▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in OH
Hospitals
27
Min
$348.75
Median
$1,643.2
Max
$3,844.4
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 | $1,589.48 | $4,138.77 | 6.4× |
| Aetna | 20 | 92 | $137 | $1,547.1 | $4,349.66 | 31.7× |
| Anthem BCBS | 18 | 91 | $158.1 | $2,167.51 | $4,433 | 28.0× |
| UnitedHealthcare | 20 | 76 | $87.33 | $967.3 | $3,959.73 | 45.3× |
| Cigna | 19 | 69 | $404.55 | $1,781.9 | $3,783.99 | 9.4× |
| ohio health choice | 18 | 66 | $325.5 | $2,397.6 | $4,371.63 | 13.4× |
| First Health | 19 | 41 | $362.7 | $2,622.8 | $4,305.73 | 11.9× |
| healthsmart | 17 | 40 | $255.75 | $2,054 | $4,668.2 | 18.3× |
| Medicare | 2 | 38 | $121.55 | $852.47 | $1,463.01 | 12.0× |
| the health plan | 18 | 37 | $158.1 | $2,085.6 | $3,844.4 | 24.3× |
| Multiplan | 17 | 34 | $2,397.6 | $2,844 | $5,217.4 | 2.2× |
| summacare | 16 | 33 | $158.1 | $869.16 | $2,663.77 | 16.8× |
| ohio preferred network | 16 | 32 | $348.75 | $2,844 | $3,284.1 | 9.4× |
| immergrun | 15 | 30 | $1,332 | $1,580 | $2,189.4 | 1.6× |
| amish aid community plan | 15 | 30 | $1,225.44 | $1,453.6 | $1,824.5 | 1.5× |
| amish church fund and workers aid plan | 15 | 30 | $1,225.44 | $1,453.6 | $1,824.5 | 1.5× |
| beech street | 15 | 30 | $2,131.2 | $2,844 | $3,284.1 | 1.5× |
| buckeye plain ministries | 15 | 30 | $1,225.44 | $1,453.6 | $1,824.5 | 1.5× |
| private healthcare system | 15 | 30 | $2,291.04 | $2,717.6 | $3,138.14 | 1.4× |
| century health network | 15 | 30 | $2,264.4 | $2,686 | $3,101.65 | 1.4× |
| christian healthcare ministries | 15 | 30 | $1,332 | $1,580 | $1,824.5 | 1.4× |
| clarity | 15 | 30 | $1,516.8 | $1,516.8 | $2,554.3 | 1.7× |
| configurenet | 15 | 30 | $2,397.6 | $2,844 | $3,284.1 | 1.4× |
| fortified provider network | 15 | 30 | $2,397.6 | $2,844 | $3,284.1 | 1.4× |
| Humana | 20 | 27 | $121.55 | $869.16 | $5,217.4 | 42.9× |
| medical mutual traditional/health ohio | 11 | 22 | $1,864.8 | $2,212 | $2,554.3 | 1.4× |
| aultcare | 16 | 22 | $158.1 | $1,738 | $2,408.34 | 15.2× |
| Molina | 18 | 21 | $158.1 | $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 | $765 | $1,401.82 | 2.4× |
| jp farley | 14 | 16 | $1,485.2 | $1,529.85 | $2,397.6 | 1.6× |
| Ambetter | 15 | 16 | $1,171.8 | $1,564.48 | $2,043.44 | 1.7× |
| sunrise plan communities | 8 | 16 | $1,580 | $1,580 | $1,627.5 | 1.0× |
| perennial advantage of ohio | 15 | 15 | $683.55 | $912.61 | $1,059.5 | 1.5× |
| primetime health plan | 15 | 15 | $651 | $869.16 | $1,009.05 | 1.5× |
| Medicaid | 2 | 15 | $87.33 | $512.85 | $1,700 | 19.5× |
| valor health plans | 15 | 15 | $683.55 | $912.61 | $1,059.5 | 1.5× |
| WellCare | 15 | 15 | $651 | $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 | $1,857.44 | $1,857.44 | 1.0× |
| devoted health | 14 | 14 | $651 | $869.16 | $869.16 | 1.3× |
| sunrise plain communities | 7 | 14 | $1,332 | $1,824.5 | $1,824.5 | 1.4× |
| enterprise group planning | 4 | 8 | $2,043.44 | $2,043.44 | $2,554.3 | 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 | 7.6× |
| medical mutual | 1 | 5 | $158.1 | $316.2 | $339.45 | 2.1× |
| commercial-contracted [8000] | 1 | 4 | $816 | $1,133.48 | $1,275 | 1.6× |
| ohio ppo connect | 2 | 4 | $3,844.4 | $3,844.4 | $3,844.4 | 1.0× |
| integrated health plan | 1 | 2 | $5,217.4 | $5,217.4 | $5,217.4 | 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 | $1,020 | $234 | $901.68 | $1,700 |
| ST. LUKES HOSPITAL | MAUMEE | OH | 12 | $4,467.61 | $2,233.81 | $87.33 | $450 | $1,463.01 |
| ADENA REGIONAL MEDICAL CENTER | CHILLICOTHE | OH | 21 | $5,492 | $2,746 | $893.4 | $3,844.4 | $5,217.4 |
| FAYETTE COUNTY MEMORIAL HOSP | WASHINGTON COURT HOUSE | OH | 18 | $5,492 | $2,746 | $1,867.28 | $3,641.2 | $6,205.96 |
| TWIN CITY HOSPITAL | DENNISON | OH | 16 | $465 | $230.64 | $137 | $348.75 | $4,072.01 |
| RAINBOW BABIES & CHILDRENS HOSPITAL | CLEVELAND | OH | 40 | $3,649 | $2,736.75 | $869.16 | $2,309.82 | $3,284.1 |
| UH SAMARITAN MEDICAL CENTER | ASHLAND | OH | 38 | $2,664 | $1,998 | $783.89 | $2,237.76 | $2,640.02 |
| UH GENEVA MEDICAL CENTER | GENEVA | OH | 37 | $3,255 | $2,441.25 | $651 | $2,115.75 | $3,601.91 |
| UH CONNEAUT MEDICAL CENTER | CONNEAUT | OH | 38 | $3,255 | $2,441.25 | $1,009.05 | $2,064.43 | $3,601.91 |
| UNIVERSITY HOSPITALS REHAB HOSPITAL | BEACHWOOD | OH | 40 | $3,649 | $2,736.75 | $869.16 | $2,043.44 | $3,284.1 |
| UH CLEVELAND MEDICAL CENTER | CLEVELAND | OH | 40 | $3,649 | $2,736.75 | $869.16 | $2,043.44 | $3,284.1 |
| UNIVERSITY HOSPITALS AVON REHAB HOSP | AVON | OH | 40 | $3,649 | $2,736.75 | $869.16 | $2,043.44 | $3,284.1 |
| UH AHUJA MEDICAL CENTER | BEACHWOOD | OH | 38 | $3,160 | $2,370 | $729.96 | $1,643.2 | $3,601.91 |
| UH REGIONAL HOSPITALS | RICHMOND HEIGHTS | OH | 37 | $3,160 | $2,370 | $815.28 | $1,611.6 | $3,601.91 |
| UH GEAUGA MEDICAL CENTER | CHARDON | OH | 37 | $3,160 | $2,370 | $815.28 | $1,611.6 | $3,601.91 |
| UH ST. JOHN MEDICAL CENTER | WESTLAKE | OH | 38 | $3,160 | $2,370 | $859.52 | $1,587.9 | $3,601.91 |
| UH PARMA MEDICAL CENTER | PARMA | OH | 37 | $3,160 | $2,370 | $869.16 | $1,580 | $3,601.91 |
| UH ELYRIA MEDICAL CENTER | ELYRIA | OH | 38 | $3,160 | $2,370 | $869.16 | $1,580 | $3,601.91 |
| UH PORTAGE MEDICAL CENTER | RAVENNA | OH | 37 | $3,160 | $2,370 | $758.4 | $1,580 | $3,601.91 |
| LAKE HOSPITAL SYSTEM | CONCORD | OH | 36 | $3,160 | $2,370 | $869.16 | $1,580 | $2,844 |
| HARRISON COMMUNITY HOSPITAL | CADIZ | OH | 0 | $301 | $150.5 | — | — | — |
| BARNESVILLE HOSPITAL | BARNESVILLE | OH | 0 | $2,677 | $1,338.5 | — | — | — |
| TRUMBULL MEMORIAL HOSPITAL | WARREN | OH | 0 | $3,200 | $2,560 | — | — | — |
| WAYNE HOSPITAL COMPANY | GREENVILLE | OH | 0 | $26,923 | $20,192 | — | — | — |
| BETHESDA HOSPITAL | CINCINNATI | OH | 0 | $2,813 | $2,109.75 | — | — | — |
| GOOD SAMARITAN HOSPITAL | CINCINNATI | OH | 0 | $2,813 | $2,109.75 | — | — | — |
| HENRY COUNTY HOSPITAL (CAH) | NAPOLEON | OH | 0 | $322 | $241.5 | — | — | — |
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.