How much does upper GI endoscopy (EGD), diagnostic cost in California?
CPT 43235 — the fair price, every hospital's price, and the Medicare benchmark for California.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
43235 Upper GI endoscopy (EGD), diagnostic
Ask to pay
$1,737
This is the local cash / self-pay price — usually the best rate you can ask for.
Typical
$1,691
Medicare $938
Ask $1,737
$63 lowboxed = typical rangehigh $23,657
What Medicare paysⓘ
$938
Typical price near you
$1,691
Cash / self-pay price
$1,737
Prices near you — 90 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Adventist Health Bakersfield (Bakersfield) lowest ⚠ likely error | Hospital | $63cash | 0.1× | — |
| Adventist Health White Memorial (Los Angeles) ⚠ likely error | Hospital | $68cash | 0.1× | — |
| Adventist Health Glendale (Glendale) ⚠ likely error | Hospital | $69cash | 0.1× | ★★★★★ |
| Adventist Health Simi Valley (Simi Valley) ⚠ likely error | Hospital | $73cash | 0.1× | — |
| Clovis Community Medical Center (Clovis) | Hospital | $344negotiated | 0.4× | — |
| Community Regional Medical Center (Fresno) | Hospital | $344negotiated | 0.4× | — |
| Providence Saint Joseph Medical Center (Burbank) | Hospital | $407cash | 0.4× | — |
| Los Angeles General Medical Center (Los Angeles) | Hospital | $458negotiated | 0.5× | ★★★★★ |
| Harbor-UCLA Medical Center (Torrance) | Hospital | $458negotiated | 0.5× | — |
| Providence Little Company of Mary Torrance (Torrance) | Hospital | $508cash | 0.5× | ★★★★★ |
| Rady Children's Hospital (San Diego) | Hospital | $527cash | 0.6× | — |
| Providence Cedars-Sinai Tarzana Medical Center (Tarzana) | Hospital | $531cash | 0.6× | ★★★★★ |
| Eisenhower Medical Center (Rancho Mirage) | Hospital | $577cash | 0.6× | ★★★★★ |
| Providence Holy Cross Medical Center (Mission Hills) | Hospital | $623cash | 0.7× | — |
| Scripps Memorial Hospital La Jolla (La Jolla) | Hospital | $725cash | 0.8× | ★★★★★ |
| Scripps Green Hospital (La Jolla) | Hospital | $725cash | 0.8× | ★★★★★ |
| Scripps Mercy Hospital San Diego (San Diego) | Hospital | $725cash | 0.8× | ★★★★★ |
| Scripps Memorial Hospital Encinitas (Encinitas) | Hospital | $725cash | 0.8× | ★★★★★ |
| Scripps Mercy Hospital Chula Vista (Chula Vista) | Hospital | $725cash | 0.8× | — |
| UCSF Medical Center (San Francisco) | Hospital | $869cash | 0.9× | ★★★★★ |
| USC Arcadia Hospital (Arcadia) | Hospital | $933cash | 1.0× | — |
| Natividad Medical Center (Salinas) | Hospital | $1,029cash | 1.1× | — |
| Providence St. Jude Medical Center (Fullerton) | Hospital | $1,076cash | 1.1× | ★★★★★ |
| Tri-City Medical Center (Oceanside) | Hospital | $1,167negotiated | 1.2× | — |
| Dignity Mercy Medical Center Redding (Redding) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity St. John's Regional Medical Center (Oxnard) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity Glendale Memorial Hospital (Glendale) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity California Hospital Medical Center (Los Angeles) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity St. Mary Medical Center (Long Beach) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity Northridge Hospital Medical Center (Northridge) | Hospital | $1,191negotiated | 1.3× | ★★★★★ |
| Dignity St. Bernardine Medical Center (San Bernardino) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity Bakersfield Memorial Hospital (Bakersfield) | Hospital | $1,191negotiated | 1.3× | — |
| Providence St. Joseph Hospital (Orange) | Hospital | $1,223cash | 1.3× | ★★★★★ |
| Dignity Mercy General Hospital (Sacramento) | Hospital | $1,232negotiated | 1.3× | ★★★★★ |
| UCLA Santa Monica Medical Center (Santa Monica) | Hospital | $1,298negotiated | 1.4× | ★★★★★ |
| Ronald Reagan UCLA Medical Center (Los Angeles) | Hospital | $1,310negotiated | 1.4× | ★★★★★ |
| Dignity St. Joseph's Medical Center (Stockton) | Hospital | $1,330negotiated | 1.4× | — |
| Providence Mission Hospital (Mission Viejo) | Hospital | $1,352cash | 1.4× | ★★★★★ |
| Dignity Mercy San Juan Medical Center (Carmichael) | Hospital | $1,355negotiated | 1.4× | — |
| Dignity Sequoia Hospital (Redwood City) | Hospital | $1,375negotiated | 1.5× | ★★★★★ |
| Providence St. Mary Medical Center (Apple Valley) | Hospital | $1,438cash | 1.5× | — |
| Pomona Valley Hospital Medical Center (Pomona) | Hospital | $1,582cash | 1.7× | ★★★★★ |
| Providence Santa Rosa Memorial Hospital (Santa Rosa) | Hospital | $1,602cash | 1.7× | — |
| Providence Queen of the Valley Medical Center (Napa) | Hospital | $1,602cash | 1.7× | — |
| UCI Health – Placentia Linda (Placentia) | Hospital | $1,691negotiated | 1.8× | — |
| UCI Health – Los Alamitos (Los Alamitos) | Hospital | $1,691negotiated | 1.8× | — |
| UCI Health – Lakewood (Lakewood) | Hospital | $1,691negotiated | 1.8× | — |
| UCI Medical Center (Orange) | Hospital | $1,691negotiated | 1.8× | ★★★★★ |
| UCI Health – Fountain Valley (Fountain Valley) | Hospital | $1,691negotiated | 1.8× | — |
| Kaiser Permanente Fontana Medical Center (Fontana) | Hospital | $1,872cash | 2.0× | — |
| Kaiser Permanente Los Angeles Medical Center (Los Angeles) | Hospital | $1,872cash | 2.0× | ★★★★★ |
| Kaiser Permanente San Diego Zion Medical Center (San Diego) | Hospital | $1,872cash | 2.0× | ★★★★★ |
| Desert Regional Medical Center (Palm Springs) | Hospital | $1,878negotiated | 2.0× | — |
| JFK Memorial Hospital (Indio) | Hospital | $1,882negotiated | 2.0× | — |
| Loma Linda University Medical Center – Murrieta (Murrieta) | Hospital | $2,019cash | 2.2× | — |
| Loma Linda University Medical Center (Loma Linda) | Hospital | $2,019cash | 2.2× | ★★★★★ |
| UC Davis Medical Center (Sacramento) | Hospital | $2,037cash | 2.2× | ★★★★★ |
| Keck Hospital of USC (Los Angeles) | Hospital | $2,333negotiated | 2.5× | ★★★★★ |
| Highland Hospital – Alameda Health System (Oakland) | Hospital | $2,390cash | 2.5× | — |
| Sutter Santa Rosa Regional Hospital (Santa Rosa) | Hospital | $2,618negotiated | 2.8× | — |
| Sharp Chula Vista Medical Center (Chula Vista) | Hospital | $2,668cash | 2.8× | — |
| Sharp Memorial Hospital (San Diego) | Hospital | $2,668cash | 2.8× | ★★★★★ |
| Sharp Coronado Hospital (Coronado) | Hospital | $2,668cash | 2.8× | ★★★★★ |
| Sharp Grossmont Hospital (La Mesa) | Hospital | $2,668cash | 2.8× | ★★★★★ |
| Sutter Roseville Medical Center (Roseville) | Hospital | $2,699negotiated | 2.9× | ★★★★★ |
| Sutter Memorial Medical Center (Modesto) | Hospital | $2,699negotiated | 2.9× | — |
| Sutter Mills-Peninsula Medical Center (Burlingame) | Hospital | $2,728negotiated | 2.9× | ★★★★★ |
| Sutter CPMC Van Ness Campus (San Francisco) | Hospital | $2,728negotiated | 2.9× | — |
| Sutter Alta Bates Summit Medical Center (Oakland) | Hospital | $2,740negotiated | 2.9× | — |
| Riverside Community Hospital (Riverside) | Hospital | $2,820negotiated | 3.0× | — |
| Sutter Medical Center Sacramento (Sacramento) | Hospital | $2,836negotiated | 3.0× | ★★★★★ |
| Sutter Eden Medical Center (Castro Valley) | Hospital | $2,836negotiated | 3.0× | — |
| Kaiser Permanente Sacramento Medical Center (Sacramento) | Hospital | $3,707cash | 4.0× | ★★★★★ |
| Kaiser Permanente Fresno Medical Center (Fresno) | Hospital | $3,707cash | 4.0× | — |
| Kaiser Permanente San Francisco Medical Center (San Francisco) | Hospital | $3,707cash | 4.0× | ★★★★★ |
| Stanford Health Care Tri-Valley (Pleasanton) | Hospital | $3,788cash | 4.0× | — |
| Stanford Health Care (Stanford) | Hospital | $3,788cash | 4.0× | ★★★★★ |
| Good Samaritan Hospital (San Jose) | Hospital | $3,859negotiated | 4.1× | — |
| Kaweah Health Medical Center (Visalia) | Hospital | $4,052cash | 4.3× | — |
| UC San Diego Health - Hillcrest & Jacobs Medical Center (San Diego) | Hospital | $4,174cash | 4.5× | — |
| Riverside University Health System Medical Center (Moreno Valley) | Hospital | $4,692cash | 5.0× | — |
| MemorialCare Saddleback Medical Center (Laguna Hills) | Hospital | $4,707cash | 5.0× | ★★★★★ |
| MemorialCare Long Beach Medical Center (Long Beach) | Hospital | $4,707cash | 5.0× | ★★★★★ |
| MemorialCare Orange Coast Medical Center (Fountain Valley) | Hospital | $4,707cash | 5.0× | — |
| Cedars-Sinai Medical Center (Los Angeles) | Hospital | $4,878cash | 5.2× | ★★★★★ |
| Hoag Memorial Hospital Presbyterian (Newport Beach) | Hospital | $5,011negotiated | 5.3× | ★★★★★ |
| Dignity Dominican Hospital (Santa Cruz) | Hospital | $5,164negotiated | 5.5× | — |
| Los Robles Health System (Thousand Oaks) gross charge | Hospital | $6,767negotiated | 7.2× | — |
| John Muir Health Concord Medical Center (Concord) gross charge | Hospital | $16,183cash | 17.3× | — |
| John Muir Health Walnut Creek Medical Center (Walnut Creek) gross charge | Hospital | $23,657cash | 25.2× | ★★★★★ |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 7 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
- For 43235 (Upper GI endoscopy (EGD), diagnostic), Medicare's benchmark rate is $937.56. A fair self-pay target for this line is $1,736.95. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 43235 is $1,736.95, and negotiated rates at nearby facilities run $1,064.01–$2,731.00. Please apply a rate in that range to my bill rather than the gross charge.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See upper GI endoscopy (EGD), diagnostic prices in another area
What should 43235 cost in California?
For upper GI endoscopy (EGD), diagnostic (CPT 43235) in California, a fair self-pay price is around $1,691, with hospitals ranging from $1,064 to $2,731 across 90 facilities. Medicare's benchmark rate is $938, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does upper GI endoscopy (EGD), diagnostic cost in California?
A fair self-pay price for upper GI endoscopy (EGD), diagnostic (CPT 43235) in California is around $1,691, with hospital prices ranging from $1,064 to $2,731 across 90 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 43235?
Medicare pays about $938 for upper GI endoscopy (EGD), diagnostic (CPT 43235). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of upper GI endoscopy (EGD), diagnostic?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
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Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.