CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Plumas District Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$429
about 0.5× the $927 Medicare rate · typically $189–$1,757
modeled estimate · not a bill or quote
What this hospital charges insurers
$129
Below the fair price — a good deal
about $300 under the fair price · 0.1× Medicare
Medicare pays $927 Fair price $429 This hospital $129 Cash price $1,435 Hospital's list price $1,794

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

One of the lower prices — 6 of 8 other CA hospitals charge more for the same procedure.

Cheapest $125 Priciest $175

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $429 (about 0.5× the $927 Medicare rate). Plumas District Hospital charges insurers about $129, or about $1,435 in cash — below the fair price — a good deal. Located in Quincy, 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 $2,092 226%
Blue Cross Blue Shieldmajor $238 - $2,208 26%
+ 1 smaller / regional plan $239
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1065 Bucks Lake Road, Quincy, CA 95971
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals