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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.
Merced, California

Cost of a EGD with Biopsy Visit
in Merced

Merced's healthcare market serves a growing Central Valley population with limited specialist availability compared to major metropolitan areas. Patients in Merced pay between $80 and $571 for an EGD with Biopsy visit, with a median cost of $156. Currently, there are 0 active providers in our database for this specialty (0 individual practitioners, 0 group practices).

Cost Summary for EGD with Biopsy in Merced

Low Estimate

$80

Median

$156

High Estimate

$571

Providers

11

National avg: $538Merced: $156

71% 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$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 (this city)$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 Merced

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

Without insurance, EGD with Biopsy visits in Merced typically cost between $80 and $571, with a median price of $156. This represents the negotiated rates that insurance companies pay providers, which often serve as a baseline for self-pay pricing. Many providers offer cash discounts or payment plans for uninsured patients.

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

New patient consultations generally cost 25-50% more than follow-up visits due to the additional time required for initial evaluation and treatment planning. In Merced, follow-up visits for established patients range from $80 to $571 with a median of $156. New patient rates are typically higher but specific data for new patient visits was not available in our current dataset.

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

Merced actually offers some of the most competitive EGD with Biopsy pricing in California, with a median cost of $156 compared to $912 in cities like Chula Vista and La Mesa. While specific data for immediate neighboring cities isn't available, Merced's rates are 20% below the California state median of $196. Patients in surrounding Central Valley communities often find better value locally rather than traveling to coastal areas.

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

Start by comparing negotiated rates from multiple providers, which in Merced range from $80 to $571 for standard consultation visits. Look for board-certified specialists who accept your insurance and have positive patient reviews. Many providers offer online scheduling and cost estimates, and some provide cash discounts for self-pay patients.

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

With insurance, your out-of-pocket cost depends on your specific plan's deductible, copay, and coinsurance structure. Since negotiated rates in Merced range from $80 to $571 with a median of $156, your insurance company will pay based on these contracted amounts. Contact your insurance provider to understand your specific coverage for gastroenterology services.

How many EGD with Biopsys are currently practicing in Merced?

Our current database shows 0 active providers specifically listed for EGD with Biopsy services in Merced. This may reflect the city's smaller healthcare market compared to major metropolitan areas. Patients may need to consider providers in nearby cities or contact local hospitals and medical groups directly to find available specialists.

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

Get personalized EGD with Biopsy cost estimates for your specific insurance plan and medical needs in Merced. Our AI-powered tool connects you with local providers and provides transparent pricing information to help you make informed healthcare decisions.

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 Merced, 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, Merced, 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.