▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in CA
Hospitals
36
Min
$469.92
Median
$1,244.53
Max
$6,729
Range multiplier
14.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 33 | 119 | $235.98 | $3,290.91 | $10,810 | 45.8× |
| Anthem BCBS | 29 | 111 | $235.98 | $1,343.18 | $10,965 | 46.5× |
| UnitedHealthcare | 26 | 83 | $1 | $4,329 | $252,199 | 252199.0× |
| Medicaid | 23 | 73 | $332.55 | $593.05 | $2,025.1 | 6.1× |
| Aetna | 30 | 61 | $235.98 | $2,813.3 | $23,444 | 99.3× |
| Medicare | 29 | 45 | $235.98 | $1,043.66 | $3,541.1 | 15.0× |
| Kaiser Permanente | 28 | 41 | $235.98 | $1,031.07 | $2,009.5 | 8.5× |
| Cigna | 21 | 38 | $436.36 | $4,340 | $10,553 | 24.2× |
| Health Net | 13 | 37 | $11.43 | $1,632.1 | $5,632 | 492.7× |
| Humana | 24 | 27 | $235.98 | $1,043.66 | $5,786 | 24.5× |
| Molina | 9 | 18 | $335.91 | $1,160.81 | $8,190 | 24.4× |
| Empire BCBS | 2 | 8 | $487.07 | $1,160.81 | $1,451.01 | 3.0× |
| brand new day | 4 | 8 | $1,172.42 | $1,456.82 | $1,741.22 | 1.5× |
| TRICARE | 4 | 7 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| ucsd [807] | 1 | 6 | $2,057.14 | $2,150.65 | $2,225.97 | 1.1× |
| emanate health | 2 | 6 | $1,160.81 | $1,160.81 | $2,321.62 | 2.0× |
| citrus valley physicians group | 2 | 6 | $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× |
| First Health | 5 | 5 | $943.92 | $1,483.32 | $5,435 | 5.8× |
| Bright Health | 4 | 4 | $882 | $1,135.1 | $1,249.53 | 1.4× |
| traditional medi-cal | 4 | 4 | $335.91 | $335.91 | $335.91 | 1.0× |
| vantage care | 2 | 4 | $335.91 | $748.36 | $1,160.81 | 3.5× |
| uh [819] | 1 | 3 | $441.56 | $649.35 | $2,207.79 | 5.0× |
| community health group | 1 | 3 | $1,366.46 | $1,929.12 | $2,692.73 | 2.0× |
| hn [815] | 1 | 3 | $462.34 | $641.56 | $2,103.89 | 4.6× |
| employer direct healthcare | 3 | 3 | $1,625.13 | $1,625.13 | $1,625.13 | 1.0× |
| veba med grp [813] | 1 | 3 | $524.67 | $654.54 | $2,225.97 | 4.2× |
| central health plan | 3 | 3 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| imperial health plan of ca | 3 | 3 | $1,230.46 | $1,230.46 | $1,230.46 | 1.0× |
| commercial | connected care intel | all plans | 3 | 3 | $5,786 | $9,384 | $9,384 | 1.6× |
| renal payer solutions | 3 | 3 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| naphcare | 2 | 3 | $1,799.26 | $1,799.26 | $1,799.26 | 1.0× |
| Multiplan | 3 | 3 | $1,005.48 | $1,125.32 | $2,813.3 | 2.8× |
| commercial | mhn | all plans | 3 | 3 | $1,033.55 | $1,235.5 | $1,235.5 | 1.2× |
| workers compensation | 2 | 2 | $1,529.19 | $1,529.19 | $1,529.19 | 1.0× |
| alignment | 2 | 2 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| california health and wellness | 2 | 2 | $2,564.12 | $2,829.38 | $3,094.63 | 1.2× |
| caloptima | 2 | 2 | $335.91 | $335.91 | $335.91 | 1.0× |
| care 1st health plan | 1 | 2 | $840 | $840 | $840 | 1.0× |
| choice physicians network | 2 | 2 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| commercial | epic health | all plans | 2 | 2 | $1,348.05 | $1,348.05 | $1,348.05 | 1.0× |
| commercial | la care | all plans | 2 | 2 | $1,160.83 | $1,199.06 | $1,237.28 | 1.1× |
| commercial | naphcare | all plans | 2 | 2 | $1,873.97 | $1,880.16 | $1,886.35 | 1.0× |
| commercial | sutter health | all plans | 2 | 2 | $3,832.94 | $3,864.08 | $3,895.22 | 1.0× |
| commercial | valley care ipa | all plans | 2 | 2 | $991 | $991 | $991 | 1.0× |
| epic health plan | 2 | 2 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| interplan | 2 | 2 | $1.1 | $1,809.1 | $3,617.1 | 3288.3× |
| neighborhood | 2 | 2 | $1,184.03 | $1,184.03 | $1,184.03 | 1.0× |
| prime healthcare services | 1 | 2 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| rios | 2 | 2 | $1,102.77 | $1,102.77 | $1,102.77 | 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 | — | — | $423.61 | $999 | $19,284 |
| ST ELIZABETH COMMUNITY HOSPTIAL | RED BLUFF | CA | 7 | — | — | $466.91 | $983.94 | $1,343.63 |
| 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 |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | SAN BERNARDINO | CA | 13 | — | — | $423.61 | $961.95 | $9,063 |
| PACIFICA HOSPITAL OF THE VALLEY | SUN VALLEY | CA | 13 | $8,190 | $8,190 | $672 | $861 | $8,190 |
| MARK TWAIN MEDICAL CENTER | SAN ANDREAS | CA | 12 | $1,026 | $718.2 | $235.98 | $729.95 | $1,005.48 |
| DOMINICAN HOSPITAL | SANTA CRUZ | CA | 9 | — | — | $423.61 | $6,729 | $23,444 |
| MERCY MEDICAL CENTER MT. SHASTA | MT. SHASTA | CA | 7 | — | — | $406.45 | $469.92 | $1,343.63 |
| METHODIST HOSPITAL OF SACRAMENTO | SACRAMENTO | CA | 11 | — | — | $423.61 | $4,530 | $11,836 |
| MERCY HOSPITAL OF FOLSOM | FOLSOM | CA | 10 | — | — | $423.61 | $3,918 | $10,296 |
| WOODLAND HEALTHCARE | WOODLAND | CA | 7 | — | — | $423.61 | $3,640.91 | $7,034 |
| MARIAN MEDICAL CENTER | SANTA MARIA | CA | 10 | — | — | $423.61 | $3,137 | $9,264 |
| ARROYO GRANDE COMMUNITY HOSPITAL | ARROYO GRANDE | CA | 9 | — | — | $423.61 | $3,137 | $10,920 |
| MERCY SAN JUAN MEDICAL CENTER | CARMICHAEL | CA | 11 | — | — | $423.61 | $2,878 | $252,199 |
| CENTRAL VALLEY SPECIALTY HOSPITAL | MODESTO | CA | 6 | $3,801.39 | $3,801.39 | $950.35 | $2,851.04 | $3,231.18 |
| SHARP MEMORIAL HOSPITAL | SAN DIEGO | CA | 10 | $4,019 | $3,014.25 | $1 | $2,813.3 | $3,617.1 |
| GLENDALE MEMORIAL HOSPITAL & HLTH CT | GLENDALE | CA | 6 | — | — | $386.3 | $2,655.32 | $7,244 |
| ST. JOHNS REGIONAL MEDICAL CENTER | OXNARD | CA | 11 | — | — | $512.57 | $2,641.05 | $16,750 |
| GROSSMONT HOSPITAL | LA MESA | CA | 10 | $4,019 | $3,014.25 | $602.85 | $2,612.36 | $3,617.1 |
| SHARP CHULA VISTA MEDICAL CENTER | CHULA VISTA | CA | 15 | $4,019 | $3,014.25 | $11.43 | $2,451.59 | $4,117.35 |
| ST. JOHNS PLEASANT VALLEY HOSPITAL | CAMARILLO | CA | 11 | — | — | $423.61 | $2,025.1 | $16,750 |
| MERCY GENERAL HOSPITAL | SACRAMENTO | CA | 11 | — | — | $423.61 | $1,703.91 | $18,443 |
| SCRIPPS MERCY HOSPITAL | SAN DIEGO | CA | 13 | $2,597.4 | $649.35 | $436.36 | $1,677.92 | $2,316.88 |
| SAINT FRANCIS MEMORIAL HOSPITAL | SAN FRANCISCO | CA | 15 | — | — | $413.01 | $1,459.18 | $9,384 |
| SEQUOIA HOSPITAL | REDWOOD CITY | CA | 12 | — | — | $423.61 | $1,244.53 | $10,333 |
| ST. MARYS MEDICAL CENTER | SAN FRANCISCO | CA | 13 | — | — | $416.53 | $1,235.5 | $9,384 |
| GARDEN GROVE HOSPITAL MEDICAL CENTER | GARDEN GROVE | CA | 19 | $6,016.31 | $1,160 | $335.91 | $1,160.81 | $1,799.26 |
| HUNTINGTON BEACH HOSPITAL | HUNTINGTON BEACH | CA | 16 | $5,669.74 | $1,160 | $335.91 | $1,160.81 | $1,741.22 |
| CHINO VALLEY MEDICAL CENTER | CHINO | CA | 25 | $6,026.29 | $1,160 | $335.91 | $1,160.81 | $2,321.62 |
| MONTCLAIR HOSPITAL MEDICAL CENTER | MONTCLAIR | CA | 24 | $10,819 | $1,160 | $335.91 | $1,160.81 | $2,321.62 |
| SIERRA NEVADA MEMORIAL HOSPITAL | GRASS VALLEY | CA | 9 | — | — | $423.61 | $1,142.58 | $11,058 |
| ST. JOSEPHS BEHAVIORAL HLTH CENTER | STOCKTON | CA | 2 | — | — | $1,081.3 | $1,081.3 | $1,081.3 |
| ST. JOSEPHS MEDICAL CENTER | STOCKTON | CA | 2 | — | — | $1,081.3 | $1,081.3 | $1,081.3 |
| BAKERSFIELD MEMORIAL HOSPITAL | BAKERSFIELD | CA | 11 | — | — | $423.61 | $1,037.66 | $9,954 |
| NORTHRIDGE MEDICAL CENTER - ROSCOE | NORTHRIDGE | CA | 12 | — | — | $403.1 | $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.