH | 40 | $3,649.00 | $2,736.75 | $869.16 | $2,043.44 | $3,284.10 |
| Uh Ahuja Medical Center | Beachwood | OH | 38 | $3,160.00 | $2,370.00 | $729.96 | $1,643.20 | $3,601.91 |
| Uh Regional Hospitals | Richmond Heights | OH | 37 | $3,160.00 | $2,370.00 | $815.28 | $1,611.60 | $3,601.91 |
| Uh Geauga Medical Center | Chardon | OH | 37 | $3,160.00 | $2,370.00 | $815.28 | $1,611.60 | $3,601.91 |
| Uh St. John Medical Center | Westlake | OH | 38 | $3,160.00 | $2,370.00 | $859.52 | $1,587.90 | $3,601.91 |
| Uh Parma Medical Center | Parma | OH | 37 | $3,160.00 | $2,370.00 | $869.16 | $1,580.00 | $3,601.91 |
| Uh Elyria Medical Center | Elyria | OH | 38 | $3,160.00 | $2,370.00 | $869.16 | $1,580.00 | $3,601.91 |
| Uh Portage Medical Center | Ravenna | OH | 37 | $3,160.00 | $2,370.00 | $758.40 | $1,580.00 | $3,601.91 |
| Lake Hospital System | Concord | OH | 36 | $3,160.00 | $2,370.00 | $869.16 | $1,580.00 | $2,844.00 |
| Harrison Community Hospital | Cadiz | OH | 0 | $301.00 | $150.50 | — | — | — |
| Barnesville Hospital | Barnesville | OH | 0 | $2,677.00 | $1,338.50 | — | — | — |
| Trumbull Memorial Hospital | Warren | OH | 0 | $3,200.00 | $2,560.00 | — | — | — |
| Wayne Hospital Company | Greenville | OH | 0 | $26,923 | $20,192 | — | — | — |
| Bethesda Hospital | Cincinnati | OH | 0 | $2,813.00 | $2,109.75 | — | — | — |
| Good Samaritan Hospital | Cincinnati | OH | 0 | $2,813.00 | $2,109.75 | — | — | — |
| Henry County Hospital (Cah) | Napoleon | OH | 0 | $322.00 | $241.50 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.