Average Medicaid Upper Endoscopy (EGD) Payments in Clive, IA: $235.67
Avg. Paid
$235.67
Range
$85.49 – $315.93
Total Claims
5,925
Providers
16
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 Clive, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Estefania Michelle Flores Cordova
1601 Nw 114Th St Ste 342 |
$86.66 | 13 | 13 |
|
Tercio Lopes
1378 Nw 124Th St |
$101.26 | 27 | 25 |
|
Bernard Ira Leman
1378 Nw 124Th St |
$118.13 | 29 | 29 |
|
Harvey Alan Giller
1601 Nw 114Th St |
$268.86 | 58 | 54 |
|
Michael D Obrien
1378 Nw 124Th St |
$87.12 | 60 | 57 |
|
Stacey S Roberts
1378 Nw 124Th St |
$105.95 | 69 | 67 |
|
Ravi Prasad Sai Vemulapalli
1378 Nw 124Th St |
$93.29 | 76 | 70 |
|
Amol Agarwal
1378 Nw 124Th St |
$91.39 | 100 | 97 |
|
Rajalakshmi V Iyer
1378 Nw 124Th St |
$111.19 | 110 | 106 |
|
Archana Verma
1378 Nw 124Th St |
$85.49 | 186 | 177 |
|
Christopher James Mulder
1378 Nw 124Th St # 8151 |
$101.11 | 187 | 178 |
|
Benjamin Pottebaum
1378 Nw 124Th St Ste 200 |
$90.21 | 229 | 218 |
|
Xiaoping He
1601 Nw 114Th St Ste 342 |
$233.82 | 233 | 224 |
|
Vinaya Vittal Gaduputi
1601 Nw 114Th St Ste 342 |
$88.15 | 307 | 298 |
|
Jeffrey Alan Brannen
1601 Nw 114Th St Ste 342 |
$245.19 | 2,041 | 1,894 |
|
Iowa Endoscopy Center, Inc.
1378 Nw 124Th St |
$315.93 | 2,200 | 2,145 |
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 Clive, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Clive, IA is $235.67 per claim, based on 5,925 claims from 16 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 Clive, IA?
There are 16 Medicaid providers offering Upper Endoscopy (EGD) related services in Clive, IA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Clive, IA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Clive, IA ranges from $85.49 to $315.93 per claim, with an average of $235.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Upper Endoscopy (EGD) in Other Cities
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