CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,294
about 1.4× the $927 Medicare rate · typically $270–$2,033
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,388
Well above the fair price
about $1,094 over the fair price · 2.6× Medicare
Medicare pays $927 Fair price $1,294 This hospital $2,388 Cash price $2,441 Hospital's list price $3,255

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 $2,388

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 $1,294 (about 1.4× the $927 Medicare rate). Uhhs Memorial Hospital of Geneva charges insurers about $2,388, or about $2,441 in cash — well above the fair price. Located in Geneva, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,294. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $651 - $2,251 70%
Blue Cross Blue Shieldmajor $651 - $3,105 70%
Aetnamajor $651 - $3,602 70%
Cignamajor $651 - $2,526 70%
Humanamajor $651 70%
Ambetter (Centene) $1,172 126%
CareSource $1,172 126%
Devoted Health $651 70%
Health Net $2,767 299%
Medical Mutual $651 - $3,255 70%
Molina $651 70%
Paramount $671 72%
WellCare $651 70%
+ 19 smaller / regional plans $651 - $2,930
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 870 West Main Street, Geneva, OH 44041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals