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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 Monica, California

Cost of a EGD with Biopsy Visit
in Santa Monica

Santa Monica's healthcare market reflects the broader West Los Angeles medical landscape, with costs varying significantly across the city's mix of academic medical centers and private practice groups. Patients in Santa Monica pay between $85 and $1,352 for an EGD with Biopsy visit, with a median of $264. The city currently has 0 active providers in our database (0 individual practitioners, 0 group practices).

Cost Summary for EGD with Biopsy in Santa Monica

Low Estimate

$85

Median

$264

High Estimate

$1,352

Providers

507

National avg: $538Santa Monica: $264

51% 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 (this city)$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$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 Monica

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

Without insurance, EGD with Biopsy visits in Santa Monica range from $85 to $1,352, with a median cost of $264. The wide price variation depends on the specific provider, complexity of the visit, and whether it's a new patient consultation or follow-up appointment. Most patients can expect to pay somewhere near the median rate of $264 for a standard visit.

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

New patient consultations typically cost 20-40% more than follow-up visits due to the extended time needed for initial evaluation and medical history review. In Santa Monica, follow-up visits for moderate complexity cases (CPT 99214) have a median cost of $264. Initial consultations require more time for patient assessment and care planning.

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

Santa Monica's median cost of $264 is actually competitive compared to nearby areas. Manhattan Beach averages $419, West Hollywood averages $400, and Encino averages $400 for similar services. Santa Monica offers some of the more affordable options in the West Los Angeles area for EGD with Biopsy visits.

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

Focus on providers who accept your insurance and have transparent pricing policies. In Santa Monica, costs range from $85 to $1,352, so requesting cost estimates upfront can help you find providers at the lower end of this range. Patient reviews and board certifications are also important factors in your selection process.

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

With insurance, your out-of-pocket costs depend on your specific plan's copay, deductible, and coinsurance structure. Since Santa Monica providers have negotiated rates ranging from $85 to $1,352 with insurers, your portion will be calculated based on these contracted amounts. Contact your insurance company to understand your specific benefits for specialist visits.

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

Our database currently shows 0 active providers offering EGD with Biopsy services in Santa Monica. This includes both individual practitioners and group practices. The number of available providers can change as new specialists join the area or existing practices expand their services.

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

Understanding EGD with Biopsy costs in Santa Monica starts with transparent pricing data, but every patient's situation is unique. Our AI-powered cost estimator can provide personalized estimates based on your insurance, location, and specific medical needs 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 Santa Monica, 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 Monica, 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.