CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Antelope Valley Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,219

about 1.3× the $927 Medicare rate · typically $1,042–$1,878

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,219

About the fair price

1.3× Medicare

Medicare pays $927 Fair price $1,219 This hospital $1,219 Cash price $5,242 Hospital's list price $5,242

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $125 Priciest $1,219

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $1,219 (about 1.3× the $927 Medicare rate). Antelope Valley Hospital charges insurers about $1,219, or about $5,242 in cash — about the fair price. Located in Lancaster, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente UnitedHealthcareCigna

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
Blue Cross Blue Shieldmajor	$550 - $5,286	59%
Aetnamajor	$3,767	407%
Humanamajor	$1,184	128%
Kaiser Permanentemajor	$1,081	117%
Health Net	$1,161 - $1,625	125%
Oscar Health	$1,741	188%
WellCare	$1,161	125%
+ 11 smaller / regional plans	$1,161 - $1,509

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 5,242), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm Antelope Valley Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Antelope Valley Hospital

Compare: Upper endoscopy with biopsy at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.