Upper endoscopy with biopsy
Facility: Tri-City Medical Center
Billing Code: 43239 (CPT)
Highest price of the 9 CA hospitals we have prices for — worth calling around.
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 $1,203 (about 1.3× the $927 Medicare rate). Tri-City Medical Center charges insurers about $1,167 — about the fair price. Located in Oceanside, 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
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 | $1,167 | 126% |
| Blue Cross Blue Shieldmajor | $1,084 - $1,167 | 117% |
| Aetnamajor | $1,167 - $6,640 | 126% |
| Humanamajor | $1,167 | 126% |
| Kaiser Permanentemajor | $1,167 | 126% |
| Bright Health | $1,866 | 201% |
| Health Net | $237 - $1,843 | 26% |
| Molina | $1,167 - $1,575 | 126% |
| Providence Health Plan | $1,633 | 176% |
| + 7 smaller / regional plans | $1,167 - $1,750 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Tri-City 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.