CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: St Joseph's Medical Center of Stockton

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,177
about 1.3× the $927 Medicare rate · typically $388–$1,436
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,330
About the fair price
about $153 over the fair price · 1.4× Medicare
Medicare pays $927 Fair price $1,177 This hospital $1,330

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 $1,330

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

A fair price for a Upper endoscopy with biopsy is about $1,177 (about 1.3× the $927 Medicare rate). St Joseph's Medical Center of Stockton charges insurers about $1,330 — about the fair price. Located in Stockton, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $1,330 144%
Blue Cross Blue Shieldmajor $269 - $8,422 29%
Aetnamajor $1,330 - $4,209 144%
Cignamajor $1,330 144%
Humanamajor $1,330 144%
Kaiser Permanentemajor $269 - $1,330 29%
Health Net $1,046 - $6,897 113%
Molina $1,330 144%
+ 5 smaller / regional plans $336 - $1,330

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Facility Profile & Credentials

  • Address: 1800 N California St, Stockton, CA 95204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals