Average Medicaid Upper Endoscopy (EGD) Payments in Cleveland, OH: $365.50
Avg. Paid
$365.50
Range
$52.55 – $620.01
Total Claims
29,996
Providers
51
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 Cleveland, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Cleveland Clinic Foundation
9500 Euclid Ave |
$514.85 | 9,494 | 7,527 |
|
Milan Dodig
9500 Euclid Ave |
$179.86 | 4,915 | 4,689 |
|
The Metrohealth System
2500 Metrohealth Dr |
$517.08 | 3,475 | 2,823 |
|
University Hospitals Cleveland Medical Center
11100 Euclid Ave |
$620.01 | 1,352 | 928 |
|
University Hospitals Cleveland Medical Center
11100 Euclid Ave |
$460.32 | 933 | 642 |
|
Southwest General Health Center
18697 Bagley Rd |
$312.65 | 892 | 719 |
|
Mohammed Khorshed Alam Mazumder
2475 E 22Nd St Ste 120 |
$378.64 | 783 | 749 |
|
Alan A Saber
11100 Euclid Ave |
$208.48 | 736 | 728 |
|
Aijaz Ahmed Sofi
2500 Metrohealth Dr |
$214.31 | 668 | 484 |
|
Nisheet Waghray
2500 Metrohealth Dr |
$138.51 | 578 | 546 |
|
Michael Kurin
2500 Metrohealth Dr |
$203.16 | 536 | 503 |
|
Mohamad Awf Mouchli
2500 Metrohealth Dr |
$234.43 | 496 | 343 |
|
Ronnie Fass
2500 Metrohealth Dr |
$207.33 | 439 | 416 |
|
Pamela Leone
9500 Euclid Ave |
$210.24 | 363 | 251 |
|
Ramy Mahmoud Mohamed Sabe
11100 Euclid Ave |
$134.51 | 360 | 346 |
|
Jason Elie Abdallah
2500 Metrohealth Dr |
$90.06 | 337 | 322 |
|
Bhavesh Shah
2500 Metrohealth Dr |
$256.34 | 325 | 311 |
|
Fairview Hospital
18101 Lorain Ave |
$355.88 | 315 | 233 |
|
Annette M Kyprianou
2500 Metrohealth Dr |
$247.42 | 288 | 274 |
|
Praveen Kumar Conjeevaram Selvakumar
9500 Euclid Ave |
$78.91 | 288 | 237 |
|
Catherine Louise Ly
9500 Euclid Ave |
$162.07 | 287 | 238 |
|
Daniel Karb
11100 Euclid Ave |
$202.02 | 230 | 214 |
|
Ali Salar Khalili
11100 Euclid Ave |
$203.24 | 209 | 198 |
|
Elliott Jay Borinsky
9500 Euclid Ave |
$146.72 | 185 | 177 |
|
Mazen Issa
18780 Bagley Rd Ste 200 |
$125.44 | 173 | 158 |
|
Mujjahid Abbas
11100 Euclid Ave |
$108.46 | 169 | 160 |
|
Richard Wong
2500 Metrohealth Dr |
$127.34 | 128 | 122 |
|
Roy D Ferguson
2500 Metrohealth Dr |
$281.33 | 117 | 106 |
|
Saleem Chowdhry
9500 Euclid Ave # A30 |
$255.64 | 93 | 57 |
|
Alok Jain
2500 Metrohealth Dr |
$127.31 | 90 | 87 |
|
Imad Asaad
2500 Metrohealth Dr |
$91.26 | 88 | 74 |
|
Thomas Joseph Sferra
11100 Euclid Ave |
$309.27 | 81 | 79 |
|
Vu Q Nguyen
11100 Euclid Ave # Wrn5066 |
$75.07 | 72 | 61 |
|
Gengqing Song
2500 Metrohealth Dr |
$232.57 | 64 | 62 |
|
Edward S Feldman
2500 Metrohealth Dr |
$187.20 | 60 | 58 |
|
Jeffrey L Ponsky
11100 Euclid Ave |
$274.67 | 57 | 34 |
|
Gregory Zuccaro
9500 Euclid Ave |
$170.96 | 41 | 27 |
|
Judy B Splawski
11100 Euclid Ave |
$244.26 | 40 | 39 |
|
Ala' A.H. Abdel Jalil
2500 Metrohealth Dr |
$119.45 | 36 | 33 |
|
Maged Kadry Rizk
9500 Euclid Ave |
$227.26 | 26 | 12 |
|
Senthilkumar Sankararaman
9500 Euclid Ave |
$124.74 | 26 | 26 |
|
Sunguk N Jang
9500 Euclid Ave |
$137.61 | 23 | 15 |
|
Ruthvik Padival
9500 Euclid Ave # A30 |
$157.63 | 18 | 13 |
|
Tehilla Apfel
9500 Euclid Ave |
$85.32 | 16 | 16 |
|
David Perse
2351 E 22Nd St |
$52.55 | 16 | 12 |
|
Ashley L Faulx
11100 Euclid Ave |
$82.96 | 15 | 13 |
|
Talal M Adhami
9500 Euclid Ave A30 |
$143.44 | 13 | 12 |
|
Aravind Thavamani
2500 Metrohealth Dr |
$109.43 | 13 | 12 |
|
Adrian Lindsey
2500 Metrohealth Dr |
$100.44 | 13 | 13 |
|
Leena Khaitan
11100 Euclid Ave |
$113.23 | 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 Cleveland, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Cleveland, OH is $365.50 per claim, based on 29,996 claims from 51 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 Cleveland, OH?
There are 51 Medicaid providers offering Upper Endoscopy (EGD) related services in Cleveland, OH according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Cleveland, OH?
Medicaid reimbursement for Upper Endoscopy (EGD) in Cleveland, OH ranges from $52.55 to $620.01 per claim, with an average of $365.50. 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 $5.86
7,265,730 claims
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Avg $41.74
4,839,931 claims
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Avg $54.94
3,518,961 claims
Emergency Room Visit
Avg $98.94
3,436,346 claims
Behavioral & Mental Health Therapy
Avg $95.38
2,548,278 claims
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Avg $8.95
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Avg $65.51
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Avg $8.45
1,524,000 claims