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 |
|
Michael Siuta
1838 Greene Tree Rd |
$107.44 | 38 | 37 |
|
Lawrence Mills
5601 Loch Raven Blvd |
$95.72 | 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 |
|
Albert Steven Fleisher
9103 Franklin Square Drive |
$108.00 | 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 |
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
Brooklyn, NY
Avg $322.26
138,581 claims · 113 providers
New York, NY
Avg $375.46
133,047 claims · 106 providers
Flushing, NY
Avg $306.22
93,103 claims · 35 providers
Phoenix, AZ
Avg $302.49
71,548 claims · 71 providers
Bakersfield, CA
Avg $392.48
66,129 claims · 26 providers
Los Angeles, CA
Avg $140.58
60,228 claims · 72 providers
Tucson, AZ
Avg $288.42
55,967 claims · 58 providers
Detroit, MI
Avg $206.86
50,758 claims · 16 providers
Other Procedures in Baltimore, MD
Substance Abuse Treatment
Avg $107.97
7,464,932 claims
Office Visit
Avg $85.10
6,638,810 claims
Psychiatric Evaluation
Avg $100.67
6,065,385 claims
Blood Work & Lab Tests
Avg $9.87
4,046,251 claims
Emergency Room Visit
Avg $96.82
1,908,492 claims
Dental Cleaning & Exam
Avg $39.08
1,772,038 claims
X-Ray
Avg $6.77
1,399,097 claims
EKG / ECG (Electrocardiogram)
Avg $6.98
1,098,202 claims