Average Medicaid Upper Endoscopy (EGD) Payments in Chicago, IL: $190.48
Avg. Paid
$190.48
Range
$73.79 – $359.06
Total Claims
18,785
Providers
68
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 Chicago, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arturo Olivera
3004 N Ashland Ave |
$208.26 | 13 | 12 |
|
Hemant Raj Mutneja
1969 W Ogden Ave |
$196.73 | 13 | 12 |
|
Jane Suh
1009 S Wood St |
$90.97 | 13 | 12 |
|
Stephen Steiner
2835 N Sheffield Ave Ste 303 |
$250.22 | 14 | 13 |
|
Joseph M Runde
225 E Chicago Ave |
$226.99 | 14 | 13 |
|
Seema R Gandhi
1725 W Harrison St |
$213.42 | 14 | 14 |
|
Lawrence Gluskin
2800 N Sheridan Rd |
$143.81 | 14 | 12 |
|
Krutika Lakhoo
900 W Nelson St |
$111.07 | 14 | 14 |
|
Lee Michael Bass
225 E Chicago Ave # 65 |
$265.58 | 15 | 15 |
|
Gijo George Vettiankal
1901 W. Harrison Street |
$201.84 | 15 | 13 |
|
Lauren Elyce Williams
1650 W Harrison St |
$77.51 | 15 | 13 |
|
Rami E Lutfi
200 W Superior St Ste 300 |
$211.95 | 17 | 17 |
|
Edward Charles Villa
840 S Wood St |
$175.35 | 18 | 13 |
|
Scott William Schimpke
600 S Paulina St |
$235.96 | 25 | 25 |
|
Maham W. Lodhi
1725 W Harrison St Ste 207 |
$206.78 | 25 | 24 |
|
Paul V Fahrenbach
7447 W Talcott Ave |
$157.41 | 26 | 24 |
|
Oscar Arturo Rivas Chicas
1900 W Polk St |
$166.29 | 26 | 26 |
|
Ece Mutlu
1725 W Harrison St |
$158.11 | 26 | 25 |
|
Anna Amritbhai Patel
2222 W Division St Ste 220 |
$99.09 | 28 | 28 |
|
Bipan Chand
2845 N Sheridan Rd Ste 714 |
$217.52 | 29 | 27 |
|
Alexander Hristov
900 W Nelson St |
$153.10 | 29 | 27 |
|
Pramoda Koduru
1901 W Harrison St |
$73.79 | 29 | 29 |
|
Adam James Braze
1653 W Congress Pkwy |
$92.70 | 30 | 30 |
|
Jonathan Mark Erlich
7447 W Talcott Ave Ste 209 |
$184.00 | 31 | 28 |
|
Yehia Naga
1740 W Taylor St |
$222.81 | 32 | 28 |
|
Ajaypal Singh
1725 W Harrison St |
$130.20 | 36 | 35 |
|
William Lewis Riles
1901 W Harrison St |
$177.83 | 40 | 39 |
|
Carl K Atallah
3000 N Halsted St Ste 623 |
$186.20 | 40 | 38 |
|
David M. Shapiro
676 N Saint Clair St Ste 1400 |
$175.04 | 40 | 40 |
|
Amit Ishwarlal Patel
1969 W Ogden Ave |
$143.02 | 42 | 39 |
|
Farnaz Shariati
1725 W Harrison St Ste 207 |
$115.86 | 42 | 40 |
|
Anil Anand Kesavan
1725 W Harrison St |
$174.20 | 49 | 44 |
|
Benjamin T Go
1901 W Harrison St |
$217.79 | 51 | 51 |
|
David S Atlas
2315 E 93Rd St Ste 440 |
$118.40 | 55 | 50 |
|
Kevin Liu
259 E Erie St Ste 1600 |
$95.20 | 56 | 53 |
|
Lalitha Meenambal Sitaraman
5841 S Maryland Ave |
$209.45 | 59 | 53 |
|
Aditya Gupta
1500 S Fairfield Ave |
$241.28 | 72 | 72 |
|
Itishree Trivedi
675 N Saint Clair St |
$160.89 | 72 | 67 |
|
Salina Sum Yun Lee
1725 W Harrison St |
$174.56 | 78 | 75 |
|
Scott Joseph Siglin
5841 S Maryland Ave |
$164.94 | 80 | 69 |
|
Kenika Robinson
1725 W Harrison St Ste 207 |
$183.61 | 80 | 75 |
|
Robert Carroll
1740 W Taylor St |
$253.37 | 91 | 68 |
|
Mary Biglin
840 S Wood St |
$133.68 | 91 | 86 |
|
Anna Maria Lipowska
1801 West Taylor Street |
$226.71 | 92 | 87 |
|
Ashley Vareedayah
1009 S Wood St |
$140.58 | 93 | 83 |
|
Asim Shuja
Asim Shuja |
$172.59 | 122 | 112 |
|
Sujatha Kailas
5744 N Broadway St |
$215.56 | 125 | 113 |
|
Sharif Ibrahim Murphy
2525 S Michigan Ave |
$320.62 | 143 | 114 |
|
Joshua E Melson
1725 W Harrison St |
$111.41 | 145 | 142 |
|
Thomas Xuefeng Lu
5841 S Maryland Ave # Mc4076 |
$252.32 | 190 | 171 |
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 Chicago, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Chicago, IL is $190.48 per claim, based on 18,785 claims from 68 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 Chicago, IL?
There are 68 Medicaid providers offering Upper Endoscopy (EGD) related services in Chicago, IL according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Chicago, IL?
Medicaid reimbursement for Upper Endoscopy (EGD) in Chicago, IL ranges from $73.79 to $359.06 per claim, with an average of $190.48. 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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Avg $30.31
13,989,780 claims
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Avg $5.03
10,887,691 claims
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Avg $29.66
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Emergency Room Visit
Avg $84.83
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Vaccines & Immunizations
Avg $3.36
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X-Ray
Avg $8.48
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Urinalysis & Urine Tests
Avg $2.23
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Avg $93.51
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