Upper endoscopy with biopsy
Facility: Shriners Hospitals for Children Northern Calif
Billing Code: 43239 (CPT)
Highest price of the 9 CA hospitals we have prices for — worth calling around.
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 $596 (about 0.6× the $927 Medicare rate). Shriners Hospitals for Children Northern Calif charges insurers about $675, or about $3,813 in cash — about the fair price. Located in Sacramento, 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
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 | $1,689 | 182% |
| Blue Cross Blue Shieldmajor | $336 - $4,100 | 36% |
| Aetnamajor | $336 - $1,486 | 36% |
| Cignamajor | $1,248 | 135% |
| Kaiser Permanentemajor | $336 - $1,177 | 36% |
| Ambetter (Centene) | $141 - $1,354 | 15% |
| Amerigroup | $127 | 14% |
| Health Net | $1,354 | 146% |
| Molina | $336 | 36% |
| Providence Health Plan | $4,501 | 486% |
| + 7 smaller / regional plans | $141 - $1,648 |
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.
Other Procedures at Shriners Hospitals for Children Northern Calif
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.