How much does upper GI endoscopy (EGD), diagnostic cost in Riverside, CA?
CPT 43235 — the fair price, every hospital's price, and the Medicare benchmark for Riverside, CA.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Eisenhower Medical Center (Rancho Mirage) lowest | Hospital | $577cash | 0.6× | ★★★★★ |
| Providence St. Jude Medical Center (Fullerton) | Hospital | $1,076cash | 1.1× | ★★★★★ |
| Dignity St. Bernardine Medical Center (San Bernardino) | Hospital | $1,191negotiated | 1.3× | — |
| Providence St. Joseph Hospital (Orange) | Hospital | $1,223cash | 1.3× | ★★★★★ |
| Providence Mission Hospital (Mission Viejo) | Hospital | $1,352cash | 1.4× | ★★★★★ |
| Providence St. Mary Medical Center (Apple Valley) | Hospital | $1,438cash | 1.5× | — |
| Pomona Valley Hospital Medical Center (Pomona) | Hospital | $1,582cash | 1.7× | ★★★★★ |
| UCI Health – Placentia Linda (Placentia) | Hospital | $1,691negotiated | 1.8× | — |
| UCI Health – Los Alamitos (Los Alamitos) | 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× | — |
| 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× | ★★★★★ |
| Riverside Community Hospital (Riverside) | Hospital | $2,820negotiated | 3.0× | — |
| Riverside University Health System Medical Center (Moreno Valley) gross charge | Hospital | $4,692cash | 5.0× | — |
| MemorialCare Saddleback Medical Center (Laguna Hills) gross charge | Hospital | $4,707cash | 5.0× | ★★★★★ |
| MemorialCare Orange Coast Medical Center (Fountain Valley) gross charge | Hospital | $4,707cash | 5.0× | — |
| Hoag Memorial Hospital Presbyterian (Newport Beach) gross charge | Hospital | $5,011negotiated | 5.3× | ★★★★★ |
- For 43235 (Upper GI endoscopy (EGD), diagnostic), Medicare's benchmark rate is $937.56. A fair self-pay target for this line is $1,727.00. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 43235 is $1,727.00, and negotiated rates at nearby facilities run $1,394.88–$2,419.57. 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.
What should 43235 cost in Riverside, CA?
For upper GI endoscopy (EGD), diagnostic (CPT 43235) in Riverside, CA, a fair self-pay price is around $1,691, with hospitals ranging from $1,395 to $2,420 across 21 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 Riverside, CA?
A fair self-pay price for upper GI endoscopy (EGD), diagnostic (CPT 43235) in Riverside, CA is around $1,691, with hospital prices ranging from $1,395 to $2,420 across 21 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.
Compare other procedures in Riverside, CA
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.