CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Olean General Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,171
about 1.3× the $927 Medicare rate · typically $750–$1,340
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,141
About the fair price
about $30 under the fair price · 1.2× Medicare
Medicare pays $927 Fair price $1,171 This hospital $1,141

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $110 Priciest $1,141

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

A fair price for a Upper endoscopy with biopsy is about $1,171 (about 1.3× the $927 Medicare rate). Olean General Hospital charges insurers about $1,141 — about the fair price. Located in Olean, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $2,167 234%
Blue Cross Blue Shieldmajor $209 - $3,645 23%
Aetnamajor $1,132 - $1,200 122%
Cignamajor $959 103%
Fidelis Care $1,019 - $1,472 110%
Geisinger $1,189 128%
Independent Health $911 - $1,297 98%
UPMC Health Plan $1,082 - $1,177 117%
+ 1 smaller / regional plan $139 - $2,227

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Facility Profile & Credentials

  • Address: 515 Main Street, Olean, NY 14760
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals