CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Kern Valley Healthcare District

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$256
about 0.3× the $927 Medicare rate · typically $120–$1,042
modeled estimate · not a bill or quote
What this hospital charges insurers
$125
Below the fair price — a good deal
about $131 under the fair price · 0.1× Medicare
Medicare pays $927 Fair price $256 This hospital $125 Cash price $125 Hospital's list price $608

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Lowest price of the 9 CA hospitals we have prices for — a strong deal.

Cheapest $125 Priciest $175

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 $256 (about 0.3× the $927 Medicare rate). Kern Valley Healthcare District charges insurers about $125, or about $125 in cash — below the fair price — a good deal. Located in Lake Isabella, 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✓ Humana Kaiser 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 $157 17%
Blue Cross Blue Shieldmajor $386 42%
Aetnamajor $148 16%
Cignamajor $167 18%
Humanamajor $125 13%
Health Net $125 13%
+ 1 smaller / regional plan $113
Government programs also on file: Military & VA.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 6412 Laurel Ave, Lake Isabella, CA 93240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals