CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Highland Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,251
about 1.3× the $927 Medicare rate · typically $989–$2,214
modeled estimate · not a bill or quote
What this hospital charges insurers
$661
Below the fair price — a good deal
about $590 under the fair price · 0.7× Medicare
Medicare pays $927 Fair price $1,251 This hospital $661 Cash price $934 Hospital's list price $1,868

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 $661

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 $1,251 (about 1.3× the $927 Medicare rate). Highland Hospital charges insurers about $661, or about $934 in cash — below the fair price — a good deal. Located in Oakland, 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 $675 - $771 73%
Blue Cross Blue Shieldmajor $203 - $4,837 22%
Aetnamajor $539 - $1,290 58%
Cignamajor $1,345 145%
Kaiser Permanentemajor $1,214 131%
Health Net $3,546 383%
+ 9 smaller / regional plans $648 - $1,290
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 1411 East 31St Street, Oakland, CA 94602
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals