CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Southeastern Ohio Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$904
about 1.0× the $927 Medicare rate · typically $867–$978
modeled estimate · not a bill or quote
What this hospital charges insurers
$867
About the fair price
about $37 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $904 This hospital $867 Cash price $2,222 Hospital's list price $3,419

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 $867

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 $904 (about 1.0× the $927 Medicare rate). Southeastern Ohio Regional Medical Center charges insurers about $867, or about $2,222 in cash — about the fair price. Located in Cambridge, OH.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $858 93%
CareSource $867 94%
+ 1 smaller / regional plan $892

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: 1341 North Clark Street, Cambridge, OH 43725
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals