CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Sequoia Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,515
about 1.6× the $927 Medicare rate · typically $1,194–$3,358
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,375
About the fair price
about $140 under the fair price · 1.5× Medicare
Medicare pays $927 Fair price $1,515 This hospital $1,375

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 $1,375

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 $1,515 (about 1.6× the $927 Medicare rate). Sequoia Hospital charges insurers about $1,375 — about the fair price. Located in Redwood City, 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✓ Humana✓ Kaiser Permanente Cigna

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 $1,375 148%
Blue Cross Blue Shieldmajor $269 - $14,570 29%
Aetnamajor $1,375 - $5,324 148%
Humanamajor $1,375 148%
Kaiser Permanentemajor $269 - $1,375 29%
Health Net $331 - $8,859 36%
+ 5 smaller / regional plans $269 - $4,304

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Facility Profile & Credentials

  • Address: 170 Alameda De Las Pulgas, Redwood City, CA 94062
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals