Surgery and procedures CPT 43239 Outpatient

Upper endoscopy with biopsy cost in San Francisco, CA

In San Francisco-Oakland-Fremont, CA, 13 hospitals list a cash price for upper endoscopy (EGD) with biopsy: from $2,664.11 to $7,043.00, with a median of $3,354.40. The lowest listed price is at MarinHealth Medical Center — $690.29 less than the median here. Across California, the median is $1,768.00 at 102 hospitals.

  • The median here, $3,354.40, is 102% above the US median of $1,660.00.
  • That is 3.6× Medicare's 2026 national rate for the same service ($926.63).
  • San Francisco, CA ranks 4th of 4 metro areas in California by median, cheapest first.
  • 1 of 13 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 13 facilities across 12 cities for code 43239, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 29, 2026; the hospital files themselves were last updated between Mar 26, 2026 and Jul 22, 2026.

Lowest$2,664.11MarinHealth Medical Center
Median$3,354.40half of hospitals charge less
Highest$7,043.00in this market
Difference2.6×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 Francisco-Oakland-Fremont, CA.

median
Lowest $2,664.11Highest $10,560.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
MarinHealth Medical Center lowest Greenbrae, CA · (415) 925-7900 EGD BIOPSY SINGLE/MULTIPLE File of Mar 26, 2026 · source file $2,664.11 $4,440.18 $1,280.16–$15,538.00 40%
Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $3,354.40 $5,990.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $3,354.40 $5,990.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $3,354.40 $5,990.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $3,354.40 $5,990.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $3,354.40 $5,990.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $3,354.40 $5,990.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $3,354.40 $5,990.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $3,354.40 $5,990.00 $1,133.00–$3,547.00 44%
Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $3,354.40 $5,990.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $3,354.40 $5,990.00 $1,133.00–$3,547.00 44%
Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 Upper Stomach-Intestine Scope for Biopsy File of Apr 1, 2026 · source file $4,006.80 $10,017.00 — 60%
Chinese Hospital San Francisco, CA · (415) 677-2480 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope File of Jul 22, 2026 · source file $7,043.00 $7,043.00 $234.18–$12,677.40 —
MarinHealth Medical Center Greenbrae, CA · (415) 925-7900 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE File of Mar 26, 2026 · source file $10,560.00 $17,600.00 $1,280.16–$15,538.00 40%
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.
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 $2,664.11, median $3,354.40, highest $7,043.00 — a 2.6× difference within the same market.

As an inpatient, the same code is billed by 11 facilities here, median $3,354.40. 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 12 of 12 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.