Upper endoscopy with biopsy
Facility: Los Robles Hospital & 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 $2,227 (about 2.4× the $927 Medicare rate). Los Robles Hospital & Medical Center charges insurers about $6,585 — well above the fair price. Located in Thousand Oaks, CA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,227. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 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 | $5,825 | 629% |
| Blue Cross Blue Shieldmajor | $6,240 - $20,662 | 673% |
| Aetnamajor | $7,968 - $8,440 | 860% |
| Cignamajor | $7,693 | 830% |
| Bright Health | $8,395 | 906% |
| + 3 smaller / regional plans | $55 - $1,167 |
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 Los Robles Hospital & 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.