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Upper endoscopy (EGD), diagnostic in California: what insurers pay

Posted commercial rates at 5 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43235

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$1,1671.0×12026-03-30
Keck Hospital Of Usc Los Angeles$3,4122.9×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$7,0686.1×42026-09-01
John Muir Medical Center - Walnut Creek Campus Walnut Creek$8,2286.4×32026-03-23
John Muir Medical Center - Concord Campus Concord$8,4386.6×42026-03-23

Questions

How much do insurers pay for upper endoscopy (egd), diagnostic in California?

5 California hospitals post usable commercial rates for upper endoscopy (egd), diagnostic in their federal price-transparency files. For CPT 43235, hospital outpatient, the median across 5 hospitals is $7,068, 6.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.