CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Adventist Health Ukiah Valley

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$282
about 0.3× the $927 Medicare rate · typically $186–$934
modeled estimate · not a bill or quote
What this hospital charges insurers
$171
Below the fair price — a good deal
about $111 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $282 This hospital $171 Cash price $94 Hospital's list price $468

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 6 of 8 other CA hospitals charge less.

Cheapest $125 Priciest $175

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 $282 (about 0.3× the $927 Medicare rate). Adventist Health Ukiah Valley charges insurers about $171, or about $94 in cash — below the fair price — a good deal. Located in Ukiah, 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✓ Kaiser Permanente Humana

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 $175 - $182 19%
Blue Cross Blue Shieldmajor $66 - $656 7%
Aetnamajor $164 18%
Cignamajor $171 18%
Kaiser Permanentemajor $124 - $374 13%
Health Net $181 20%
+ 3 smaller / regional plans $137 - $304
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 275 Hospital Drive, Ukiah, CA 95482
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals