▸ Compare · PriceTransparency
Upper GI endoscopy diagnostic
CPT 43235 · negotiated-rate distribution across hospitals in CA
Hospitals
38
Min
$364.00
Median
$1,160.81
Max
$5,603.00
Range multiplier
15.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 35 | 124 | $204.47 | $2,382.67 | $61,772 | 302.1× |
| Anthem BCBS | 30 | 110 | $204.47 | $1,288.77 | $10,965 | 53.6× |
| UnitedHealthcare | 24 | 79 | $405.42 | $4,390.00 | $252,199 | 622.1× |
| Medicaid | 22 | 71 | $318.26 | $567.59 | $2,025.10 | 6.4× |
| Aetna | 31 | 57 | $204.47 | $2,272.00 | $30,886 | 151.1× |
| Health Net | 16 | 47 | $224.87 | $1,160.81 | $4,209.00 | 18.7× |
| Medicare | 30 | 46 | $204.47 | $1,142.58 | $3,541.10 | 17.3× |
| Kaiser Permanente | 28 | 43 | $204.47 | $983.94 | $2,334.05 | 11.4× |
| Cigna | 20 | 39 | $133.12 | $3,968.00 | $9,344.00 | 70.2× |
| Molina | 10 | 27 | $321.48 | $1,160.81 | $61,772 | 192.1× |
| Humana | 22 | 24 | $204.47 | $1,037.37 | $8,864.00 | 43.4× |
| brand new day | 6 | 12 | $1,172.42 | $1,456.82 | $1,741.22 | 1.5× |
| TRICARE | 6 | 11 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| Empire BCBS | 2 | 8 | $466.15 | $1,160.81 | $1,451.01 | 3.1× |
| citrus valley physicians group | 2 | 6 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| traditional medi-cal | 6 | 6 | $321.48 | $321.48 | $321.48 | 1.0× |
| ucsd [807] | 1 | 6 | $522.29 | $716.70 | $731.20 | 1.4× |
| aids healthcare foundation | 2 | 6 | $321.48 | $1,160.81 | $1,184.03 | 3.7× |
| emanate health | 2 | 6 | $1,160.81 | $1,160.81 | $2,321.62 | 2.0× |
| employer direct healthcare | 5 | 5 | $1,625.13 | $1,625.13 | $1,625.13 | 1.0× |
| First Health | 5 | 5 | $817.88 | $1,483.32 | $4,047.00 | 4.9× |
| renal payer solutions | 5 | 5 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| commercial | hill physicians | all plans | 5 | 5 | $1,142.58 | $1,142.58 | $1,142.58 | 1.0× |
| Bright Health | 4 | 4 | $882.00 | $1,135.10 | $1,249.53 | 1.4× |
| community health group | 2 | 4 | $1,981.81 | $2,419.44 | $2,917.56 | 1.5× |
| alignment | 4 | 4 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| vantage care | 2 | 4 | $321.48 | $741.15 | $1,160.81 | 3.6× |
| naphcare | 3 | 4 | $1,799.26 | $1,799.26 | $1,799.26 | 1.0× |
| Multiplan | 4 | 4 | $224.87 | $1,111.20 | $1,483.32 | 6.6× |
| commercial | connected care intel | all plans | 3 | 3 | $7,009.00 | $7,009.00 | $8,864.00 | 1.3× |
| managed health network | 3 | 3 | $1,160.81 | $1,160.81 | $2,668.50 | 2.3× |
| blue card (out of state) [40000] | 1 | 3 | $277.71 | $277.71 | $466.52 | 1.7× |
| l.a care health plan | 1 | 3 | $321.48 | $1,160.81 | $1,160.81 | 3.6× |
| la care health plan | 1 | 3 | $321.48 | $1,160.81 | $1,160.81 | 3.6× |
| claritev [13400] | 1 | 3 | $283.71 | $403.20 | $403.20 | 1.4× |
| umr [17000] | 1 | 3 | $448.86 | $614.31 | $614.31 | 1.4× |
| shca comm intel [20300000] | 1 | 3 | $277.71 | $277.71 | $466.52 | 1.7× |
| beech st [10600] | 1 | 3 | $283.71 | $403.20 | $403.20 | 1.4× |
| imperial health plan of ca | 3 | 3 | $1,230.46 | $1,230.46 | $1,230.46 | 1.0× |
| commercial | mhn | all plans | 3 | 3 | $1,033.55 | $1,235.50 | $1,235.50 | 1.2× |
| central health plan | 3 | 3 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| american specialty health plan alt payer [971000000] | 1 | 3 | $667.38 | $765.26 | $765.26 | 1.1× |
| health plan of san mateo [31200] | 1 | 3 | $140.08 | $196.11 | $196.11 | 1.4× |
| private healthcare systems (phcs) [14200] | 1 | 3 | $283.71 | $403.20 | $403.20 | 1.4× |
| indian health council | 2 | 3 | $1,209.72 | $2,739.66 | $2,917.56 | 2.4× |
| commercial | epic health | all plans | 2 | 2 | $1,348.05 | $1,348.05 | $1,348.05 | 1.0× |
| elite health plan | 2 | 2 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| interplan | 2 | 2 | $1.15 | $854.50 | $1,707.84 | 1485.1× |
| corvel | 2 | 2 | $1,323.32 | $1,388.03 | $1,452.73 | 1.1× |
| commercial | valley care ipa | all plans | 2 | 2 | $991.00 | $991.00 | $991.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Bernardine Medical Center | San Bernardino | CA | 11 | — | — | $405.42 | $999.00 | $19,284 |
| St Elizabeth Community Hosptial | Red Bluff | CA | 7 | — | — | $446.86 | $983.94 | $1,285.91 |
| Mercy Medical Center Merced | Merced | CA | 9 | — | — | $357.41 | $982.43 | $12,552 |
| St. Mary Medical Center | Apple Valley | CA | 11 | — | — | $337.55 | $968.65 | $7,322.00 |
| Community Hospital Of San Bernardino | San Bernardino | CA | 13 | — | — | $405.42 | $961.95 | $9,063.00 |
| Pacifica Hospital Of The Valley | Sun Valley | CA | 13 | $61,772 | $61,772 | $672.00 | $861.00 | $61,772 |
| Scripps Mercy Hospital | San Diego | CA | 13 | $2,901.60 | $725.40 | $522.29 | $731.20 | $2,486.67 |
| Mark Twain Medical Center | San Andreas | CA | 12 | $889.00 | $622.30 | $204.47 | $632.48 | $871.22 |
| Dominican Hospital | Santa Cruz | CA | 9 | — | — | $405.42 | $5,603.00 | $10,965 |
| Methodist Hospital Of Sacramento | Sacramento | CA | 11 | — | — | $405.42 | $4,530.00 | $11,836 |
| Stanford Health Care | Stanford | CA | 14 | $1,607.00 | $803.50 | $133.12 | $403.20 | $765.26 |
| Mercy Medical Center Mt. Shasta | Mt. Shasta | CA | 7 | — | — | $364.00 | $364.00 | $1,285.91 |
| Mercy Hospital Of Folsom | Folsom | CA | 10 | — | — | $405.42 | $3,143.69 | $10,296 |
| Marian Medical Center | Santa Maria | CA | 10 | — | — | $405.42 | $3,137.00 | $9,264.00 |
| Woodland Healthcare | Woodland | CA | 7 | — | — | $405.42 | $2,720.68 | $6,280.00 |
| St. Johns Regional Medical Center | Oxnard | CA | 11 | — | — | $490.56 | $2,641.05 | $16,750 |
| Grossmont Hospital | La Mesa | CA | 3 | $3,558.00 | $2,668.50 | $1,779.00 | $2,535.08 | $2,917.56 |
| Mercy San Juan Medical Center | Carmichael | CA | 11 | — | — | $405.42 | $2,365.92 | $252,199 |
| Sharp Chula Vista Medical Center | Chula Vista | CA | 11 | $3,558.00 | $2,668.50 | $1.15 | $2,315.19 | $2,917.56 |
| Sharp Memorial Hospital | San Diego | CA | 17 | $3,558.00 | $2,668.50 | $1.15 | $2,152.59 | $2,917.56 |
| St. Johns Pleasant Valley Hospital | Camarillo | CA | 11 | — | — | $405.42 | $2,025.10 | $16,750 |
| Glendale Memorial Hospital & Hlth Ct | Glendale | CA | 6 | — | — | $369.70 | $1,984.20 | $7,244.00 |
| Central Valley Specialty Hospital | Modesto | CA | 6 | $2,592.00 | $2,592.00 | $648.00 | $1,944.00 | $2,203.20 |
| Mercy General Hospital | Sacramento | CA | 11 | — | — | $405.42 | $1,703.91 | $18,443 |
| Saint Francis Memorial Hospital | San Francisco | CA | 15 | — | — | $395.26 | $1,459.18 | $8,443.00 |
| Sequoia Hospital | Redwood City | CA | 12 | — | — | $388.13 | $1,244.53 | $10,333 |
| St. Marys Medical Center | San Francisco | CA | 13 | — | — | $388.13 | $1,235.50 | $8,811.00 |
| Garden Grove Hospital Medical Center | Garden Grove | CA | 19 | $6,196.80 | $1,160.00 | $321.48 | $1,160.81 | $1,799.26 |
| Encino Hospital | Encino | CA | 27 | $2,230.47 | $1,160.00 | $321.48 | $1,160.81 | $1,741.22 |
| Huntington Beach Hospital | Huntington Beach | CA | 16 | $6,196.80 | $1,160.00 | $321.48 | $1,160.81 | $1,741.22 |
| Chino Valley Medical Center | Chino | CA | 25 | $6,026.29 | $1,160.00 | $321.48 | $1,160.81 | $2,321.62 |
| Sherman Oaks Hospital-Hlth | Sherman Oaks | CA | 30 | $2,112.00 | $1,160.00 | $321.48 | $1,160.81 | $1,799.26 |
| Montclair Hospital Medical Center | Montclair | CA | 24 | $10,179 | $1,160.00 | $321.48 | $1,160.81 | $2,321.62 |
| Sierra Nevada Memorial Hospital | Grass Valley | CA | 9 | — | — | $405.42 | $1,142.58 | $11,058 |
| St. Josephs Behavioral Hlth Center | Stockton | CA | 2 | — | — | $1,081.30 | $1,081.30 | $1,081.30 |
| St. Josephs Medical Center | Stockton | CA | 2 | — | — | $1,081.30 | $1,081.30 | $1,081.30 |
| Bakersfield Memorial Hospital | Bakersfield | CA | 11 | — | — | $405.42 | $1,037.66 | $9,954.00 |
| Northridge Medical Center - Roscoe | Northridge | CA | 12 | — | — | $385.77 | $1,033.55 | $11,879 |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.