How much does upper GI endoscopy (EGD), diagnostic cost in Los Angeles, CA?
CPT 43235 — the fair price, every hospital's price, and the Medicare benchmark for Los Angeles, CA.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Adventist Health White Memorial (Los Angeles) lowest ⚠ 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× | — |
| 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× | ★★★★★ |
| Providence Cedars-Sinai Tarzana Medical Center (Tarzana) | Hospital | $531cash | 0.6× | ★★★★★ |
| Providence Holy Cross Medical Center (Mission Hills) | Hospital | $623cash | 0.7× | — |
| USC Arcadia Hospital (Arcadia) | Hospital | $933cash | 1.0× | — |
| 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× | ★★★★★ |
| UCLA Santa Monica Medical Center (Santa Monica) | Hospital | $1,298negotiated | 1.4× | ★★★★★ |
| Ronald Reagan UCLA Medical Center (Los Angeles) | Hospital | $1,310negotiated | 1.4× | ★★★★★ |
| UCI Health – Lakewood (Lakewood) | Hospital | $1,691negotiated | 1.8× | — |
| Kaiser Permanente Los Angeles Medical Center (Los Angeles) | Hospital | $1,872cash | 2.0× | ★★★★★ |
| Keck Hospital of USC (Los Angeles) | Hospital | $2,333negotiated | 2.5× | ★★★★★ |
| MemorialCare Long Beach Medical Center (Long Beach) gross charge | Hospital | $4,707cash | 5.0× | ★★★★★ |
| Cedars-Sinai Medical Center (Los Angeles) gross charge | Hospital | $4,878cash | 5.2× | ★★★★★ |
| Los Robles Health System (Thousand Oaks) gross charge | Hospital | $6,767negotiated | 7.2× | — |
- For 43235 (Upper GI endoscopy (EGD), diagnostic), Medicare's benchmark rate is $937.56. A fair self-pay target for this line is $530.60. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 43235 is $530.60, and negotiated rates at nearby facilities run $458.11–$1,691.48. 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 Los Angeles, CA?
For upper GI endoscopy (EGD), diagnostic (CPT 43235) in Los Angeles, CA, a fair self-pay price is around $1,191, with hospitals ranging from $458 to $1,691 across 23 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 Los Angeles, CA?
A fair self-pay price for upper GI endoscopy (EGD), diagnostic (CPT 43235) in Los Angeles, CA is around $1,191, with hospital prices ranging from $458 to $1,691 across 23 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 Los Angeles, 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.