▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in CA
Hospitals
35
Min
$469.92
Median
$1,235.50
Max
$6,729.00
Range multiplier
14.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 32 | 116 | $235.98 | $3,288.64 | $10,810 | 45.8× |
| Anthem BCBS | 28 | 108 | $235.98 | $1,338.09 | $10,965 | 46.5× |
| UnitedHealthcare | 25 | 80 | $1.00 | $4,359.50 | $252,199 | 252199.0× |
| Medicaid | 22 | 71 | $332.55 | $593.05 | $2,025.10 | 6.1× |
| Aetna | 29 | 59 | $235.98 | $2,813.30 | $23,444 | 99.3× |
| Medicare | 28 | 44 | $235.98 | $1,093.12 | $3,541.10 | 15.0× |
| Kaiser Permanente | 27 | 40 | $235.98 | $1,007.51 | $2,009.50 | 8.5× |
| Cigna | 20 | 37 | $436.36 | $4,340.00 | $10,553 | 24.2× |
| Health Net | 13 | 37 | $11.43 | $1,632.10 | $5,632.00 | 492.7× |
| Humana | 23 | 26 | $235.98 | $1,093.12 | $5,786.00 | 24.5× |
| Molina | 9 | 18 | $335.91 | $1,160.81 | $8,190.00 | 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 | $5,435.00 | 5.8× |
| Bright Health | 4 | 4 | $882.00 | $1,135.10 | $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 | $5,786.00 | $9,384.00 | $9,384.00 | 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 | $2,813.30 | 2.8× |
| commercial | mhn | all plans | 3 | 3 | $1,033.55 | $1,235.50 | $1,235.50 | 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 | $840.00 | $840.00 | $840.00 | 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 | $991.00 | $991.00 | $991.00 | 1.0× |
| epic health plan | 2 | 2 | $1,160.81 | $1,160.81 | $1,160.81 | 1.0× |
| interplan | 2 | 2 | $1.10 | $1,809.10 | $3,617.10 | 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 | $999.00 | $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 | $7,322.00 |
| Community Hospital Of San Bernardino | San Bernardino | CA | 13 | — | — | $423.61 | $961.95 | $9,063.00 |
| Pacifica Hospital Of The Valley | Sun Valley | CA | 13 | $8,190.00 | $8,190.00 | $672.00 | $861.00 | $8,190.00 |
| Mark Twain Medical Center | San Andreas | CA | 12 | $1,026.00 | $718.20 | $235.98 | $729.95 | $1,005.48 |
| Dominican Hospital | Santa Cruz | CA | 9 | — | — | $423.61 | $6,729.00 | $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 | $4,530.00 | $11,836 |
| Mercy Hospital Of Folsom | Folsom | CA | 10 | — | — | $423.61 | $3,918.00 | $10,296 |
| Woodland Healthcare | Woodland | CA | 7 | — | — | $423.61 | $3,640.91 | $7,034.00 |
| Marian Medical Center | Santa Maria | CA | 10 | — | — | $423.61 | $3,137.00 | $9,264.00 |
| Mercy San Juan Medical Center | Carmichael | CA | 11 | — | — | $423.61 | $2,878.00 | $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 | $4,019.00 | $3,014.25 | $1.00 | $2,813.30 | $3,617.10 |
| Glendale Memorial Hospital & Hlth Ct | Glendale | CA | 6 | — | — | $386.30 | $2,655.32 | $7,244.00 |
| St. Johns Regional Medical Center | Oxnard | CA | 11 | — | — | $512.57 | $2,641.05 | $16,750 |
| Grossmont Hospital | La Mesa | CA | 10 | $4,019.00 | $3,014.25 | $602.85 | $2,612.36 | $3,617.10 |
| Sharp Chula Vista Medical Center | Chula Vista | CA | 15 | $4,019.00 | $3,014.25 | $11.43 | $2,451.59 | $4,117.35 |
| St. Johns Pleasant Valley Hospital | Camarillo | CA | 11 | — | — | $423.61 | $2,025.10 | $16,750 |
| Mercy General Hospital | Sacramento | CA | 11 | — | — | $423.61 | $1,703.91 | $18,443 |
| Scripps Mercy Hospital | San Diego | CA | 13 | $2,597.40 | $649.35 | $436.36 | $1,677.92 | $2,316.88 |
| Saint Francis Memorial Hospital | San Francisco | CA | 15 | — | — | $413.01 | $1,459.18 | $9,384.00 |
| Sequoia Hospital | Redwood City | CA | 12 | — | — | $423.61 | $1,244.53 | $10,333 |
| St. Marys Medical Center | San Francisco | CA | 13 | — | — | $416.53 | $1,235.50 | $9,384.00 |
| Huntington Beach Hospital | Huntington Beach | CA | 16 | $5,669.74 | $1,160.00 | $335.91 | $1,160.81 | $1,741.22 |
| Montclair Hospital Medical Center | Montclair | CA | 24 | $10,819 | $1,160.00 | $335.91 | $1,160.81 | $2,321.62 |
| Chino Valley Medical Center | Chino | CA | 25 | $6,026.29 | $1,160.00 | $335.91 | $1,160.81 | $2,321.62 |
| Garden Grove Hospital Medical Center | Garden Grove | CA | 19 | $6,016.31 | $1,160.00 | $335.91 | $1,160.81 | $1,799.26 |
| Sierra Nevada Memorial Hospital | Grass Valley | CA | 9 | — | — | $423.61 | $1,142.58 | $11,058 |
| St. Josephs Medical Center | Stockton | CA | 2 | — | — | $1,081.30 | $1,081.30 | $1,081.30 |
| St. Josephs Behavioral Hlth Center | Stockton | CA | 2 | — | — | $1,081.30 | $1,081.30 | $1,081.30 |
| Bakersfield Memorial Hospital | Bakersfield | CA | 11 | — | — | $423.61 | $1,037.66 | $9,954.00 |
| Northridge Medical Center - Roscoe | Northridge | CA | 12 | — | — | $403.10 | $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.