CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Lodi Community Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,077
about 1.2× the $927 Medicare rate · typically $243–$1,414
modeled estimate · not a bill or quote
What this hospital charges insurers
$959
Below the fair price — a good deal
about $118 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $1,077 This hospital $959

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 $959

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 $1,077 (about 1.2× the $927 Medicare rate). Lodi Community Hospital charges insurers about $959 — below the fair price — a good deal. Located in Lodi, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $911 - $1,007 98%
Blue Cross Blue Shieldmajor $938 - $1,007 101%
AmeriHealth $1,055 114%
CareSource $959 103%
Molina $1,007 109%
+ 1 smaller / regional plan $959

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Facility Profile & Credentials

  • Address: 225 Elyria Street, Lodi, OH 44254
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals