Upper GI endoscopy with biopsy in California

What California hospitals charge for upper gi endoscopy with biopsy (CPT 43239). Rates sourced from federally-mandated machine-readable files.

Hospitals
35
Rate rows
929
Neg. median
$1,230.46
Min
$1
Max
$252,199
Cash median
$3,014.25

Across 35 California hospitals, the negotiated rate for Upper GI endoscopy with biopsy ranges from $1 to $252,199, with a median of $1,230.46. The interquartile range is $982.43 to $3,655. Cash-pay patients typically pay $3,014.25; gross charges median $4,019.

By payer in California

Top 30 payers for Upper GI endoscopy with biopsy in California.

PayerHospitalsRatesMedian rate
Blue Cross Blue Shield32116$3,288.64
Aetna2959$2,813.3
Anthem BCBS28108$1,338.09
Medicare2844$1,093.12
Kaiser Permanente2740$1,007.51
UnitedHealthcare2580$4,359.5
Humana2326$1,093.12
Medicaid2271$593.05
Cigna2037$4,340
Health Net1337$1,632.1
Molina918$1,160.81
First Health55$1,483.32
commercial | hill physicians | all plans55$1,142.58
traditional medi-cal44$335.91
TRICARE47$1,160.81
Bright Health44$1,135.1
brand new day48$1,456.82
central health plan33$1,160.81
commercial | mhn | all plans33$1,235.5
imperial health plan of ca33$1,230.46
renal payer solutions33$1,160.81
commercial | connected care intel | all plans33$9,384
employer direct healthcare33$1,625.13
Multiplan33$1,125.32
commercial | la care | all plans22$1,199.06
choice physicians network22$1,160.81
caloptima22$335.91
alignment22$1,160.81
interplan22$1,809.1
commercial | epic health | all plans22$1,348.05

Hospital comparison — Upper GI endoscopy with biopsy in California

Sorted by lowest negotiated median rate. Up to 100 hospitals.

HospitalCityNegotiated medianCash rateGross charge
Mercy Medical Center Mt. ShastaMt. Shasta$469.92
Mark Twain Medical CenterSan Andreas$729.95$718.2$1,026
Pacifica Hospital Of The ValleySun Valley$861$8,190$8,190
Community Hospital Of San BernardinoSan Bernardino$961.95
St. Mary Medical CenterApple Valley$968.65
Mercy Medical Center MercedMerced$982.43
St Elizabeth Community HosptialRed Bluff$983.94
St. Bernardine Medical CenterSan Bernardino$999
Northridge Medical Center - RoscoeNorthridge$1,033.55
Bakersfield Memorial HospitalBakersfield$1,037.66
St. Josephs Behavioral Hlth CenterStockton$1,081.3
St. Josephs Medical CenterStockton$1,081.3
Sierra Nevada Memorial HospitalGrass Valley$1,142.58
Garden Grove Hospital Medical CenterGarden Grove$1,160.81$1,160$6,016.31
Chino Valley Medical CenterChino$1,160.81$1,160$6,026.29
Montclair Hospital Medical CenterMontclair$1,160.81$1,160$8,422.5
Huntington Beach HospitalHuntington Beach$1,160.81$1,160$5,669.74
St. Marys Medical CenterSan Francisco$1,235.5
Sequoia HospitalRedwood City$1,244.53
Saint Francis Memorial HospitalSan Francisco$1,459.18
Scripps Mercy HospitalSan Diego$1,677.92$649.35$2,597.4
Mercy General HospitalSacramento$1,703.91
St. Johns Pleasant Valley HospitalCamarillo$2,025.1
Sharp Chula Vista Medical CenterChula Vista$2,451.59$3,014.25$4,019
Grossmont HospitalLa Mesa$2,612.36$3,014.25$4,019
St. Johns Regional Medical CenterOxnard$2,641.05
Glendale Memorial Hospital & Hlth CtGlendale$2,655.32
Sharp Memorial HospitalSan Diego$2,813.3$3,014.25$4,019
Central Valley Specialty HospitalModesto$2,851.04$3,801.39$3,801.39
Mercy San Juan Medical CenterCarmichael$2,878
Marian Medical CenterSanta Maria$3,137
Woodland HealthcareWoodland$3,640.91
Mercy Hospital Of FolsomFolsom$3,918
Methodist Hospital Of SacramentoSacramento$4,530
Dominican HospitalSanta Cruz$6,729