Surgery and procedures CPT 43249 Outpatient

Upper endoscopy with balloon dilation cost in Santa Rosa, CA

In Santa Rosa-Petaluma, CA, 4 hospitals list a cash price for upper endoscopy (EGD) with balloon widening of the esophagus: from $287.13 to $3,959.20, with a median of $3,292.56. The lowest listed price is at Healdsburg Hospital — $3,005.43 less than the median here. Across California, the median is $2,455.00 at 73 hospitals.

Cash prices at 4 facilities across 3 cities for code 43249, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$287.13Healdsburg Hospital
Median$3,292.56half pay less
Highest$3,959.20in this market
Difference13.8×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 Santa Rosa-Petaluma, CA.

median
Lowest $287.13Highest $3,959.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Healdsburg Hospital lowest Healdsburg, CA · (707) 431-6500 HC PR 43249 EGD BALLOON DILATION ESOPHAGUS/LESS THAN 30MM $287.13 $563.00 — 49% Apr 1, 2026
source file
Healdsburg Hospital Healdsburg, CA · (707) 431-6500 HC ED UGI W DILATION ESOPHAGUS BAL CDM $1,776.33 $3,483.00 — 49% Apr 1, 2026
source file
Petaluma Valley Hospital Petaluma, CA · (707) 778-1111 HC ED UGI W DILATION ESOPHAGUS BAL CDM $3,205.35 $6,285.00 — 49% Apr 1, 2026
source file
Providence Santa Rosa Memorial Hospital Santa Rosa, CA · (707) 525-5300 HC ED UGI W DILATION ESOPHAGUS BAL CDM $3,379.77 $6,627.00 — 49% Apr 1, 2026
source file
Kaiser Foundation Hospital - Santa Rosa Santa Rosa, CA · (707) 571-4000 EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM $3,959.20 $7,070.00 $2,292.00–$7,179.00 44% —
source file

Outpatient: lowest $287.13, median $3,292.56, highest $3,959.20 — a 13.8× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $3,292.56. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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 it is

This code covers upper endoscopy in which a balloon is used to stretch a narrowed part of the esophagus.

What the price covers

The facility price covers the endoscopy room, equipment and recovery. The doctor, sedation and any lab exam of tissue are usually billed separately.