Average Medicaid Upper Endoscopy (EGD) Payments in Baton Rouge, LA: $138.73
Avg. Paid
$138.73
Range
$39.84 – $249.49
Total Claims
8,160
Providers
20
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 Baton Rouge, LA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert S. Muhumuza
1401 N Foster Dr |
$141.33 | 2,889 | 2,358 |
|
Baton Rouge La Endoscopy Asc Llc
9103 Jefferson Hwy |
$39.84 | 1,824 | 1,654 |
|
William Anthony Anderson
9103 Jefferson Hwy |
$213.67 | 1,368 | 1,155 |
|
Patrice Jenne Tyson
7777 Hennessy Blvd |
$211.84 | 472 | 442 |
|
Christopher Michael Hodnette
3600 Florida Blvd |
$132.98 | 353 | 334 |
|
Gregory Paul Gaspard
9001 Summa Avenue |
$124.78 | 234 | 200 |
|
Aldo Alejandro Recinos Soto
8200 Constantin Blvd Fl 4 |
$209.92 | 202 | 191 |
|
Maheswar Rao
9103 Jefferson Hwy |
$249.49 | 126 | 107 |
|
Nazneen Saba Hussain
16777 Medical Center Dr |
$157.83 | 107 | 93 |
|
Perkins Plaza Ambulatory Surgery Center Llc
7145 Perkins Rd |
$52.35 | 96 | 80 |
|
Kayla Dawn Sliman
9001 Summa Ave |
$170.90 | 92 | 84 |
|
Aimee Rebecca Caillet
8200 Constantin Blvd Fl 4 |
$229.57 | 87 | 83 |
|
Elizabeth Alonso
Lsu Healthcare Network |
$211.34 | 74 | 61 |
|
Prathipa Santhanam
8200 Constantin Blvd Fl 4 |
$194.58 | 54 | 49 |
|
Rachel Bernard
10310 The Grove Blvd |
$163.28 | 45 | 39 |
|
Ian Konrad Kang
7777 Hennessy Blvd |
$194.47 | 43 | 38 |
|
Angela G Nusloch
17000 Medical Center Dr |
$88.48 | 37 | 34 |
|
Michael Barker
9103 Jefferson Hwy |
$79.94 | 29 | 15 |
|
John Walker Mcdonald
9103 Jefferson Hwy |
$190.63 | 16 | 13 |
|
George W Howard
9001 Summa Ave |
$57.26 | 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 Baton Rouge, LA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Baton Rouge, LA is $138.73 per claim, based on 8,160 claims from 20 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 Baton Rouge, LA?
There are 20 Medicaid providers offering Upper Endoscopy (EGD) related services in Baton Rouge, LA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Baton Rouge, LA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Baton Rouge, LA ranges from $39.84 to $249.49 per claim, with an average of $138.73. 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 Baton Rouge, LA
Office Visit
Avg $42.02
5,521,275 claims
Personal Care Services
Avg $136.90
2,953,663 claims
Blood Work & Lab Tests
Avg $7.16
2,584,216 claims
Emergency Room Visit
Avg $116.89
2,376,685 claims
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Avg $34.94
2,314,150 claims
Home Health Visit
Avg $65.78
1,863,816 claims
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Avg $74.07
1,512,078 claims
Non-Emergency Medical Transportation
Avg $20.81
1,190,094 claims