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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.
Santa Maria, California

Cost of a EGD with Biopsy Visit
in Santa Maria

Santa Maria's healthcare market currently has limited specialist options, with patients in the area paying between $80 and $576 for an EGD with Biopsy visit, with a median cost of $85. The local market shows 0 active providers in our database (0 individual practitioners, 0 group practices), meaning patients often travel to nearby cities for specialized care.

Cost Summary for EGD with Biopsy in Santa Maria

Low Estimate

$80

Median

$85

High Estimate

$576

Providers

14

National avg: $538Santa Maria: $85

84% 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$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 (this city)$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 Santa Maria

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

Without insurance, EGD with Biopsy visits in Santa Maria range from $80 to $576, with a median cost of $85. This represents excellent value compared to other California cities, where medians often exceed $400. The wide price range reflects different levels of visit complexity and provider pricing structures.

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

New patient consultations typically cost more than follow-up visits due to the additional time needed for initial evaluation and history taking. While specific new patient pricing data for Santa Maria is currently limited, established patient follow-ups show a median of $85. New patient visits generally cost 20-40% more than follow-up appointments.

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

Santa Maria already offers some of the lowest EGD with Biopsy costs in California, with a median of $85 compared to much higher rates in nearby cities. Coastal areas like Del Mar and Chula Vista show medians around $912, making Santa Maria the most affordable option in the region. Even Los Angeles area cities like Encino and West Hollywood average $400 or more.

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

With limited local provider availability, patients often need to expand their search to nearby cities while still benefiting from Santa Maria's competitive pricing structure. Look for providers who accept your insurance plan and have strong patient ratings. The median cost of $85 in Santa Maria provides a good benchmark for comparing options.

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

With insurance, your out-of-pocket cost will depend on your specific plan's copay, coinsurance, and deductible structure. Since Santa Maria's median rate is $85, well below state and national averages, you'll likely pay less here than in most other California markets. Contact your insurance provider to understand your specific coverage for EGD with Biopsy visits.

How many EGD with Biopsys are currently practicing in Santa Maria?

Our current database shows 0 active EGD with Biopsy providers in Santa Maria, which may reflect the city's smaller healthcare market or recent changes in provider availability. Patients typically travel to larger nearby cities for specialized care, though Santa Maria's lower cost structure of $80-$576 remains competitive. The pricing data comes from 14 provider contracts in the area.

Find an Affordable EGD with Biopsy in Santa Maria — Powered by AI

Ready to find affordable EGD with Biopsy care in Santa Maria? Our AI-powered cost calculator can provide personalized estimates based on your insurance plan and specific needs, helping you make informed healthcare decisions in one of California's most cost-effective markets.

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 Santa Maria, 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, Santa Maria, 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.