Average Medicaid Upper Endoscopy (EGD) Payments in Charlotte, NC: $123.85
Avg. Paid
$123.85
Range
$11.00 – $354.93
Total Claims
14,528
Providers
39
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 Charlotte, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William Stokes Houck
1918 Randolph Rd Ste 210 |
$155.98 | 4,294 | 3,935 |
|
Fred Charles Fowler
101 E Wt Harris Blvd Ste 3111 |
$47.85 | 1,781 | 1,289 |
|
Carolina Digestive Health Associates, Pa
300 Billingsley Road |
$91.32 | 1,486 | 930 |
|
Ben O Ogunwale
320 Lillington Ave |
$142.63 | 1,300 | 1,132 |
|
Glen Loy Portwood
101 E Wt Harris Blvd Ste 3111 |
$30.68 | 984 | 582 |
|
Endoscopy Center - University, Llc
101 E Wt Harris Blvd |
$111.05 | 809 | 544 |
|
Ismaeel Badr Hashemi
1918 Randolph Rd Ste 210 |
$155.85 | 485 | 472 |
|
Carolinas Physicians Network Inc
15110 John J Delaney Dr |
$207.78 | 475 | 414 |
|
Carolinas Physicians Network Inc
1225 Harding Pl Ste 5200 |
$140.25 | 372 | 277 |
|
Charlotte Gastroenterology & Hepatology, Pllc
2015 Randolph Rd |
$150.69 | 360 | 243 |
|
Melanie K Rhue
2711 Randolph Rd |
$124.74 | 281 | 276 |
|
Sarah Ann Higgins
1918 Randolph Rd Ste 210 |
$155.66 | 268 | 229 |
|
James William Sandberg
2711 Randolph Rd |
$125.66 | 217 | 211 |
|
Mary Kathleen Rogers Boruta
1001 Blythe Blvd |
$354.93 | 189 | 164 |
|
John Carl Clements
1225 Harding Pl Ste 5100 |
$72.73 | 158 | 113 |
|
Ricardo Andres Caicedo
1001 Blythe Blvd |
$235.52 | 135 | 109 |
|
Nathan Robert Fleishman
1001 Blythe Blvd |
$175.62 | 119 | 104 |
|
Carolinas Medical Center
1000 Blythe Blvd |
$306.31 | 92 | 88 |
|
Tarun K Narang
300 Billingsley Rd |
$37.72 | 81 | 51 |
|
David C Voellinger
325 Hawthorne Ln Ste 100 |
$88.78 | 64 | 52 |
|
Dedrick Earl Moulton
1001 Blythe Blvd |
$173.02 | 59 | 54 |
|
Craig Donald Kolasch
325 Hawthorne Ln Ste 100 |
$130.14 | 53 | 52 |
|
Victor M Pineiro-Carrero
1350 S Kings Dr |
$100.91 | 48 | 42 |
|
Shreyans Mayur Doshi
1025 Morehead Medical Dr |
$56.51 | 43 | 40 |
|
Endoscopy Center -Pineville Llc
10520 Park Rd |
$68.46 | 42 | 25 |
|
Atul Khanna
2015 Randolph Road |
$11.00 | 40 | 12 |
|
Ameesh A. Shah
1001 Blythe Blvd |
$93.70 | 34 | 26 |
|
Maithili Vikas Chitnavis
1225 Harding Pl |
$68.31 | 30 | 26 |
|
Daniel Rory Kelly
1001 Blythe Blvd |
$93.84 | 30 | 26 |
|
Thadeus Dapash
300 Billingsley Rd Ste 200 |
$64.81 | 30 | 29 |
|
Charlotte Gastroenterology & Hepatology, Pllc
15830 Ballantyne Medical Place |
$124.52 | 29 | 18 |
|
Andrew Simmelink
1350 S Kings Dr Fl 3 |
$53.77 | 28 | 24 |
|
Victoria Maldonado Rothwell
300 Billingsley Rd Ste 200 |
$64.39 | 21 | 12 |
|
Jason A Wilson
2015 Randolph Rd |
$32.71 | 19 | 12 |
|
Cassandra Rochelle Minor
300 Billingsley Rd |
$28.39 | 18 | 12 |
|
Brittany Venci Seminara
1225 Harding Pl |
$70.70 | 15 | 15 |
|
Joseph Zeidan
1025 Morehead Medical Dr |
$92.34 | 14 | 13 |
|
Ellen A. Carraro
325 Hawthorne Ln Ste 100 |
$112.22 | 13 | 12 |
|
Milin Patel
2001 Vail Ave |
$98.63 | 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 Charlotte, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Charlotte, NC is $123.85 per claim, based on 14,528 claims from 39 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 Charlotte, NC?
There are 39 Medicaid providers offering Upper Endoscopy (EGD) related services in Charlotte, NC according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Charlotte, NC?
Medicaid reimbursement for Upper Endoscopy (EGD) in Charlotte, NC ranges from $11.00 to $354.93 per claim, with an average of $123.85. 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 Charlotte, NC
Office Visit
Avg $61.85
3,946,873 claims
Emergency Room Visit
Avg $128.07
2,244,542 claims
Blood Work & Lab Tests
Avg $16.30
2,079,260 claims
Dental Cleaning & Exam
Avg $31.09
1,646,826 claims
Vaccines & Immunizations
Avg $15.07
1,337,104 claims
Psychiatric Evaluation
Avg $70.83
1,075,777 claims
X-Ray
Avg $8.29
999,508 claims
Speech Therapy
Avg $52.62
918,554 claims