Average Medicaid Upper Endoscopy (EGD) Payments in Bronx, NY: $462.39
Avg. Paid
$462.39
Range
$56.44 – $841.75
Total Claims
41,704
Providers
53
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 Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Montefiore Medical Center
111 E 210Th St |
$747.67 | 6,089 | 6,000 |
|
Advanced Endoscopy Center Llc
5500 Broadway |
$481.60 | 6,025 | 5,962 |
|
Mid-Bronx Endoscopy Center Llc
51 West Burnside Ave |
$472.10 | 4,652 | 4,573 |
|
New York Gi Center Llc
1200 Waters Pl |
$423.68 | 3,683 | 3,348 |
|
Bronxcare Health System
1650 Grand Concourse |
$764.55 | 3,153 | 3,127 |
|
Avicenna Asc Inc.
2522 Hughes Ave |
$528.06 | 2,293 | 2,278 |
|
St. Barnabas Hospital
4422 Third Avenue |
$841.75 | 1,839 | 1,834 |
|
Sadra Azizi-Ghannad
2015 Grand Concourse |
$253.87 | 1,273 | 1,253 |
|
Ariyo Ayomide Ihimoyan
1650 Selwyn Ave |
$88.23 | 1,243 | 1,161 |
|
Amsc, Llc
951 Brook Ave |
$538.33 | 1,173 | 1,172 |
|
Montefiore Medical Center
111 E 210Th St |
$178.61 | 861 | 853 |
|
Nithan Narendra
4422 3Rd Ave |
$102.06 | 764 | 756 |
|
Stephen B Bharucha
1842 Williamsbridge Rd |
$345.13 | 738 | 731 |
|
Harish Kishorkumar Patel
1650 Grand Concourse |
$85.19 | 718 | 646 |
|
New York City Health And Hospitals Corporation
1400 Pelham Pkwy S |
$622.43 | 709 | 706 |
|
Matthew Christopher Blaszka
111 E 210Th St |
$93.42 | 683 | 636 |
|
Mohamad Erfani
2015 Grand Concourse |
$80.87 | 681 | 652 |
|
Suresh Kumar Nayudu
1650 Grand Concourse |
$97.38 | 672 | 641 |
|
Hilary Hertan
600 East 233Rd St. |
$92.91 | 607 | 580 |
|
Prospere Remy
860 Grand Concourse Apt 1K |
$126.00 | 483 | 459 |
|
Jasbir Singh Makker
1650 Grand Concourse |
$82.31 | 401 | 377 |
|
Tatiana Teslova
111 E 210Th St |
$372.39 | 321 | 306 |
|
Abdo Balikcioglu
625 E Fordham Rd |
$112.53 | 301 | 301 |
|
Michael A Antony
1842 Williamsbridge Rd |
$380.15 | 249 | 248 |
|
Bronxcare Health System
1650 Grand Concourse |
$116.37 | 221 | 217 |
|
Harish Guddati
600 E 233Rd St |
$125.92 | 175 | 172 |
|
David Franklyn Stein
3765 Riverdale Ave |
$104.00 | 168 | 165 |
|
Carl Guillaume
4422 3Rd Ave |
$115.80 | 124 | 109 |
|
Nancy C Manzione
Hutchinson Metro Center |
$101.26 | 122 | 111 |
|
Jeremy M Gutwein
3765 Riverdale Ave |
$117.46 | 117 | 115 |
|
Sunil S Jhangiani
2425 Eastchester Road |
$333.36 | 115 | 115 |
|
Ian G Harnik
3333 Henry Hudson Pkwy |
$144.91 | 101 | 101 |
|
Vipul Nayi
111 E 210Th St |
$120.34 | 97 | 97 |
|
Jijy Easow
2015 Grand Concourse |
$64.59 | 84 | 81 |
|
Neil Herbsman
1600 Hering Ave |
$127.90 | 79 | 75 |
|
Jennifer Caceres
3050 Corlear Ave |
$77.03 | 66 | 66 |
|
Joseph Frager
277 Van Cortlandt Ave E |
$287.40 | 66 | 66 |
|
Amnon Gotian
3333 Henry Hudson Pkwy |
$101.48 | 66 | 66 |
|
Andrea N. Culliford
183Rd Street & Third Avenue |
$89.04 | 64 | 62 |
|
Bhavna N Balar
1650 Grand Concourse |
$97.28 | 58 | 58 |
|
Ava Behramgore Anklesaria
3050 Corlear Ave |
$94.21 | 56 | 56 |
|
Nejat Kiyici
1250 Waters Pl |
$118.48 | 44 | 41 |
|
Ira A Tepler
3333 Henry Hudson Pkwy |
$84.02 | 40 | 40 |
|
Elona Shehi
1650 Grand Concourse |
$65.74 | 37 | 37 |
|
Daniel Shervin Behin
111 E 210Th St |
$112.02 | 37 | 37 |
|
Erin Moran-Atkin
3400 Bainbridge Ave |
$148.04 | 29 | 29 |
|
Francis Raymond Weiner
1250 Waters Pl |
$127.09 | 27 | 27 |
|
Myrta Daniel
1650 Grand Concourse |
$92.00 | 25 | 25 |
|
Sammy Ho
Mmc - Dept. Of Medicine |
$107.58 | 24 | 24 |
|
Kimberly Cavaliere
111 E 210Th St |
$102.25 | 14 | 14 |
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 Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Bronx, NY is $462.39 per claim, based on 41,704 claims from 53 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 Bronx, NY?
There are 53 Medicaid providers offering Upper Endoscopy (EGD) related services in Bronx, NY according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Bronx, NY?
Medicaid reimbursement for Upper Endoscopy (EGD) in Bronx, NY ranges from $56.44 to $841.75 per claim, with an average of $462.39. 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
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Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
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Avg $9.72
7,432,399 claims
Substance Abuse Treatment
Avg $38.59
6,144,578 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
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Emergency Room Visit
Avg $138.65
3,278,500 claims