CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Rady Children's Hospital - San Diego
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,930
about 2.1× the $927 Medicare rate · typically $613–$3,453
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,930 Cash price $1,414 Hospital's list price $1,885
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 | $6,355 - $7,370 | 686% |
| Blue Cross Blue Shieldmajor | $6,434 - $8,678 | 694% |
| Cignamajor | $9,420 | 1017% |
| + 1 smaller / regional plan | $6,187 |
Self-Pay How to get the cash price
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Other Procedures at Rady Children's Hospital - San Diego
Compare: Upper endoscopy with biopsy at other CA hospitals
- Kern Valley Healthcare District · Lake Isabella $125
- Mayers Memorial Hospital · Fall River Mills $127
- Plumas District Hospital · Quincy $129
- Natividad Medical Center · Salinas $153
- Adventist Health Tulare · Tulare $154
- Adventist Health Tehachapi Valley · Tehachapi $163
- Adventist Health Ukiah Valley · Ukiah $171
- Adventist Health Bakersfield · Bakersfield $175
Insurance negotiated median for the same procedure, sorted lowest first.