CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Oviedo Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,040
about 3.3× the $927 Medicare rate · typically $1,087–$3,194
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,196
About the fair price
about $156 over the fair price · 3.4× Medicare
Medicare pays $927 Fair price $3,040 This hospital $3,196

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $93 Priciest $3,196

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $3,040 (about 3.3× the $927 Medicare rate). Oviedo Medical Center charges insurers about $3,196 — about the fair price. Located in Oviedo, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $3,514 379%
Blue Cross Blue Shieldmajor $2,166 - $5,439 234%
Cignamajor $7,321 790%
AvMed $4,271 - $8,971 461%
Molina $1,950 210%
Oscar Health $3,445 372%
Simply Healthcare $3,440 371%
+ 5 smaller / regional plans $1,950 - $12,500
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals