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Upper endoscopy (EGD) with biopsy in California: what insurers pay

Posted commercial rates at 28 California hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$1,1671.0×12026-03-30
Scripps Mercy Hospital San Diego$1,1671.0×12026-03-30
Scripps Memorial Hospital La Jolla La Jolla$1,1671.0×12026-03-30
Scripps Memorial Hospital - Encinitas Encinitas$1,1671.0×12026-03-30
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$1,3781.2×12026-03-29
Usc Arcadia Hospital Arcadia$1,4801.3×42026-07-27
Tri-City Medical Center Oceanside$1,5051.3×42026-05-29
Ucla West Valley Medical Center West Hills$1,7151.5×12026-03-29
Memorialcare Long Beach Medical Center Long Beach$2,2501.9×52026-04-01
Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego$2,4882.1×42026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$2,8902.5×52026-04-01
Providence Cedars Sinai Tarzana Medical Center Tarzana$3,0382.6×42026-04-01
Providence Saint Joseph Medical Ctr Burbank$3,0532.6×42026-04-01
Usc Verdugo Hills Hospital Glendale$3,2362.8×42026-04-01
Providence Holy Cross Medical Center Mission Hills$3,2782.8×52026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$3,3522.9×42026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$3,3602.9×42026-04-01
Providence Mission Hospital Mission Viejo$3,3662.9×52026-04-01
Providence St. Jude Medical Center Fullerton$3,4653.0×52026-04-01
St Mary's Medical Center San Francisco$3,6462.8×42026-04-01
Providence St. Joseph Hospital Orange$3,8453.3×52026-04-01
Keck Hospital Of Usc Los Angeles$3,8633.3×52026-04-01
Stanford Health Care Tri-Valley Pleasanton$5,4604.3×42026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$6,0665.2×32026-04-01
Good Samaritan Hospital San Jose$6,1934.6×62026-09-01
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 (egd) with biopsy in California?

28 California hospitals post usable commercial rates for upper endoscopy (egd) with biopsy in their federal price-transparency files. For CPT 43239, hospital outpatient, the median across 28 hospitals is $3,257, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.