CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Kaiser Foundation Hospital - Fresno

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,133
about 1.2× the $927 Medicare rate · typically $405–$1,387
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,190
About the fair price
about $57 over the fair price · 1.3× Medicare
Medicare pays $927 Fair price $1,133 This hospital $1,190 Cash price $3,354 Hospital's list price $5,990

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 $1,190

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 $1,133 (about 1.2× the $927 Medicare rate). Kaiser Foundation Hospital - Fresno charges insurers about $1,190, or about $3,354 in cash — about the fair price. Located in Fresno, CA.

What each insurance company pays

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

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

✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumana

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
Kaiser Permanentemajor $1,133 - $3,547 122%

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Facility Profile & Credentials

  • Address: 7300 North Fresno St, Fresno, CA 93720
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals