CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Memorial Care Miller Children's & Women's Hosp Lb

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,328
about 1.4× the $927 Medicare rate · typically $484–$3,382
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,760
Well above the fair price
about $1,432 over the fair price · 3.0× Medicare
Medicare pays $927 Fair price $1,328 This hospital $2,760 Cash price $3,588 Hospital's list price $3,588

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 $2,760

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 $1,328 (about 1.4× the $927 Medicare rate). Memorial Care Miller Children's & Women's Hosp Lb charges insurers about $2,760, or about $3,588 in cash — well above the fair price. Located in Long Beach, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,328. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $3,398 - $5,830 367%
Blue Cross Blue Shieldmajor $1,222 - $9,049 132%
Aetnamajor $1,714 - $2,947 185%
Cignamajor $2,167 - $3,448 234%
Health Net $3,747 - $5,353 404%
Molina $1,890 204%
SelectHealth $758 82%
+ 6 smaller / regional plans $1,108 - $3,173

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.

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Facility Profile & Credentials

  • Address: 2801 Atlantic Avenue, Long Beach, CA 90806
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens