CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Van Wert County Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$994
about 1.1× the $927 Medicare rate · typically $942–$1,039
modeled estimate · not a bill or quote
What this hospital charges insurers
$941
About the fair price
about $53 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $994 This hospital $941 Cash price $1,869 Hospital's list price $2,875

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 $941

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 $994 (about 1.1× the $927 Medicare rate). Van Wert County Hospital charges insurers about $941, or about $1,869 in cash — about the fair price. Located in Van Wert, OH.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $950 103%
Aetnamajor $931 100%
CareSource $941 102%

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Facility Profile & Credentials

  • Address: 1250 S Washington Street, Van Wert, OH 45891
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals