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By Jayant Panwar, Healthcare Data AnalystUpdated April 4, 2026Editorial policy
Disclaimer: This page provides cost comparison data sourced from insurer Transparency in Coverage files. It is not medical advice. Consult a qualified healthcare provider for medical decisions.Learn about our data methodology.
Duarte, California

Cost of a EGD with Biopsy Visit
in Duarte

Duarte's healthcare market reflects the broader San Gabriel Valley's competitive landscape, with limited specialized gastroenterology services requiring many patients to seek care in nearby metropolitan areas. Patients in Duarte pay between $39 and $1,352 for an EGD with Biopsy visit, with a median cost of $200. The local healthcare infrastructure includes 0 active providers offering this service, comprising 0 individual practitioners and 0 group practices.

Cost Summary for EGD with Biopsy in Duarte

Low Estimate

$39

Median

$200

High Estimate

$1,352

Providers

29

National avg: $538Duarte: $200

63% below national average

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 43239EGD with biopsy). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 43239 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 43239 (EGD with biopsy), as mandated by the CMS Price Transparency Rule.

What CPT 43239 covers: the provider's professional fee for upper endoscopy with biopsy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

EGD with Biopsy Visit Costs by City in California2026

EGD with Biopsy visit costs across cities in California
CityMin CostMedian CostMax Cost
Chula Vista$80$912$912
La Mesa$85$912$912
Del Mar$419$912$912
South Lake Tahoe$326$427$526
Manhattan Beach$85$419$1,352
Sherman Oaks$85$412$1,352
Los Angeles$85$400$1,352
West Hollywood$106$400$415
Beverly Hills$85$400$1,352
Encino$85$400$1,352
El Segundo$132$356$1,069
Woodland Hills$85$332$1,352
Westlake Village$85$324$1,352
Marina Del Rey$85$300$1,352
Culver City$85$273$1,352
Santa Monica$85$264$1,352
Pacific Palisades$85$264$1,352
Sonoma$165$263$474
Novato$83$263$263
Travis Afb$74$263$1,700
Larkspur$84$263$535
Bakersfield$80$254$1,352
Glendale$98$254$1,352
Ukiah$106$254$259
Ventura$85$254$1,352
Saint Helena$158$254$263
Lodi$226$254$797
Simi Valley$85$254$1,352
Yuba City$159$254$291
Stockton$80$254$1,436
Arcadia$80$254$1,352
Marysville$254$254$476
Calabasas$85$254$1,352
Chico$80$254$697
North Hollywood$85$254$1,352
Willits$165$254$254
Thousand Oaks$80$251$1,352
Santa Barbara$85$248$286
Lompoc$85$248$524
Oxnard$80$245$1,352
Fresno$80$239$1,352
Walnut Creek$80$235$264
Concord$156$235$245
San Ramon$80$235$662
Brentwood$235$235$235
Pleasant Hill$80$235$235
Berkeley$80$235$1,139
Danville$80$235$280
Orinda$207$235$235
Fairfield$84$235$590
Antioch$123$235$550
Martinez$85$235$235
Northridge$82$227$1,352
Downey$85$224$869
Long Beach$25$216$1,352
Fountain Valley$25$216$415
La Jolla$80$215$929
Vista$80$215$912
Encinitas$80$215$912
Oceanside$80$215$1,016
San Marcos$80$215$845
National City$85$215$1,674
Poway$80$215$912
Murrieta$80$215$808
El Cajon$80$214$912
Westminster$44$214$289
Mission Hills$40$214$1,352
Santa Rosa$106$213$263
Napa$106$213$386
Eureka$106$213$213
Huntington Beach$25$213$597
Petaluma$106$213$263
Sylmar$85$213$1,352
Pomona$80$213$490
Rancho Mirage$80$213$1,808
San Clemente$50$213$225
Roseville$74$213$406
Redding$80$213$2,017
Hesperia$106$213$241
Vallejo$80$213$284
Lancaster$82$213$890
Healdsburg$97$213$263
San Jose$80$212$325
Oakland$80$212$1,647
Los Gatos$80$212$327
Campbell$80$212$344
Milpitas$146$212$212
Morgan Hill$127$212$429
Gilroy$80$212$212
San Francisco$80$209$1,647
Santa Clarita$81$208$1,352
Cerritos$72$206$403
Redondo Beach$80$204$1,352
Torrance$85$200$1,352
Pasadena$80$200$1,352
Tarzana$85$200$1,352
Duarte (this city)$39$200$1,352
Corona$25$200$1,352
Pleasanton$80$195$820
Santa Clara$80$186$844
Mission Viejo$85$181$216
Loma Linda$80$180$1,352
Visalia$80$178$436
San Bernardino$80$176$298
San Juan Capistrano$25$160$216
Fortuna$106$160$213
Burbank$85$156$1,352
Van Nuys$85$156$1,352
Aliso Viejo$80$156$216
San Leandro$25$156$301
Merced$80$156$571
Upland$25$153$514
Mountain View$80$131$218
Apple Valley$81$131$213
Clovis$123$126$252
Redlands$25$123$332
Fullerton$80$106$213
Irvine$25$106$365
Newport Beach$25$106$751
Santa Ana$25$106$415
Anaheim$25$106$407
Yorba Linda$64$106$213
Laguna Hills$25$106$708
Brea$80$106$213
Tustin$25$106$680
Temecula$80$106$912
Santa Cruz$82$106$1,023
Castro Valley$80$106$235
Colton$25$106$237
Laguna Niguel$25$106$213
Diamond Bar$92$106$213
Garden Grove$25$106$345
West Covina$73$106$223
Costa Mesa$25$96$216
Placentia$25$96$938
Riverside$25$90$1,352
Escondido$25$85$912
Fremont$80$85$212
Porter Ranch$85$85$1,352
Los Alamitos$25$85$1,308
Santa Maria$80$85$576
Stanford$80$80$271
Palo Alto$80$80$85
Modesto$80$80$225
San Luis Obispo$80$80$608
Palm Springs$80$80$245
Redwood City$80$80$545
Menlo Park$80$80$461
Salinas$80$80$632
San Mateo$80$80$989
Los Altos$80$80$1,647
Sunnyvale$80$80$220
Burlingame$72$80$1,286
Emeryville$80$80$242
Turlock$80$80$756
Manteca$80$80$667
Livermore$80$80$452

Costs reflect self-pay estimates based on insurer-negotiated rates. Insured patients may pay significantly less depending on plan type, deductible status, and network tier.

Compare Similar Procedures

How does upper endoscopy with biopsy compare to related procedures in California?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$85$6475,883
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$308$1,78512,256
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$30$453$1,7859,290
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$80$85$5986,177
ECG / EKG

12-lead electrocardiogram with interpretation

93000$16$49$8822,603
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$79$101$58617,572
OB Ultrasound

Obstetric ultrasound, complete

76805$52$90$2877,619
JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — EGD with Biopsy Costs in Duarte

What is the average cost of a EGD with Biopsy visit in Duarte without insurance?

Without insurance, patients in Duarte pay a median of $200 for an EGD with Biopsy visit, with costs ranging from $39 to $1,352 depending on the provider and complexity of care. This median rate is 2% above the California state median of $196. Self-pay patients should contact providers directly to discuss potential cash discounts or payment plans.

How much more does a new patient consultation cost compared to a follow-up in Duarte?

While specific new patient consultation rates are not available for Duarte, established patient visits (CPT 99214) show a median cost of $200. New patient consultations typically cost 20-40% more than follow-up visits due to the additional time required for initial assessment and treatment planning. Simpler follow-up visits may cost less than the $200 median shown for moderate complexity visits.

Are there lower-cost EGD with Biopsy options in cities near Duarte?

Duarte's median cost of $200 is actually competitive compared to many nearby cities, with several metropolitan areas showing significantly higher rates. For example, Del Mar shows a median of $912, while Chula Vista and La Mesa both show $912 medians. Patients may find similar or slightly higher rates in West Hollywood ($400) and Encino ($400), but Duarte offers relatively affordable options when providers are available.

How do I find a highly rated, affordable EGD with Biopsy in Duarte?

With 0 active EGD with Biopsy providers currently listed in Duarte, patients typically need to expand their search to neighboring cities in the San Gabriel Valley or Los Angeles area. When evaluating providers, compare both their negotiated insurance rates and patient reviews. Look for providers whose rates fall closer to the $39-200 range rather than the higher end of $1,352.

What should I expect to pay for a EGD with Biopsy visit in Duarte with insurance?

With insurance, your out-of-pocket costs depend on your specific plan's copay, coinsurance, and deductible structure, applied to the negotiated rates ranging from $39 to $1,352 in Duarte. The median negotiated rate of $200 means many patients with typical insurance plans might pay $20-60 in copays or 10-30% in coinsurance. Contact your insurance provider to understand your specific benefits before scheduling.

How many EGD with Biopsys are currently practicing in Duarte?

Currently, there are 0 active providers offering EGD with Biopsy services with reported rates in Duarte, including 0 individual practitioners and 0 group practices. This means patients typically need to seek care in nearby cities such as Los Angeles, Pasadena, or other San Gabriel Valley communities. The limited local availability may be due to Duarte's smaller size and proximity to major medical centers in the greater Los Angeles area.

Find an Affordable EGD with Biopsy in Duarte — Powered by AI

Finding the right EGD with Biopsy care in Duarte requires understanding both provider options and insurance coverage details specific to your situation. Our AI-powered cost calculator can help you compare real negotiated rates, check your specific benefits, and identify the most affordable high-quality providers in your area.

Upper Endoscopy with Biopsy in Other California Cities
View all California upper endoscopy with biopsy costs
JP

Jayant Panwar

CEO & Healthcare Data Analyst, Momentary Labs

Last updated: April 4, 2026

About This Data

Cost data sourced from Transparency in Coverage (TiC) machine-readable files published by UnitedHealthcare as required by the CMS Price Transparency Rule. These are actual negotiated rates between insurers and providers — not estimates.

Prices shown are for EGD with biopsy (CPT 43239) in Duarte, California.

Actual out-of-pocket costs depend on your insurance plan, deductible, coinsurance, and services received. This is not medical advice.

About this page

Data source: UnitedHealthcare Transparency in Coverage machine-readable files, CPT 43239, Duarte, California providers. Rates represent in-network negotiated amounts and may vary by plan type.

Editorial policy: Momentary Labs does not accept payment from providers, hospitals, or insurers to influence cost rankings or editorial content. Read our full editorial policy.

Corrections: If you believe any cost figure or clinical information on this page is inaccurate, please report it here. We review all submissions within 5 business days.