CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Bellevue Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$865
about 0.9× the $927 Medicare rate · typically $768–$999
modeled estimate · not a bill or quote
What this hospital charges insurers
$868
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $927 Fair price $865 This hospital $868 Cash price $874 Hospital's list price $2,299

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 $868

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 $865 (about 0.9× the $927 Medicare rate). Bellevue Hospital charges insurers about $868, or about $874 in cash — about the fair price. Located in Bellevue, 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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $868 94%
Blue Cross Blue Shieldmajor $868 94%
Aetnamajor $868 94%
Ambetter (Centene) $1,042 112%
CareSource $998 108%
Molina $868 94%
+ 2 smaller / regional plans $868 - $1,215

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Facility Profile & Credentials

  • Address: 1400 West Main Street, Bellevue, OH 44811
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals