CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Parkview Community Hospital Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,315

about 1.4× the $927 Medicare rate · typically $618–$2,009

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,329

About the fair price

about $14 over the fair price · 1.4× Medicare

Medicare pays $927 Fair price $1,315 This hospital $1,329 Cash price $3,899 Hospital's list price $3,899

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 $1,329

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 $1,315 (about 1.4× the $927 Medicare rate). Parkview Community Hospital Medical Center charges insurers about $1,329, or about $3,899 in cash — about the fair price. Located in Riverside, CA.

What each insurance company pays

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

5 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	$541 - $2,535	58%
Blue Cross Blue Shieldmajor	$336 - $2,484	36%
Aetnamajor	$1,167 - $2,020	126%
Cignamajor	$2,225	240%
Humanamajor	$1,125	121%
Health Net	$336 - $2,230	36%
Molina	$1,167	126%
+ 7 smaller / regional plans	$403 - $2,340

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 3,899), 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 Parkview Community Hospital Medical Center 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 Parkview Community Hospital Medical Center

Compare: Upper endoscopy with biopsy at other CA hospitals

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