Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 43239 · DOWNEY, CA

43239 — Egd Biopsy Single/multiple

What each payer pays PIH HEALTH DOWNEY HOSPITAL (CCN 050393) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$881 All-payer median here
$836 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 43239 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Blue Shield of California $5,235 494.2% 1
UnitedHealthcare $4,786 443.3% 1
Blue Cross Blue Shield Association $2,529 187.1% 1
Blue Cross National $1,860 111.1% 1
Anthem Blue Cross CA $1,694 92.3% 2
Kaiser Healthpledge Sr $973 10.4% 1
Anthem (Elevance Health) $789 -10.4% 1
Medi-Cal $600 -31.9% 1
Medicare Parts A And B $557 -36.7% 1
Medicare Part B $499 -43.3% 1
Health Net $41 -95.4% 2
Local Initiative Health Authority for LA County $35 -96.0% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.