How much does upper GI endoscopy (EGD) with biopsy cost in Los Angeles, CA?
CPT 43239 — the fair price, every hospital's price, and the Medicare benchmark for Los Angeles, CA.
- For 43239 (Upper GI endoscopy (EGD) with biopsy), Medicare's benchmark rate is $937.56. A fair self-pay target for this line is $1,875.12. If I was charged more than that, please reduce it toward this benchmark.
- No local cash price is on file for 43239 in CA. Ask the hospital for their cash/self-pay price for this code in writing.
- 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 Los Angeles, CA?
For upper GI endoscopy (EGD) with biopsy (CPT 43239) in Los Angeles, CA, hospital prices vary widely — compare each facility above. 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 Los Angeles, CA?
Hospital prices for upper GI endoscopy (EGD) with biopsy (CPT 43239) in Los Angeles, CA vary widely. Compare each facility's published rate above and use the Medicare benchmark as your negotiation floor.
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 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.