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Based on public Medicaid payment data.

Average Medicaid Upper Endoscopy (EGD) Payments in Baltimore, MD: $79.69

Avg. Paid

$79.69

Range

$0.00 – $599.30

Total Claims

12,111

Providers

47

Typical Payment Range

Typical Medicaid Upper Endoscopy (EGD) payments fall between $76.12 and $225.09 per claim (median: $127.97). The top 10% of payments exceed $381.16.

Based on per-provider averages across all Medicaid claims in this category.

Upper endoscopy examines the lining of the esophagus, stomach, and first part of the small intestine using a thin, flexible tube with a camera.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Upper Endoscopy (EGD) in Baltimore, MD

Provider Avg. Paid Claims Patients
Medstar Medical Group Ii Llc

5601 Loch Raven Blvd

$22.66 2,315 2,147
Johns Hopkins University

600 N Wolfe St

$24.27 1,804 1,742
Pikesville Md Endoscopy Asc Llc

1838 Greene Tree Rd

$157.21 1,536 1,461
Baltimore Ambulatory Center For Endoscopy

19 Fontana Ln

$163.49 993 859
St Paul Place Specialists, Inc.

301 St. Paul Place

$29.20 961 863
Digestive Disease Associates, Llc

700 Geipe Road Ste 230

$18.97 632 569
Babak Torabi Torabi Sagvand

22 S Greene St

$100.91 630 587
Sinai Hospital Of Baltimore Inc

2435 W Belvedere Ave

$35.58 473 403
Baltimore Endoscopy Asc Llc

700 Geipe Rd Ste 220

$164.56 395 362
John C Rabine

2411 W Belvedere Ave Ste 308

$76.09 244 216
Jose Mari Parungao

9000 Franklin Square Dr

$105.43 213 205
Kenolisa C Onwueme

1838 Greene Tree Rd

$85.14 178 163
University Of Maryland Community Medical Group, Inc.

821 N Eutaw St

$14.12 156 136
George Kunnackal John

22 S Greene St

$68.57 155 109
University Of Maryland Physicians Pa

22 S Greene St

$34.78 155 150
Abhijit S. Bhatia

3333 N Calvert St

$97.33 126 120
Ernest Tsao

1838 Greene Tree Rd

$91.35 113 105
Arjun Vaid

1838 Greene Tree Rd

$79.23 107 97
The Johns Hopkins Hospital

600 N Wolfe St

$599.30 93 83
Johns Hopkins Bayview Medical Center Inc

4940 Eastern Ave

$350.50 84 78
Carmelo Cuffari

601 N Caroline St

$124.17 74 72
Lester Bowser

1838 Greene Tree Rd

$101.14 55 53
Elliot Schwarzenberger

1838 Greene Tree Rd

$88.04 52 50
Christopher Jamyn You

9101 Franklin Square Dr

$125.15 43 41
Jahangir M. Khan

9114 Philadelphia Rd

$102.26 42 40
Atiye Aktay

22 S Greene St # N5W40

$356.69 40 37
Mercy Medical Center Inc

301 Saint Paul Pl

$114.41 39 39
Lawrence Mills

5601 Loch Raven Blvd

$95.72 38 37
Michael Siuta

1838 Greene Tree Rd

$107.44 38 37
Shaija Shelby Kutty

600 N Wolfe Street

$126.50 37 37
Calvin William Parker

1838 Greene Tree Rd

$66.36 29 25
Alan Chen

9000 Franklin Square Dr

$96.89 28 26
Steven Howard Epstein

1838 Greene Tree Rd

$84.53 26 24
The Good Samaritan Hospital Of Maryland, Inc

5601 Loch Raven Blvd

$158.68 26 26
Todd D Heller

1838 Greene Tree Rd

$84.17 25 24
Venkata Sandeep Akshintala

1830 E Monument St

$93.42 15 13
Lina Marcela Diaz Calderon

22 S Greene St

$112.04 14 13
Elinor Zhou

301 Saint Paul St

$113.74 14 13
Jonathan B Schreiber

301 Saint Paul Pl

$84.92 14 13
Alain Elias Abdo

900 S Caton Ave

$148.99 13 13
Lila Tarmin

1838 Greene Tree Rd

$85.96 13 12
Runa Diwadkar Watkins

22 S Greene St

$124.38 13 13
Dana A Sloane

9105 Franklin Square Dr

$119.31 12 12
Abdulhameed Al-Sabban

22 S Greene St

$128.16 12 12
Xihua Yang

900 Caton Ave

$94.00 12 12
Sinai Hospital Of Baltimore, Inc.

2401 W Belvedere Ave

$0.00 12 12
Albert Steven Fleisher

9103 Franklin Square Drive

$108.00 12 12

What to Expect: Upper Endoscopy (EGD)

An upper endoscopy takes 15-30 minutes. You'll be sedated. A thin flexible tube with a camera is passed through your mouth into your esophagus, stomach, and duodenum. Biopsies may be taken. You'll need someone to drive you home afterward. Most people can eat a few hours after the procedure. Mild throat soreness is common for a day or two.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code Description Avg. Paid Claims Providers
43239 EGD w/biopsy upper GI $253.86 5,956,836 9,455
43235 EGD diagnostic upper GI $254.50 202,728 958
43248 EGD w/dilation guide wire $140.00 59,963 186
43249 EGD w/balloon dilation $350.47 27,932 155
43251 EGD w/snare removal $247.77 8,994 30
43255 EGD w/control bleeding $475.08 7,407 9
43246 EGD w/PEG tube placement $137.82 3,019 30
43237 EGD w/endoscopic us $308.70 2,887 33
43250 EGD w/tumor removal $258.39 2,380 11
43244 EGD w/band ligation $253.62 1,697 25
43236 EGD w/submucosal injection $37.02 1,037 6
43245 EGD w/dilation stricture $91.88 1,020 10
43247 EGD w/foreign body removal $93.65 915 11
43252 EGD w/optical endomicroscopy $166.89 722 10
43254 EGD w/endo mucosal resection $164.97 472 2
43242 EGD w/us guided inj/asp $234.58 258 9
43253 EGD w/injection sclerosis $179.99 161 4
43238 EGD w/us guided needle bx $618.60 13 1
43241 EGD w/tube/catheter $91.14 13 1
43240 EGD w/drainage pseudocyst
43243 EGD w/injection varices

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Upper Endoscopy (EGD) cost in Baltimore, MD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Baltimore, MD is $79.69 per claim, based on 12,111 claims from 47 providers. Typical payments fall between $76.12 and $225.09. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Upper Endoscopy (EGD) in Baltimore, MD?

There are 47 Medicaid providers offering Upper Endoscopy (EGD) related services in Baltimore, MD according to public payment data.

What is the price range for Upper Endoscopy (EGD) in Baltimore, MD?

Medicaid reimbursement for Upper Endoscopy (EGD) in Baltimore, MD ranges from $0.00 to $599.30 per claim, with an average of $79.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Upper Endoscopy (EGD) in Other Cities

Other Procedures in Baltimore, MD