CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Hillcrest Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$866
about 0.9× the $927 Medicare rate · typically $507–$1,077
modeled estimate · not a bill or quote
What this hospital charges insurers
$869
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $927 Fair price $866 This hospital $869 Cash price $2,426 Hospital's list price $3,732

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.

A fair price for a Upper endoscopy with biopsy is about $866 (about 0.9× the $927 Medicare rate). Hillcrest Hospital charges insurers about $869, or about $2,426 in cash — about the fair price. Located in Mayfield Heights, 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 $661 - $4,831 71%
Blue Cross Blue Shieldmajor $693 - $2,393 75%
Aetnamajor $869 - $4,001 94%
Cignamajor $895 - $1,784 97%
Humanamajor $869 - $3,172 94%
AmeriHealth $765 83%
CareSource $744 80%
Devoted Health $869 94%
Molina $730 79%
Oscar Health $1,124 - $1,435 121%
Paramount $716 77%
UniCare $913 99%
UPMC Health Plan $869 - $2,239 94%
+ 17 smaller / regional plans $730 - $3,359
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6780 Mayfield Road, Mayfield Heights, OH 44124
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals