CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: UCI Health-Lakewood

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,604
about 1.7× the $927 Medicare rate · typically $1,171–$2,719
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,691
About the fair price
about $87 over the fair price · 1.8× Medicare
Medicare pays $927 Fair price $1,604 This hospital $1,691

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 $1,691

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 $1,604 (about 1.7× the $927 Medicare rate). UCI Health-Lakewood charges insurers about $1,691 — about the fair price. Located in Lakewood, CA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente UnitedHealthcareCignaHumana

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
Blue Cross Blue Shieldmajor $1,225 132%
Aetnamajor $1,167 - $9,135 126%
Kaiser Permanentemajor $1,342 - $3,033 145%
Health Net $1,190 128%
Oscar Health $1,983 214%
+ 5 smaller / regional plans $1,283 - $1,866

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Facility Profile & Credentials

  • Address: 3700 South St, Lakewood, CA 90712
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals