CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: University Hospitals Conneaut Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,255
about 1.4× the $927 Medicare rate · typically $281–$2,147
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,270
Well above the fair price
about $1,015 over the fair price · 2.4× Medicare
Medicare pays $927 Fair price $1,255 This hospital $2,270 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 $2,270

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 $1,255 (about 1.4× the $927 Medicare rate). University Hospitals Conneaut Medical Center charges insurers about $2,270, or about $2,441 in cash — well above the fair price. Located in Conneaut, 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 $1,255. 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 $1,009 - $2,013 109%
Blue Cross Blue Shieldmajor $1,009 - $3,255 109%
Aetnamajor $1,009 - $3,602 109%
Cignamajor $1,009 - $2,526 109%
Humanamajor $1,009 109%
Ambetter (Centene) $1,816 196%
CareSource $1,816 196%
Devoted Health $1,009 109%
Health Net $2,767 299%
Medical Mutual $1,009 - $3,069 109%
Molina $1,009 109%
Paramount $1,039 112%
WellCare $1,009 109%
+ 19 smaller / regional plans $1,009 - $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: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals