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

Posted commercial rates at 103 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Modoc Medical Center Alturas$8200.7×12026-06-09
Seneca District Hospital Chester$8200.7×12026-06-09
Oroville Hospital Oroville$1,1231.0×52026-09-27
Pacifica Hospital Of The Valley Sun Valley$1,1611.0×62026-09-27
Chino Valley Medical Center Chino$1,1611.0×72026-09-01
Orange County Global Medical Center Santa Ana$1,1671.0×302026-06-15
Northbay Medical Center Fairfield$1,1730.9×32026-04-01
Riverside University Health System-Medical Center Moreno Valley$1,2331.1×12026-03-30
San Gorgonio Memorial Hospital Banning$1,2421.1×72026-05-20
East Los Angeles Doctors Hospital Los Angeles$1,2461.1×182026-02-04
Community Hospital Of Huntington Park Huntington Park$1,2731.1×172026-02-04
Memorial Hospital Of Gardena Gardena$1,2731.1×172026-02-04
Coast Plaza Hospital Norwalk$1,2731.1×172026-02-04
Loma Linda University Medical Center Loma Linda$1,2831.1×112026-09-02
Loma Linda University Children'S Hospital Loma Linda$1,2831.1×92026-09-02
University Of California Davis Medical Center Sacramento$1,2951.1×12026-04-01
San Dimas Community Hospital San Dimas$1,3351.1×82026-09-01
Usc Arcadia Hospital Arcadia$1,4801.3×62026-07-27
John Muir Medical Center - Concord Campus Concord$1,6011.3×102026-03-23
La Palma Intercommunity Hospital La Palma$1,6251.4×32026-09-01
Desert Valley Hospital Victorville$1,6251.4×42026-09-01
Montclair Hospital Medical Center Montclair$1,6281.4×42026-09-01
Tri-City Medical Center Oceanside$1,6681.4×72026-05-29
Shasta Regional Medical Center Redding$1,6831.4×42026-09-01
Ronald Reagan Ucla Medical Center Los Angeles$1,7151.5×52026-03-29
Ucla West Valley Medical Center West Hills$1,7151.5×32026-03-29
Hemet Global Medical Center Hemet$1,7411.5×172026-06-15
San Joaquin General Hospital French Camp$1,7841.5×22026-04-01
Uci Health-Lakewood Lakewood$1,8961.6×62026-04-01
Southern California Hospital At Hollywood Hollywood$1,9221.6×32026-03-18
Scripps Mercy Hospital San Diego$1,9831.7×52026-03-30
Scripps Memorial Hospital La Jolla La Jolla$1,9831.7×52026-03-30
Scripps Green Hospital La Jolla$1,9831.7×52026-03-30
Scripps Memorial Hospital - Encinitas Encinitas$1,9831.7×52026-03-30
Palomar Health Downtown Campus Escondido$2,0081.7×22026-04-01
Foothill Regional Medical Center Tustin$2,0301.7×42026-03-18
Loma Linda University Medical Center-Murrieta Murrieta$2,1341.8×62026-09-02
Palomar Medical Center Poway Poway$2,1511.8×12026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$2,1931.9×42026-03-29
Los Angeles Community Hospital Los Angeles$2,4182.1×32026-03-18
Memorialcare Saddleback Medical Center Laguna Hills$2,4572.1×112026-04-01
Memorialcare Long Beach Medical Center Long Beach$2,5722.2×102026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$2,6252.3×112026-04-01
Usc Verdugo Hills Hospital Glendale$2,6642.3×62026-04-01
Kaiser Foundation Hospital - Los Angeles Los Angeles$2,7662.4×12026-04-01
Kaiser Foundation Hospital - Downey Downey$2,7662.4×12026-04-01
Kaiser Foundation Hospital - South Bay Harbor City$2,7662.4×12026-04-01
Kaiser Foundation Hospital - Zion San Diego$2,7662.4×12026-04-01
Kaiser Foundation Hospital - Woodland Hills Woodland Hills$2,7662.4×12026-04-01
Kaiser Foundation Hospital, Riverside Riverside$2,7662.4×12026-04-01
Kaiser Foundation Hospital - Baldwin Park Baldwin Park$2,7662.4×12026-04-01
Kaiser Foundation Hospital-Moreno Valley Moreno Valley$2,7662.4×12026-04-01
Kaiser Foundation Hospital - San Marcos San Marcos$2,7662.4×12026-04-01
Menifee Global Medical Center Sun City$3,0182.6×202026-05-20
St Mary's Medical Center San Francisco$3,2272.5×62026-04-01
Providence St Mary Medical Center Apple Valley$3,2702.8×42026-04-01
Keck Hospital Of Usc Los Angeles$3,3252.9×92026-04-01
John Muir Medical Center - Walnut Creek Campus Walnut Creek$3,3872.6×102026-03-23
Providence Mission Hospital Mission Viejo$3,4142.9×62026-04-01
Providence Saint Joseph Medical Ctr Burbank$3,4523.0×52026-04-01
Providence Holy Cross Medical Center Mission Hills$3,4633.0×62026-04-01
Providence St. Jude Medical Center Fullerton$3,4643.0×62026-04-01
Providence Cedars Sinai Tarzana Medical Center Tarzana$3,4703.0×52026-04-01
Kaiser Foundation Hospital - South San Francisco South San Francisco$3,5472.7×12026-04-01
Kaiser Foundation Hospital-Santa Clara Santa Clara$3,5472.7×12026-04-01
Kaiser Foundation Hospital - Walnut Creek Walnut Creek$3,5472.8×12026-04-01
Kaiser Foundation Hospital - San Francisco San Francisco$3,5472.7×12026-04-01
Regional Medical Center Of San Jose San Jose$3,5472.7×12026-04-01
Kaiser Foundation Hospital - Sacramento Sacramento$3,5473.0×12026-04-01
Kaiser Foundation Hospital - Fremont Fremont$3,5472.8×12026-04-01
Kaiser Foundation Hospital - Redwood City Redwood City$3,5472.7×12026-04-01
Kaiser Foundation Hospital-Santa Rosa Santa Rosa$3,5472.9×12026-04-01
Kaiser Foundation Hospital - Fresno Fresno$3,5473.0×12026-04-01
Kaiser Foundation Hospital - Antioch Antioch$3,5472.8×12026-04-01
Kaiser Foundation Hospital - Vacaville Vacaville$3,5472.8×12026-04-01
Kaiser Foundation Hospital - Roseville Roseville$3,5473.0×12026-04-01
Kaiser Foundation Hospital - San Leandro San Leandro$3,5472.8×12026-04-01
Providence St. Joseph Hospital Orange$3,6543.1×62026-04-01
Hollywood Presbyterian Medical Center Los Angeles$4,0183.4×12026-03-12
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$4,0363.5×52026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$4,0463.5×52026-04-01
Community Regional Medical Center Fresno$4,1153.5×82026-06-18
Clovis Community Medical Center Clovis$4,1153.5×82026-06-15
South Coast Global Medical Center Santa Ana$4,3213.7×262026-06-15
Saint John's Health Center Santa Monica$4,3853.8×52026-04-01
Fresno Surgical Hospital Fresno$4,4943.9×32026-06-16
Victor Valley Global Medical Center Victorville$4,6454.0×262026-05-13
Chinese Hospital San Francisco$4,7423.6×62026-07-22
Riverside Community Hospital Riverside$4,7484.1×72026-09-01
Good Samaritan Hospital San Jose$5,0223.8×82026-09-01
Providence Santa Rosa Memorial Hospital Santa Rosa$5,0284.1×42026-04-01
Saint Agnes Medical Center Fresno$5,0354.3×202026-03-31
Chapman Global Medical Center Orange$5,3204.6×232026-05-06
Stanford Health Care Tri-Valley Pleasanton$5,4604.3×42026-04-01
Mission Community Hospital Panorama City$5,7274.9×22026-09-01
Hoag Memorial Hospital Presbyterian Newport Beach$6,0665.2×32026-04-01
Watsonville Community Hospital Watsonville$6,3745.1×142026-09-15
Rady Children'S Hospital - San Diego San Diego$6,3945.5×42026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$7,1396.1×42026-09-01
Providence Queen Of The Valley Medical Center Napa$7,4806.4×52026-04-01
Providence St Joseph Hospital Eureka$7,5686.5×42026-04-01
Providence Redwood Memorial Hospital Fortuna$8,0056.9×32026-04-01
Valley Children'S Hospital Madera$8,1867.0×22026-04-01

Questions

How much do insurers pay for upper endoscopy (egd) with biopsy in California?

103 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 103 hospitals is $2,766, 2.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.