CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: University Hospitals Ahuja Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$862
about 0.9× the $927 Medicare rate · typically $500–$1,128
modeled estimate · not a bill or quote
What this hospital charges insurers
$904
About the fair price
about $42 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $862 This hospital $904 Cash price $2,370 Hospital's list price $3,160

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 $904

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 $862 (about 0.9× the $927 Medicare rate). University Hospitals Ahuja Medical Center charges insurers about $904, or about $2,370 in cash — about the fair price. Located in Beachwood, 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 - $2,205 94%
Blue Cross Blue Shieldmajor $869 - $3,232 94%
Aetnamajor $869 - $3,602 94%
Cignamajor $869 - $2,608 94%
Humanamajor $869 94%
Ambetter (Centene) $1,564 169%
CareSource $1,564 169%
Devoted Health $869 94%
Health Net $2,686 290%
Medical Mutual $730 - $2,212 79%
Molina $869 94%
Paramount $895 97%
WellCare $869 94%
+ 19 smaller / regional plans $869 - $2,844
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3999 Richmond Road, Beachwood, OH 44122
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals