CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Wheeling Hospital, Inc

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$803
about 0.9× the $927 Medicare rate · typically $306–$894
modeled estimate · not a bill or quote
What this hospital charges insurers
$873
About the fair price
about $70 over the fair price · 0.9× Medicare
Medicare pays $927 Fair price $803 This hospital $873 Cash price $1,423 Hospital's list price $2,846

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Highest price of the 9 WV hospitals we have prices for — worth calling around.

Cheapest $99 Priciest $873

Black dot = this hospital, among the 9 WV hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $803 (about 0.9× the $927 Medicare rate). Wheeling Hospital, Inc charges insurers about $873, or about $1,423 in cash — about the fair price. Located in Wheeling, WV.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $952 103%
Blue Cross Blue Shieldmajor $206 - $3,582 22%
Aetnamajor $210 - $917 23%
Humanamajor $917 99%
Geisinger $149 16%
+ 4 smaller / regional plans $149 - $917
Government programs also on file: Medicare, Medicaid.

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: 1 Medical Park, Wheeling, WV 26003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals