CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Mercy Health - Fairfield Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,496
about 1.6× the $927 Medicare rate · typically $1,028–$2,325
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,410
About the fair price
about $86 under the fair price · 1.5× Medicare
Medicare pays $927 Fair price $1,496 This hospital $1,410 Cash price $8,594 Hospital's list price $14,324

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 $1,410

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $1,496 (about 1.6× the $927 Medicare rate). Mercy Health - Fairfield Hospital charges insurers about $1,410, or about $8,594 in cash — about the fair price. Located in Fairfield, OH.

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✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $899 - $1,902 97%
Aetnamajor $899 - $1,902 97%
Humanamajor $899 - $1,902 97%
CareSource $917 - $1,941 99%

Self-Pay How to get the cash price

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3000 Mack Road, Fairfield, OH 45014
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals