How much does upper GI endoscopy (EGD) with biopsy cost in Riverside, CA?
CPT 43239 — 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× | — |
| Loma Linda University Medical Center – Murrieta (Murrieta) | Hospital | $1,532cash | 1.6× | — |
| Pomona Valley Hospital Medical Center (Pomona) | Hospital | $1,582cash | 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 – Placentia Linda (Placentia) | Hospital | $1,691negotiated | 1.8× | — |
| Kaiser Permanente Fontana Medical Center (Fontana) | Hospital | $1,768cash | 1.9× | — |
| JFK Memorial Hospital (Indio) | Hospital | $2,296negotiated | 2.4× | — |
| Desert Regional Medical Center (Palm Springs) | Hospital | $2,360negotiated | 2.5× | — |
| Loma Linda University Medical Center (Loma Linda) | Hospital | $2,614cash | 2.8× | ★★★★★ |
| Riverside Community Hospital (Riverside) | Hospital | $3,684negotiated | 3.9× | — |
| MemorialCare Orange Coast Medical Center (Fountain Valley) | Hospital | $4,676cash | 5.0× | — |
| MemorialCare Saddleback Medical Center (Laguna Hills) | Hospital | $4,676cash | 5.0× | ★★★★★ |
| 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× | ★★★★★ |
- For 43239 (Upper GI endoscopy (EGD) with biopsy), Medicare's benchmark rate is $937.56. A fair self-pay target for this line is $1,557.12. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 43239 is $1,557.12, and negotiated rates at nearby facilities run $1,394.88–$3,148.80. 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 43239 cost in Riverside, CA?
For upper GI endoscopy (EGD) with biopsy (CPT 43239) in Riverside, CA, a fair self-pay price is around $1,691, with hospitals ranging from $1,395 to $3,149 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) with biopsy cost in Riverside, CA?
A fair self-pay price for upper GI endoscopy (EGD) with biopsy (CPT 43239) in Riverside, CA is around $1,691, with hospital prices ranging from $1,395 to $3,149 across 21 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.
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.