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Based on public Medicaid payment data.

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
Milin Patel

2001 Vail Ave

$98.63 12 12
Ellen A. Carraro

325 Hawthorne Ln Ste 100

$112.22 13 12
Joseph Zeidan

1025 Morehead Medical Dr

$92.34 14 13
Brittany Venci Seminara

1225 Harding Pl

$70.70 15 15
Cassandra Rochelle Minor

300 Billingsley Rd

$28.39 18 12
Jason A Wilson

2015 Randolph Rd

$32.71 19 12
Victoria Maldonado Rothwell

300 Billingsley Rd Ste 200

$64.39 21 12
Andrew Simmelink

1350 S Kings Dr Fl 3

$53.77 28 24
Charlotte Gastroenterology & Hepatology, Pllc

15830 Ballantyne Medical Place

$124.52 29 18
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
Ameesh A. Shah

1001 Blythe Blvd

$93.70 34 26
Atul Khanna

2015 Randolph Road

$11.00 40 12
Endoscopy Center -Pineville Llc

10520 Park Rd

$68.46 42 25
Shreyans Mayur Doshi

1025 Morehead Medical Dr

$56.51 43 40
Victor M Pineiro-Carrero

1350 S Kings Dr

$100.91 48 42
Craig Donald Kolasch

325 Hawthorne Ln Ste 100

$130.14 53 52
Dedrick Earl Moulton

1001 Blythe Blvd

$173.02 59 54
David C Voellinger

325 Hawthorne Ln Ste 100

$88.78 64 52
Tarun K Narang

300 Billingsley Rd

$37.72 81 51
Carolinas Medical Center

1000 Blythe Blvd

$306.31 92 88
Nathan Robert Fleishman

1001 Blythe Blvd

$175.62 119 104
Ricardo Andres Caicedo

1001 Blythe Blvd

$235.52 135 109
John Carl Clements

1225 Harding Pl Ste 5100

$72.73 158 113
Mary Kathleen Rogers Boruta

1001 Blythe Blvd

$354.93 189 164
James William Sandberg

2711 Randolph Rd

$125.66 217 211
Sarah Ann Higgins

1918 Randolph Rd Ste 210

$155.66 268 229
Melanie K Rhue

2711 Randolph Rd

$124.74 281 276
Charlotte Gastroenterology & Hepatology, Pllc

2015 Randolph Rd

$150.69 360 243
Carolinas Physicians Network Inc

1225 Harding Pl Ste 5200

$140.25 372 277
Carolinas Physicians Network Inc

15110 John J Delaney Dr

$207.78 475 414
Ismaeel Badr Hashemi

1918 Randolph Rd Ste 210

$155.85 485 472
Endoscopy Center - University, Llc

101 E Wt Harris Blvd

$111.05 809 544
Glen Loy Portwood

101 E Wt Harris Blvd Ste 3111

$30.68 984 582
Ben O Ogunwale

320 Lillington Ave

$142.63 1,300 1,132
Carolina Digestive Health Associates, Pa

300 Billingsley Road

$91.32 1,486 930
Fred Charles Fowler

101 E Wt Harris Blvd Ste 3111

$47.85 1,781 1,289
William Stokes Houck

1918 Randolph Rd Ste 210

$155.98 4,294 3,935

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

Other Procedures in Charlotte, NC