CPT 43239GI & Endoscopy Procedures13 Bay Area Hospitals Compared
Upper GI Endoscopy (EGD) With Biopsy
Outpatient camera examination of the esophagus, stomach, and first part of the small intestine (duodenum) including tissue biopsy (e.g., to test for celiac disease, ulcers, H. pylori, or acid reflux damage).
Official CPT Description: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple
CMS OPPS APC: 5302
Bay Area Cash Price Spread
$2,503 – $4,007
1.6x variation across Bay Area hospitals
2026 Medicare Hospital Rate:$1,326.77
2026 Medicare Office Rate:$368.5
All-In Negotiated Range:$234 – $22,145
Tier 1: General Prices(Cash / Medicare / Negotiated Range)Tier 2: Your Price (Payer-Adjusted for Your Plan)
Accuracy Level — General Prices: You are currently viewing general published hospital cash prices, Medicare baselines, and wide multi-payer ranges. Add your insurance card to see YOUR price for your specific payer and plan.
Side-by-Side Hospital Price Comparison — Upper GI Endoscopy (EGD) With Biopsy (CPT 43239)
Showing 13 Bay Area hospitals • CMS Medicare OPPS Facility Baseline: $1,326.77 (Non-Facility Office Rate: $368.5)
| Hospital / Facility | Discounted Cash Price | CMS Medicare Baseline | Negotiated Insurance Range | Published MRF Source & Date |
|---|---|---|---|---|
| Sutter Health — Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa, CA 95403 (Sonoma County) MRF Item: Egd biopsy single/multiple | Not separately listed Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $1,247 – $3,410 Across 7 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Sutter Delta Medical Center 3901 Lone Tree Way, Antioch, CA 94509 (Contra Costa County) MRF Item: Egd biopsy single/multiple | Not separately listed Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $1,281 – $3,410 Across 7 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Alta Bates Summit Medical Center (Berkeley) 2450 Ashby Ave, Berkeley, CA 94705 (Alameda County) MRF Item: Egd biopsy single/multiple | Not separately listed Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $1,290 – $3,410 Across 7 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Alta Bates Summit Medical Center (Oakland) 350 Hawthorne Ave, Oakland, CA 94609 (Alameda County) MRF Item: Egd biopsy single/multiple | Not separately listed Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $1,290 – $3,410 Across 7 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Eden Medical Center 20103 Lake Chabot Rd, Castro Valley, CA 94546 (Alameda County) MRF Item: Egd biopsy single/multiple | Not separately listed Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $1,290 – $3,410 Across 7 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame, CA 94010 (San Mateo County) MRF Item: Egd biopsy single/multiple | Not separately listed Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $1,317 – $3,410 Across 7 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| UCSF Medical Center (Parnassus, Mission Bay & Mt. Zion) 505 Parnassus Ave, San Francisco, CA 94143 (San Francisco County) MRF Item: Egd biopsy single/multiple | Not separately listed Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $1,327 – $11,251 Across 2 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Sutter Solano Medical Center 300 Hospital Dr, Vallejo, CA 94589 (Solano County) MRF Item: Egd biopsy single/multiple | Not separately listed Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $1,853 – $3,410 Across 6 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Novato Community Hospital 180 Rowland Way, Novato, CA 94945 (Marin County) MRF Item: Egd biopsy single/multiple | Not separately listed Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $2,119 – $3,410 Across 6 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — CPMC Van Ness Campus 1101 Van Ness Ave, San Francisco, CA 94109 (San Francisco County) MRF Item: Egd biopsy single/multiple | Not separately listed Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $2,230 – $3,410 Across 6 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Washington Hospital Healthcare System 2000 Mowry Ave, Fremont, CA 94538 (Alameda County) MRF Item: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $2,503 Gross Chargemaster: $3,851 Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $234 – $28,558 Across 10 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-07-24 |
| Stanford Health Care (Palo Alto Hospital) 300 Pasteur Dr, Stanford, CA 94305 (Santa Clara County) MRF Item: Upper Stomach-Intestine Scope for Biopsy | $4,007 Gross Chargemaster: $10,017 Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $1,334 – $22,145 Across 5 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Stanford Health Care Tri-Valley (Pleasanton & Livermore) 5555 W Las Positas Blvd, Pleasanton, CA 94588 (Alameda County) MRF Item: Upper Stomach-Intestine Scope for Biopsy | $4,007 Gross Chargemaster: $10,017 Self-pay / uninsured rate | $1,326.77 Hospital Outpatient (OPPS) Office / Non-Facility: $368.5 | $2,424 – $7,416 Across 4 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
How to use these numbers: Published hospital rates are estimates of what care costs under federal Hospital Price Transparency rules (45 CFR § 180.50), not binding quotes. Always confirm the exact CPT code (43239) and whether facility + professional (radiologist/pathologist/anesthesia) fees are billed separately.
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