CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: University Hospitals Samaritan Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$791
about 0.9× the $927 Medicare rate · typically $784–$945
modeled estimate · not a bill or quote
What this hospital charges insurers
$784
About the fair price
about $7 under the fair price · 0.8× Medicare
Medicare pays $927 Fair price $791 This hospital $784 Cash price $1,998 Hospital's list price $2,664

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $175 Priciest $784

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

A fair price for a Upper endoscopy with biopsy is about $791 (about 0.9× the $927 Medicare rate). University Hospitals Samaritan Medical Center charges insurers about $784, or about $1,998 in cash — about the fair price. Located in Ashland, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $784 - $2,456 85%
Blue Cross Blue Shieldmajor $784 - $2,406 85%
Aetnamajor $784 - $2,286 85%
Cignamajor $784 - $2,456 85%
Humanamajor $784 85%
Ambetter (Centene) $1,411 152%
CareSource $1,411 152%
Devoted Health $784 85%
Health Net $2,264 244%
Medical Mutual $943 - $2,640 102%
Molina $784 85%
Paramount $807 87%
WellCare $784 85%
+ 19 smaller / regional plans $784 - $2,424
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals