CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Northbay Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,264
about 1.4× the $927 Medicare rate · typically $625–$1,264
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,253
About the fair price
about $11 under the fair price · 1.4× Medicare
Medicare pays $927 Fair price $1,264 This hospital $1,253 Cash price $1,723 Hospital's list price $1,723

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 $1,253

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 $1,264 (about 1.4× the $927 Medicare rate). Northbay Medical Center charges insurers about $1,253, or about $1,723 in cash — about the fair price. Located in Fairfield, CA.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $905 98%
Blue Cross Blue Shieldmajor $1,173 - $1,542 127%

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Facility Profile & Credentials

  • Address: 1200 B Gale Wilson Blvd, Fairfield, CA 94533
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals