Surgery and procedures CPT 43239 Outpatient

Upper endoscopy with biopsy cost in San Diego, CA

In San Diego-Chula Vista-Carlsbad, CA, 10 hospitals list a cash price for upper endoscopy (EGD) with biopsy: from $649.35 to $2,094.75, with a median of $1,208.68. The lowest listed price is at Scripps Memorial Hospital La Jolla and 4 other hospitals — $559.33 less than the median here. Across California, the median is $1,768.00 at 102 hospitals.

  • The median here, $1,208.68, is 27% below the US median of $1,660.00.
  • That is 1.3× Medicare's 2026 national rate for the same service ($926.63).
  • San Diego, CA has the lowest median of 4 metro areas in California with at least 10 hospitals pricing this code.
  • Every hospital here lists a cash price below its full list price.

Cash prices at 10 facilities across 4 cities for code 43239, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Mar 30, 2026 and Apr 1, 2026.

Lowest$649.35Scripps Memorial Hospital La Jolla + 4 more
Median$1,208.68half of hospitals charge less
Highest$2,094.75in this market
Difference3.2×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 San Diego-Chula Vista-Carlsbad, CA.

median
Lowest $649.35Highest $7,707.30

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Scripps Memorial Hospital La Jolla lowest La Jolla, CA · (858) 626-4123 HC Egd W/Biopsy Sgl/Mult File of Mar 30, 2026 · source file $649.35 $2,597.40 $128.99–$2,916.34 75%
Scripps Memorial Hospital Encinitas lowest Encinitas, CA · (760) 753-6501 HC Egd W/Biopsy Sgl/Mult File of Mar 30, 2026 · source file $649.35 $2,597.40 $128.99–$2,916.34 75%
Scripps Mercy Hospital Chula Vista lowest San Diego, CA · (619) 294-8111 HC Egd W/Biopsy Sgl/Mult File of Mar 30, 2026 · source file $649.35 $2,597.40 $128.99–$2,916.34 75%
Scripps Mercy Hospital San Diego lowest San Diego, CA · (619) 294-8111 HC Egd W/Biopsy Sgl/Mult File of Mar 30, 2026 · source file $649.35 $2,597.40 $128.99–$2,916.34 75%
Scripps Green Hospital lowest La Jolla, CA · (858) 554-3600 HC Egd W/Biopsy Sgl/Mult File of Mar 30, 2026 · source file $649.35 $2,597.40 $128.99–$2,916.34 75%
Kaiser Foundation Hospital - San Marcos San Marcos, CA · (760) 528-6295 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 - San Diego - Zion San Diego, CA · (619) 528-5000 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 - San Diego - Clairemont Mesa San Diego, CA · (619) 528-5000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,768.00 $3,400.00 $930.00–$2,766.00 48%
UC San Diego Medical Center San Diego, CA · (619) 543-6222 Biopsy Of The Esophagus, Stomach, Or Upper Small Bowel Using An Endoscope File of Apr 1, 2026 · source file $2,081.75 $3,785.00 $335.91–$10,382.01 45%
Rady Children's Hospital - San Diego San Diego, CA · (858) 576-1700 Rch Smh-Egd W/Biopsy File of Apr 1, 2026 · source file $2,094.75 $2,793.00 — 25%
UC San Diego Medical Center San Diego, CA · (619) 543-6222 Biopsy Of The Esophagus, Stomach, Or Upper Small Bowel Using An Endoscope File of Apr 1, 2026 · source file $7,707.30 $14,013.27 $35.00–$11,865.15 45%
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

Outpatient: lowest $649.35, median $1,208.68, highest $2,094.75 — a 3.2× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $1,208.68. 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 9 of 9 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.