CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Uh Cleveland Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$878
about 0.9× the $927 Medicare rate · typically $505–$1,181
modeled estimate · not a bill or quote
What this hospital charges insurers
$869
About the fair price
about $9 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $878 This hospital $869 Cash price $2,737 Hospital's list price $3,649

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 $869

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 $878 (about 0.9× the $927 Medicare rate). Uh Cleveland Medical Center charges insurers about $869, or about $2,737 in cash — about the fair price. Located in Cleveland, 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 $869 - $2,208 94%
Blue Cross Blue Shieldmajor $869 - $2,168 94%
Aetnamajor $869 - $2,872 94%
Cignamajor $869 - $2,043 94%
Humanamajor $869 94%
Ambetter (Centene) $1,564 169%
CareSource $1,564 169%
Devoted Health $869 94%
Health Net $3,102 335%
Medical Mutual $869 - $2,554 94%
Molina $869 94%
Paramount $895 97%
WellCare $869 94%
+ 21 smaller / regional plans $869 - $3,284
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals