How much does upper GI endoscopy (EGD) with biopsy cost in California?
CPT 43239 — 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.
43239 Upper GI endoscopy (EGD) with biopsy
Ask to pay
$1,685
This is the local cash / self-pay price — usually the best rate you can ask for.
Typical
$1,647
Medicare $938
Ask $1,685
$45 lowboxed = typical rangehigh $17,368
What Medicare paysⓘ
$938
Typical price near you
$1,647
Cash / self-pay price
$1,685
Prices near you — 87 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| USC Arcadia Hospital (Arcadia) lowest ⚠ likely error | Hospital | $45cash | 0.0× | — |
| Adventist Health Bakersfield (Bakersfield) ⚠ likely error | Hospital | $70cash | 0.1× | — |
| Providence Saint Joseph Medical Center (Burbank) | Hospital | $407cash | 0.4× | — |
| Clovis Community Medical Center (Clovis) | Hospital | $448negotiated | 0.5× | — |
| Community Regional Medical Center (Fresno) | Hospital | $448negotiated | 0.5× | — |
| Los Angeles General Medical Center (Los Angeles) | Hospital | $479negotiated | 0.5× | ★★★★★ |
| Harbor-UCLA Medical Center (Torrance) | Hospital | $479negotiated | 0.5× | — |
| Providence Little Company of Mary Torrance (Torrance) | Hospital | $508cash | 0.5× | ★★★★★ |
| Natividad Medical Center (Salinas) | Hospital | $516cash | 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 | $649cash | 0.7× | ★★★★★ |
| Scripps Green Hospital (La Jolla) | Hospital | $649cash | 0.7× | ★★★★★ |
| Scripps Mercy Hospital San Diego (San Diego) | Hospital | $649cash | 0.7× | ★★★★★ |
| Scripps Mercy Hospital Chula Vista (Chula Vista) | Hospital | $649cash | 0.7× | — |
| Scripps Memorial Hospital Encinitas (Encinitas) | Hospital | $649cash | 0.7× | ★★★★★ |
| Rady Children's Hospital (San Diego) | Hospital | $733cash | 0.8× | — |
| Highland Hospital – Alameda Health System (Oakland) | Hospital | $934cash | 1.0× | — |
| Providence St. Jude Medical Center (Fullerton) | Hospital | $1,076cash | 1.1× | ★★★★★ |
| Tri-City Medical Center (Oceanside) | Hospital | $1,167negotiated | 1.2× | — |
| Dignity St. Mary Medical Center (Long Beach) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity St. John's Regional Medical Center (Oxnard) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity California Hospital Medical Center (Los Angeles) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity Mercy Medical Center Redding (Redding) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity Glendale Memorial Hospital (Glendale) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity St. Bernardine Medical Center (San Bernardino) | Hospital | $1,191negotiated | 1.3× | — |
| Dignity Northridge Hospital Medical Center (Northridge) | 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× | — |
| Loma Linda University Medical Center – Murrieta (Murrieta) | Hospital | $1,532cash | 1.6× | — |
| Pomona Valley Hospital Medical Center (Pomona) | Hospital | $1,582cash | 1.7× | ★★★★★ |
| Providence Queen of the Valley Medical Center (Napa) | Hospital | $1,602cash | 1.7× | — |
| Providence Santa Rosa Memorial Hospital (Santa Rosa) | Hospital | $1,602cash | 1.7× | — |
| UCI Health – Fountain Valley (Fountain Valley) | Hospital | $1,691negotiated | 1.8× | — |
| UCI Medical Center (Orange) | 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 Health – Placentia Linda (Placentia) | Hospital | $1,691negotiated | 1.8× | — |
| Kaiser Permanente Fontana Medical Center (Fontana) | Hospital | $1,768cash | 1.9× | — |
| Kaiser Permanente San Diego Zion Medical Center (San Diego) | Hospital | $1,768cash | 1.9× | ★★★★★ |
| Kaiser Permanente Los Angeles Medical Center (Los Angeles) | Hospital | $1,768cash | 1.9× | ★★★★★ |
| UC Davis Medical Center (Sacramento) | Hospital | $1,859cash | 2.0× | ★★★★★ |
| JFK Memorial Hospital (Indio) | Hospital | $2,296negotiated | 2.4× | — |
| Keck Hospital of USC (Los Angeles) | Hospital | $2,333negotiated | 2.5× | ★★★★★ |
| Desert Regional Medical Center (Palm Springs) | Hospital | $2,360negotiated | 2.5× | — |
| Loma Linda University Medical Center (Loma Linda) | Hospital | $2,614cash | 2.8× | ★★★★★ |
| Sutter Santa Rosa Regional Hospital (Santa Rosa) | Hospital | $2,618negotiated | 2.8× | — |
| UCSF Medical Center (San Francisco) | Hospital | $2,654negotiated | 2.8× | ★★★★★ |
| Sutter Memorial Medical Center (Modesto) | Hospital | $2,699negotiated | 2.9× | — |
| Sutter Roseville Medical Center (Roseville) | Hospital | $2,699negotiated | 2.9× | ★★★★★ |
| Sutter CPMC Van Ness Campus (San Francisco) | Hospital | $2,728negotiated | 2.9× | — |
| Sutter Mills-Peninsula Medical Center (Burlingame) | Hospital | $2,728negotiated | 2.9× | ★★★★★ |
| Sutter Alta Bates Summit Medical Center (Oakland) | Hospital | $2,740negotiated | 2.9× | — |
| Sutter Medical Center Sacramento (Sacramento) | Hospital | $2,836negotiated | 3.0× | ★★★★★ |
| Sutter Eden Medical Center (Castro Valley) | Hospital | $2,836negotiated | 3.0× | — |
| Sharp Coronado Hospital (Coronado) | Hospital | $3,014cash | 3.2× | ★★★★★ |
| Sharp Chula Vista Medical Center (Chula Vista) | Hospital | $3,014cash | 3.2× | — |
| Sharp Grossmont Hospital (La Mesa) | Hospital | $3,014cash | 3.2× | ★★★★★ |
| Sharp Memorial Hospital (San Diego) | Hospital | $3,014cash | 3.2× | ★★★★★ |
| Kaiser Permanente Fresno Medical Center (Fresno) | Hospital | $3,354cash | 3.6× | — |
| Kaiser Permanente Sacramento Medical Center (Sacramento) | Hospital | $3,354cash | 3.6× | ★★★★★ |
| Kaiser Permanente San Francisco Medical Center (San Francisco) | Hospital | $3,354cash | 3.6× | ★★★★★ |
| Cedars-Sinai Medical Center (Los Angeles) | Hospital | $3,397cash | 3.6× | ★★★★★ |
| Riverside Community Hospital (Riverside) | Hospital | $3,684negotiated | 3.9× | — |
| Stanford Health Care (Stanford) | Hospital | $4,007cash | 4.3× | ★★★★★ |
| Stanford Health Care Tri-Valley (Pleasanton) | Hospital | $4,007cash | 4.3× | — |
| Kaweah Health Medical Center (Visalia) | Hospital | $4,052cash | 4.3× | — |
| MemorialCare Orange Coast Medical Center (Fountain Valley) | Hospital | $4,676cash | 5.0× | — |
| MemorialCare Saddleback Medical Center (Laguna Hills) | Hospital | $4,676cash | 5.0× | ★★★★★ |
| MemorialCare Long Beach Medical Center (Long Beach) | Hospital | $4,676cash | 5.0× | ★★★★★ |
| Good Samaritan Hospital (San Jose) | Hospital | $5,002negotiated | 5.3× | — |
| Dignity Dominican Hospital (Santa Cruz) | Hospital | $5,436negotiated | 5.8× | — |
| Riverside University Health System Medical Center (Moreno Valley) | Hospital | $5,628cash | 6.0× | — |
| Hoag Memorial Hospital Presbyterian (Newport Beach) gross charge | Hospital | $6,250negotiated | 6.7× | ★★★★★ |
| UC San Diego Health - Hillcrest & Jacobs Medical Center (San Diego) gross charge | Hospital | $7,707cash | 8.2× | — |
| Los Robles Health System (Thousand Oaks) gross charge | Hospital | $7,968negotiated | 8.5× | — |
| John Muir Health Concord Medical Center (Concord) gross charge | Hospital | $15,788cash | 16.8× | — |
| John Muir Health Walnut Creek Medical Center (Walnut Creek) gross charge | Hospital | $17,368cash | 18.5× | ★★★★★ |
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 43239 (Upper GI endoscopy (EGD) with biopsy), Medicare's benchmark rate is $937.56. A fair self-pay target for this line is $1,684.95. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 43239 is $1,684.95, and negotiated rates at nearby facilities run $1,191.26–$3,014.25. 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) with biopsy prices in another area
What should 43239 cost in California?
For upper GI endoscopy (EGD) with biopsy (CPT 43239) in California, a fair self-pay price is around $1,647, with hospitals ranging from $1,191 to $3,014 across 87 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) with biopsy cost in California?
A fair self-pay price for upper GI endoscopy (EGD) with biopsy (CPT 43239) in California is around $1,647, with hospital prices ranging from $1,191 to $3,014 across 87 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 43239?
Medicare pays about $938 for upper GI endoscopy (EGD) with biopsy (CPT 43239). 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) with biopsy?
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.