Surgery and procedures CPT 43248 Outpatient

Upper endoscopy with wire-guided dilation cost in San Francisco, CA

In San Francisco-Oakland-Fremont, CA, 12 hospitals list a cash price for upper endoscopy (EGD) with widening of the esophagus over a guide wire: from $2,640.00 to $4,363.20, with a median of $3,018.40. The lowest listed price is at MarinHealth Medical Center — $378.40 less than the median here. Across California, the median is $1,871.88 at 70 hospitals.

  • The median here, $3,018.40, is 78% above the US median of $1,698.96.
  • That is 3.3× Medicare's 2026 national rate for the same service ($926.63).
  • San Francisco, CA ranks 3rd of 3 metro areas in California by median, cheapest first.
  • Every hospital here lists a cash price below its full list price.

Cash prices at 12 facilities across 12 cities for code 43248, 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 Apr 1, 2026.

Lowest$2,640.00MarinHealth Medical Center
Median$3,018.40half of hospitals charge less
Highest$4,363.20in this market
Difference1.7×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 $2,640.00Highest $4,363.20

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
MarinHealth Medical Center lowest Greenbrae, CA · (415) 925-7900 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE File of Mar 26, 2026 · source file $2,640.00 $4,400.00 $1,280.16–$15,538.00 40%
Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS File of Apr 1, 2026 · source file $3,018.40 $5,390.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS File of Apr 1, 2026 · source file $3,018.40 $5,390.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS File of Apr 1, 2026 · source file $3,018.40 $5,390.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS File of Apr 1, 2026 · source file $3,018.40 $5,390.00 $1,133.00–$3,547.00 44%
Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS File of Apr 1, 2026 · source file $3,018.40 $5,390.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS File of Apr 1, 2026 · source file $3,018.40 $5,390.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS File of Apr 1, 2026 · source file $3,018.40 $5,390.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS File of Apr 1, 2026 · source file $3,018.40 $5,390.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS File of Apr 1, 2026 · source file $3,018.40 $5,390.00 $1,133.00–$3,547.00 44%
Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS File of Apr 1, 2026 · source file $3,018.40 $5,390.00 $1,133.00–$3,547.00 44%
Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 Endscpy Savry Dilat File of Apr 1, 2026 · source file $4,363.20 $10,908.00 — 60%
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.
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Outpatient: lowest $2,640.00, median $3,018.40, highest $4,363.20 — a 1.7× difference within the same market.

As an inpatient, the same code is billed by 11 facilities here, median $3,018.40. 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 11 of 11 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 wire-guided dilation is, what the price covers and why prices differ: Upper endoscopy with wire-guided dilation explained.