Average Medicaid Upper Endoscopy (EGD) Payments in Boston, MA: $633.24
Avg. Paid
$633.24
Range
$0.00 – $1,046
Total Claims
25,669
Providers
58
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 Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Beth Israel Deaconess Medical Center, Inc.
330 Brookline Ave |
$682.86 | 5,676 | 5,611 |
|
Boston Medical Center Corporation
1 Boston Medical Ctr Pl |
$827.98 | 5,431 | 5,342 |
|
Children'S Hospital Corporation
300 Longwood Ave |
$1,046 | 3,602 | 3,524 |
|
Tufts Medical Center, Inc.
800 Washington St |
$762.55 | 3,341 | 3,262 |
|
The General Hospital Corporation
55 Fruit St |
$469.94 | 1,587 | 1,524 |
|
Brigham & Womens Hospital, Inc.
75 Francis St |
$326.44 | 707 | 699 |
|
Thomas C Moore
830 Harrison Ave |
$77.22 | 669 | 661 |
|
Charles M. Bliss
830 Harrison Avenue |
$74.94 | 526 | 525 |
|
Ashraf Saleemuddin
72 E Concord St |
$75.14 | 479 | 474 |
|
Rong J Guan
885 Washington Street |
$198.07 | 447 | 432 |
|
Albena D. Halpert
830 Harrison Ave |
$58.80 | 403 | 396 |
|
David P. Nunes
725 Albany St |
$79.09 | 353 | 351 |
|
Uri Avissar
725 Albany St # 6B |
$74.26 | 326 | 324 |
|
Christopher S Huang
725 Albany St, Fl 6 |
$65.80 | 240 | 230 |
|
Brigham And Women'S Faulkner Hospital, Inc
1153 Centre St |
$607.13 | 225 | 225 |
|
Arpan Mohanty
55 Fruit St |
$86.42 | 224 | 222 |
|
Christopher C Thompson
75 Francis St |
$76.51 | 147 | 145 |
|
Allen Lun Hwang
800 Washington St |
$53.09 | 110 | 103 |
|
Patrick Avila
75 Francis St |
$53.80 | 105 | 105 |
|
Khoa Dang Tran
800 Washington St, Box# 286 |
$84.33 | 99 | 98 |
|
Alan Colm Moss
725 Albany St Ste 6B |
$74.61 | 82 | 82 |
|
Tufts Medical Center Inc.
Revenue And Cash Control |
$135.87 | 75 | 75 |
|
Michael Ju-Peng Huang
725 Albany St |
$53.46 | 69 | 65 |
|
Joseph Feuerstein
110 Francis St |
$42.08 | 66 | 66 |
|
Anisha Varma-Wilson
830 Harrison Ave |
$80.15 | 53 | 51 |
|
Caroline Renee Jouhourian
330 Brookline Ave # Rabb101 |
$76.91 | 50 | 50 |
|
Corey Baker
55 Fruit St Ste 6B |
$73.78 | 43 | 37 |
|
Sunil G Sheth
330 Brookline Ave # Rabb423 |
$54.82 | 41 | 41 |
|
Mandeep Sawhney
330 Brookline Ave |
$32.82 | 37 | 37 |
|
Muthoka L Mutinga
1153 Centre St |
$55.86 | 36 | 36 |
|
Samuel J Miller
330 Brookline Ave |
$53.52 | 29 | 27 |
|
Linda S Lee
75 Francis St |
$67.06 | 27 | 27 |
|
Nina L Gluchowski
300 Longwood Ave |
$57.11 | 25 | 25 |
|
Alexandra E Kovach
300 Longwood Ave |
$478.39 | 17 | 14 |
|
Tamara Feliciano Alvarado
850 Harrison Ave |
$102.13 | 17 | 17 |
|
Dennis J Spencer
300 Longwood Ave |
$116.60 | 16 | 16 |
|
Peter Ngo
800 Washington St # 213 |
$114.43 | 15 | 15 |
|
Abhijeet Waghray
800 Washington St |
$94.00 | 15 | 12 |
|
Puja Rai
800 Washington St |
$66.34 | 15 | 15 |
|
Tufts Medical Center, Inc.
750 Washington St |
$618.93 | 14 | 14 |
|
Kelly Elizabeth Hathorn
75 Francis St |
$464.51 | 14 | 12 |
|
Athos Bousvaros
300 Longwood Ave |
$91.90 | 14 | 14 |
|
Lori Allison Zimmerman
300 Longwood Avenue |
$87.20 | 14 | 13 |
|
Aaron Dickstein
800 Washington St |
$59.16 | 14 | 13 |
|
Fateh Bazerbachi
55 Fruit St |
$447.67 | 13 | 12 |
|
Silvana Fiorella Bonilla
800 Washington St |
$134.49 | 13 | 12 |
|
Sharmeel K Wasan
725 Albany St, Fl 6 |
$88.92 | 13 | 13 |
|
Ansu Mammen Noronha
725 Albany St, Fl 6 |
$81.89 | 13 | 12 |
|
Michael Benjamin Russell
800 Washington St |
$81.76 | 13 | 12 |
|
Timothy Michael Buie
55 Fruit St |
$79.39 | 13 | 13 |
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 Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Boston, MA is $633.24 per claim, based on 25,669 claims from 58 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 Boston, MA?
There are 58 Medicaid providers offering Upper Endoscopy (EGD) related services in Boston, MA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Boston, MA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Boston, MA ranges from $0.00 to $1,046 per claim, with an average of $633.24. 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 Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims