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Upper endoscopy with esophagus stretching in California: what insurers pay

Posted commercial rates at 7 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43249

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$2,4681.0×12026-03-30
Keck Hospital Of Usc Los Angeles$5,7052.3×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$7,6933.1×52026-09-01
John Muir Medical Center - Walnut Creek Campus Walnut Creek$11,7154.3×62026-03-23
John Muir Medical Center - Concord Campus Concord$11,7154.3×62026-03-23
Cedars-Sinai Medical Center Los Angeles$14,3225.8×32025-11-26
Stanford Health Care Stanford$15,6185.5×42026-04-01

CPT 43248

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$1,1671.0×12026-03-30
Keck Hospital Of Usc Los Angeles$4,8914.2×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$7,1396.1×42026-09-01
John Muir Medical Center - Walnut Creek Campus Walnut Creek$8,9607.0×22026-03-23
John Muir Medical Center - Concord Campus Concord$8,9607.0×22026-03-23

Questions

How much do insurers pay for upper endoscopy with esophagus stretching in California?

7 California hospitals post usable commercial rates for upper endoscopy with esophagus stretching in their federal price-transparency files. For CPT 43249, hospital outpatient, the median across 7 hospitals is $11,715, 4.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.