CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Children's Hosp of Los Angeles

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$828
about 0.9× the $927 Medicare rate · typically $237–$2,355
modeled estimate · not a bill or quote
What this hospital charges insurers
$689
Below the fair price — a good deal
about $139 under the fair price · 0.7× Medicare
Medicare pays $927 Fair price $828 This hospital $689

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 $689

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 $828 (about 0.9× the $927 Medicare rate). Children's Hosp of Los Angeles charges insurers about $689 — below the fair price — a good deal. Located in Los Angeles, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $6,367 - $11,695 687%
Blue Cross Blue Shieldmajor $554 - $4,319 60%
Cignamajor $3,495 377%
Health Net $420 - $17,842 45%
Molina $709 77%
Presbyterian $336 - $504 36%
Sentara $328 35%
+ 69 smaller / regional plans $328 - $30,422
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 4650 Sunset Blvd, Ms 108, Los Angeles, CA 90027
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens