Surgery and procedures CPT 43239 Outpatient

Upper endoscopy with biopsy cost in Los Angeles, CA

In Los Angeles-Long Beach-Anaheim, CA, 27 hospitals list a cash price for upper endoscopy (EGD) with biopsy: from $407.40 to $8,190.00, with a median of $1,222.56. The lowest listed price is at Providence Saint Joseph Medical Center — $815.16 less than the median here. Across California, the median is $1,768.00 at 102 hospitals.

  • The median here, $1,222.56, is 26% below the US median of $1,660.00.
  • That is 1.3× Medicare's 2026 national rate for the same service ($926.63).
  • Los Angeles, CA ranks 2nd of 4 metro areas in California by median, cheapest first.
  • 2 of 27 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 27 facilities across 24 cities for code 43239, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 3, 2026; the hospital files themselves were last updated between Nov 26, 2025 and Sep 1, 2026.

Lowest$407.40Providence Saint Joseph Medical Center
Median$1,222.56half of hospitals charge less
Highest$8,190.00in this market
Difference20.1×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Los Angeles-Long Beach-Anaheim, CA.

median
Lowest $407.40Highest $8,190.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Providence Saint Joseph Medical Center lowest Burbank, CA · (818) 843-5111 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM File of Apr 1, 2026 · source file $407.40 $1,164.00 — 65%
Providence Little Company of Mary Medical Center Torrance Torrance, CA · (310) 540-7676 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM File of Apr 1, 2026 · source file $508.20 $1,452.00 — 65%
Providence Little Co of Mary Medical Center San Pedro San Pedro, CA · (310) 832-3311 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM File of Apr 1, 2026 · source file $508.20 $1,452.00 — 65%
Providence Cedars Sinai Tarzana Medical Center Tarzana, CA · (818) 881-0800 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM File of Apr 1, 2026 · source file $530.60 $1,516.00 — 65%
Saint John's Health Center Santa Monica, CA · (310) 829-5511 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM File of Apr 1, 2026 · source file $586.60 $1,676.00 — 65%
Providence Holy Cross Medical Center Mission Hills, CA · (818) 365-8051 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM File of Apr 1, 2026 · source file $622.65 $1,779.00 — 65%
USC Arcadia Hospital Arcadia, CA · (626) 898-8000 UPPER GI ENDO INC ESOPH W/BX File of Jul 27, 2026 · source file $933.10 $2,666.00 $824.06–$2,666.00 65%
St Jude Hospital Fullerton, CA · (714) 992-3000 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM File of Apr 1, 2026 · source file $1,075.68 $2,241.00 — 52%
San Dimas Community Hospital San Dimas, CA · (909) 599-6811 Egd Biopsy Single/Multiple+1 more line at this price File of Sep 1, 2026 · source file $1,160.00 $9,176.81 $335.91–$9,176.81 87%
La Palma Intercommunity Hospital La Palma, CA · (714) 670-7400 Hc Egd Transoral Biopsy Single/Multiple File of Sep 1, 2026 · source file $1,160.00 $5,669.74 $335.91–$5,669.74 80%
West Anaheim Medical Center Anaheim, CA · (714) 827-3000 Hc Egd Transoral Biopsy Single/Multiple File of Sep 1, 2026 · source file $1,160.00 $5,669.74 $335.91–$5,669.74 80%
St Francis Medical Center Lynwood, CA · (310) 900-8900 Egd Biopsy Single/Multiple+1 more line at this price File of Sep 1, 2026 · source file $1,160.00 $14,942.00 $335.91–$13,447.80 92%
Garden Grove Hospital Medical Center Garden Grove, CA · (714) 537-5160 Hc Egd Transoral Biopsy Single/Multiple File of Sep 1, 2026 · source file $1,160.00 $6,016.31 $335.91–$6,016.31 81%
Providence St Joseph Hospital Orange Orange, CA · (714) 633-9111 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM File of Apr 1, 2026 · source file $1,222.56 $2,547.00 — 52%
Mission Hospital Regional Med Center Mission Viejo, CA · (949) 364-1400 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM File of Apr 1, 2026 · source file $1,352.16 $2,817.00 — 52%
Kaiser Foundation Hospital - South Bay Harbor City, CA · (310) 325-5111 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,768.00 $3,400.00 $930.00–$2,766.00 48%
Kaiser Foundation Hospital - West LA Los Angeles, CA · (213) 857-2201 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,768.00 $3,400.00 $930.00–$2,766.00 48%
Kaiser Foundation Hospital - Woodland Hills Woodland Hills, CA · (818) 719-3800 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,768.00 $3,400.00 $930.00–$2,766.00 48%
Kaiser Foundation Hospital - Panorama City Panorama City, CA · (818) 375-2000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,768.00 $3,400.00 $930.00–$2,766.00 48%
Kaiser Foundation Hospital - Baldwin Park Baldwin Park, CA · (626) 851-1011 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,768.00 $3,400.00 $930.00–$2,766.00 48%
Kaiser Fnd Hospital - Irvine Irvine, CA · (714) 279-4000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,768.00 $3,400.00 $930.00–$2,766.00 48%
Kaiser Foundation Hospital - Downey Downey, CA · (562) 461-6007 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,768.00 $3,400.00 $930.00–$2,766.00 48%
Kaiser Foundation Hospital - Orange County - Anaheim Anaheim, CA · (714) 279-4000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,768.00 $3,400.00 $930.00–$2,766.00 48%
Kaiser Foundation Hospital - Los Angeles Los Angeles, CA · (323) 783-4011 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,768.00 $3,400.00 $930.00–$2,766.00 48%
Valley Presbyterian Hospital Van Nuys, CA · (818) 782-6600 OR-EGD BIOPSY,SINGLE OR MULTPL File of Jul 9, 2026 · source file $2,007.00 $2,007.00 $501.75–$4,198.00 —
Cedars-Sinai Medical Center Los Angeles, CA · (310) 423-5000 Outpatient Surgical Group 2+3 more lines at this price File of Nov 26, 2025 · source file $3,397.48 $5,226.90 $12,162.28–$18,056.43 35%
Pacifica Hospital of the Valley Sun Valley, CA · (818) 767-3310 Biopsy exam of esophagus, stomach or small bowel using an endoscope source file $8,190.00 $8,190.00 $929.00–$8,190.00 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $407.40, median $1,222.56, highest $8,190.00 — a 20.1× difference within the same market.

As an inpatient, the same code is billed by 20 facilities here, median $1,560.08. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 17 of 18 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What upper endoscopy with biopsy is, what the price covers and why prices differ: Upper endoscopy with biopsy explained.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 43239 ($1,324.80). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
USC Arcadia Hospital Arcadia, CAKIT BIOPSY AND OR SNARE $40.95 file
USC Arcadia Hospital Arcadia, CABRUSHING/ MIL-ROSE $44.80 file
File Link to the hospital's own price file.