CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Providence Queen of the Valley Medical Center
Billing Code: 43239 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$929
about 1.0× the $927 Medicare rate · typically $299–$4,715
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $929 Cash price $1,602 Hospital's list price $3,141
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $7,455 - $8,291 | 805% |
| Blue Cross Blue Shieldmajor | $6,200 - $9,116 | 669% |
| Aetnamajor | $1,288 - $9,175 | 139% |
| Health Net | $6,127 | 661% |
Self-Pay How to get the cash price
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Other Procedures at Providence Queen of the Valley Medical Center
Compare: Upper endoscopy with biopsy at other CA hospitals
- Kern Valley Healthcare District · Lake Isabella $125
- Mayers Memorial Hospital · Fall River Mills $127
- Plumas District Hospital · Quincy $129
- Natividad Medical Center · Salinas $153
- Adventist Health Tulare · Tulare $154
- Adventist Health Tehachapi Valley · Tehachapi $163
- Adventist Health Ukiah Valley · Ukiah $171
- Adventist Health Bakersfield · Bakersfield $175
Insurance negotiated median for the same procedure, sorted lowest first.