Average Medicaid Upper Endoscopy (EGD) Payments in Colorado Springs, CO: $169.62
Avg. Paid
$169.62
Range
$61.23 – $441.81
Total Claims
11,570
Providers
26
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 Colorado Springs, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bhaktasharan Chimanbhai Patel
2920 N Cascade Ave |
$167.66 | 2,405 | 2,182 |
|
James E Rose
2920 N Cascade Ave |
$154.10 | 2,355 | 2,165 |
|
Lukasz Maciej Kowalczyk
2920 N Cascade Ave |
$150.60 | 1,675 | 1,551 |
|
Vanessa Daisy Lee
2920 N Cascade Ave |
$134.27 | 1,173 | 1,032 |
|
Michael Rowley
2920 N Cascade Ave Ste 301 |
$176.68 | 1,009 | 903 |
|
Optumcare Colorado Asc, Llc
715 N Weber St |
$182.56 | 459 | 350 |
|
Anju K Sidhu
2920 N Cascade Ave |
$175.83 | 439 | 408 |
|
Kem Su Hor
160 W Fillmore St |
$153.95 | 333 | 322 |
|
Joseph Patrick Moore
2222 North Nevada Avenue |
$198.45 | 319 | 286 |
|
Optum Peak Endoscopy Center Llc
1615 Medical Center Pt |
$294.84 | 308 | 302 |
|
Thomas C Welton
2920 N Cascade Ave |
$232.82 | 194 | 180 |
|
Catherine Noelle O'Shea
8501 Jacks Fork Dr |
$172.33 | 149 | 140 |
|
Seth Steven Septer
4125 Briargate Parkway, Suite 100 |
$429.69 | 103 | 92 |
|
Karin B Cesario
2920 N Cascade Ave Ste 300 |
$131.11 | 96 | 86 |
|
Carl Scott Swendsen
2940 N Circle Dr |
$109.51 | 87 | 79 |
|
Jayme R Tishon
1615 Medical Center Pt |
$144.96 | 71 | 66 |
|
Steven Ogden Kidd
25 N Spruce St |
$441.81 | 69 | 55 |
|
Michael Judd Burkholz
2940 N Circle Dr |
$118.05 | 67 | 63 |
|
Matthew Edward Drew
2940 N Circle Dr |
$163.26 | 61 | 57 |
|
Caroline T Meyer
4125 Briargate Pkwy |
$417.54 | 50 | 50 |
|
Teresa Yanchak
2940 N Circle Dr |
$239.59 | 40 | 40 |
|
Carlene Lihalakha Chun
2920 N Cascade Ave Ste 300 |
$238.35 | 38 | 36 |
|
Nicholas Vincent Costrini
2920 N Cascade Ave Ste 330 |
$98.30 | 31 | 27 |
|
Front Range Endoscopy Centers, Llc
719 N Cascade Ave |
$61.23 | 14 | 13 |
|
Bryan C Kavanaugh
2940 N Circle Dr |
$109.60 | 13 | 12 |
|
Austin Edward Garza
2940 N Circle Dr |
$109.76 | 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 Colorado Springs, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Colorado Springs, CO is $169.62 per claim, based on 11,570 claims from 26 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 Colorado Springs, CO?
There are 26 Medicaid providers offering Upper Endoscopy (EGD) related services in Colorado Springs, CO according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Colorado Springs, CO?
Medicaid reimbursement for Upper Endoscopy (EGD) in Colorado Springs, CO ranges from $61.23 to $441.81 per claim, with an average of $169.62. 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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