Upper GI endoscopy with biopsy at Southern California Hospital at Hollywood. CPT 43239.

What Southern California Hospital at Hollywood publishes for this service, straight from its standard-charges file, last updated March 18, 2026.

Outpatient / ER

—cash price (self-pay)

—list price

$15.04–$3,855range insurers pay

Insurance plan	Negotiated rate
Blue Shield of California \| Covered California/IFP/PPO	$15.04
Blue Shield of California \| HMO	$17.24
Blue Shield of California \| EPO/PPO/Out of State	$18.77
Blue Shield Promise \| Medi-Cal	$234
Health Net of California \| Managed Medi-Cal	$258
Aids Healthcare Foundation \| Managed Medi-Cal	$328
Aetna \| All Gatekeeper Plans	$403
Aetna \| All Non-Gatekeeper Plans	$403
Aetna \| Medicare Advantage	$938
Alignment Health Plan \| Medicare Advantage	$938
Central Health Plan \| Medicare Advantage	$938
Health Net of California \| Medicare Advantage	$938
Kaiser \| Medicare Advantage/Medi-Cal	$938
LA Care \| Medicare Advantage/Covered California	$938
Legacy Health Plan \| Medicare Advantage	$938
Molina \| Medicare Advantage	$938
Optum Health \| Commercial HMO	$938
United Healthcare \| Medicare Advantage	$938
Anthem Blue Cross \| Medicare Advantage	$938
Blue Shield of California \| Medicare Advantage	$938
Humana \| Medicare Advantage	$938
Bright Health \| Medicare Advantage	$956
Aids Healthcare Foundation \| Medicare Advantage	$956
Easy Choice (WellCare) \| Medicare Advantage	$956
Imperial Health Plan \| Medicare Advantage	$956
Optum Health \| Medicare Advantage	$956
Clever Care \| Medicare Advantage	$956
Patient Choice \| Medicare Advantage	$984
Prime Health Services \| Medicare Advantage	$984
Bright Health \| Covered California	$1,031

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