CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Lake Health Beachwood 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 $496–$1,114
modeled estimate · not a bill or quote
What this hospital charges insurers
$882
About the fair price
about $22 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $904 This hospital $882

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 $882

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). Lake Health Beachwood Medical Center charges insurers about $882 — 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 - $2,198 94%
Blue Cross Blue Shieldmajor $869 - $1,735 94%
Aetnamajor $869 - $2,905 94%
Cignamajor $869 - $2,618 94%
Humanamajor $869 94%
Ambetter (Centene) $1,564 169%
CareSource $1,564 169%
Devoted Health $869 94%
Medical Mutual $869 94%
Molina $869 - $956 94%
Paramount $895 97%
WellCare $869 94%
+ 6 smaller / regional plans $869 - $1,857

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Facility Profile & Credentials

  • Address: 25501 Chagrin Boulevard, Beachwood, OH 44122
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals