CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Akron Children's Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$329
about 0.4× the $927 Medicare rate · typically $198–$945
modeled estimate · not a bill or quote
What this hospital charges insurers
$337
About the fair price
about $8 over the fair price · 0.4× Medicare
Medicare pays $927 Fair price $329 This hospital $337 Cash price $219 Hospital's list price $365

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

On the higher side — 6 of 8 other OH hospitals charge less.

Cheapest $175 Priciest $499

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 $329 (about 0.4× the $927 Medicare rate). Akron Children's Hospital charges insurers about $337, or about $219 in cash — about the fair price. Located in Akron, 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 $145 - $1,115 16%
Blue Cross Blue Shieldmajor $147 - $1,084 16%
Aetnamajor $144 - $1,084 16%
Cignamajor $191 - $364 21%
Humanamajor $148 - $1,094 16%
AmeriHealth $151 - $1,115 16%
CareSource $147 - $1,063 16%
Molina $147 - $1,084 16%
+ 5 smaller / regional plans $128 - $1,084

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Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens