Average Medicaid Upper Endoscopy (EGD) Payments in Birmingham, AL: $302.61
Avg. Paid
$302.61
Range
$0.00 – $517.61
Total Claims
6,605
Providers
17
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 Birmingham, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Henry Herchung Shiau
1600 7Th Ave S |
$134.42 | 12 | 12 |
|
David Patrick Galloway
1600 7Th Ave S |
$517.61 | 13 | 12 |
|
Outpatient Services East
52 Medical Park Drive East |
$9.01 | 25 | 24 |
|
Adam Larry Edwards
2000 6Th Ave S |
$0.00 | 54 | 30 |
|
Mohamad Imam
1 Independence Plaza |
$176.41 | 55 | 50 |
|
William C Lopez
100 Pilot Medical Dr |
$91.47 | 107 | 91 |
|
Claire Sands Keith
625 19Th Street South |
$273.44 | 122 | 84 |
|
Adam Wesley Cohen
1600 7Th Ave S |
$340.00 | 125 | 104 |
|
Traci Jester
1600 7Th Ave S |
$381.72 | 134 | 124 |
|
Diana Lorena Montoya Melo
1600 7Th Ave S |
$315.82 | 208 | 184 |
|
Jeanine S Maclin
1600 7Th Ave S |
$295.24 | 233 | 188 |
|
Reed Allen Dimmitt
1600 7Th Ave S |
$179.57 | 457 | 296 |
|
Mohamed Magdy
2000 6Th Ave S |
$251.05 | 472 | 399 |
|
Taylor Austin Woodfin
1600 7Th Ave S |
$239.79 | 505 | 480 |
|
Nicholas Jeremy Cajacob
1600 7Th Ave South Mcwane 5604 |
$342.30 | 703 | 595 |
|
University Of Alabama Health Services Foundation, Pc
1600 7Th Ave S |
$341.82 | 1,053 | 1,017 |
|
Jose Ramon Mestre
1023 22Nd St S |
$338.18 | 2,327 | 2,037 |
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 Birmingham, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Birmingham, AL is $302.61 per claim, based on 6,605 claims from 17 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 Birmingham, AL?
There are 17 Medicaid providers offering Upper Endoscopy (EGD) related services in Birmingham, AL according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Birmingham, AL?
Medicaid reimbursement for Upper Endoscopy (EGD) in Birmingham, AL ranges from $0.00 to $517.61 per claim, with an average of $302.61. 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 Birmingham, AL
Blood Work & Lab Tests
Avg $7.02
11,525,259 claims
Office Visit
Avg $74.46
1,976,328 claims
Urinalysis & Urine Tests
Avg $3.70
1,952,357 claims
Behavioral & Mental Health Therapy
Avg $60.93
1,487,720 claims
Emergency Room Visit
Avg $80.96
1,417,392 claims
Culture & Microbiology Tests
Avg $6.38
1,389,745 claims
X-Ray
Avg $7.59
810,731 claims
Pathology & Lab Services
Avg $26.99
763,384 claims