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Upper endoscopy (EGD), diagnostic in San Francisco Bay Area CA

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 43235

Hospital · insurerRate× MedicarePlans
John Muir Medical Center - Walnut Creek Campus median $1,601 · local Medicare $1,281 · file 2026-03-23
Aetna$9,0237.0×2
Alignment Health$1,2811.0×1
Canopy Hn HMO$2,3441.8×1
Cigna$7,3675.8×3
Covid19 Hrsa Uninsured Testing And Treatment Fund$1,2811.0×1
Donor Network West$4,0003.1×1
Elevance/Anthem/Empire$8,2286.4×4
Essence Healthcare$1,2811.0×2
Generic Commercial/Indemnity$1,6011.2×1
Generic HMO$1,6011.2×1
Generic PPO$1,6011.2×1
John Muir Medical Center - Concord Campus median $1,972 · local Medicare $1,281 · file 2026-03-23
Aetna$9,0237.0×2
Alignment Health$1,2811.0×1
Blue Shield of California$8,6496.8×5
Canopy Hn HMO$2,3441.8×1
Cigna$7,3675.8×3
Covid19 Hrsa Uninsured Testing And Treatment Fund$1,2811.0×1
Donor Network West$4,0003.1×1
Elevance/Anthem/Empire$8,2286.4×4
Essence Healthcare$1,2811.0×2
Generic Commercial/Indemnity$1,6011.2×1
Generic HMO$1,6011.2×1
Generic PPO$1,6011.2×1
St Mary's Medical Center median $3,227 · local Medicare $1,311 · file 2026-04-01
Aetna$3,3632.6×1
Blue Shield of California$5,4884.2×1
Healthnet$3,1972.4×1
Heritage Provider Network$1,3121.0×2
Kaiser Permanente$2,9582.3×1
UnitedHealthcare$3,2572.5×2
Good Samaritan Hospital median $3,859 · local Medicare $1,334 · file 2026-09-01
Aetna$3,0832.3×3
Blue Shield of California$7,7555.8×2
Bright Health$3,4982.6×1
Cigna$3,8592.9×4
Elevance/Anthem/Empire$5,0223.8×2
MedCare Partners$1,3341.0×1
MultiPlan/PHCS (rental network)$1,3771.0×1
UnitedHealthcare$7,8485.9×1
Stanford Health Care Tri-Valley median $4,959 · local Medicare $1,281 · file 2026-04-01
Aetna$4,3763.4×2
Blue Shield of California$5,5424.3×2
Cigna$1,6901.3×1
UnitedHealthcare$5,6944.4×1

Questions

How much does upper endoscopy (egd), diagnostic cost with commercial insurance in San Francisco Bay Area CA?

5 San Francisco Bay Area CA hospitals post usable commercial rates for CPT 43235, hospital outpatient. The median across hospitals is $3,227; hospital medians range from $1,601 to $4,959. Your cost depends on your plan's deductible and coinsurance.