Average Medicaid Upper Endoscopy (EGD) Payments in Columbia, SC: $46.73
Avg. Paid
$46.73
Range
$1.15 – $184.56
Total Claims
10,022
Providers
24
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 Columbia, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Devendra Enjamuri
3 Richland Medical Park Dr Ste 120 |
$76.11 | 12 | 12 |
|
Sandeep Kumar Puri
14 Richland Medical Park Dr Ste 310 |
$71.08 | 12 | 12 |
|
James Moss Mann
2739 Laurel St Ste 1A |
$43.88 | 25 | 24 |
|
Howard Paul Monsour
3 Richland Medical Park Dr Ste 120 |
$61.80 | 34 | 34 |
|
David Douglas Moffat
1850 Laurel St Ste 1A |
$84.83 | 38 | 38 |
|
Berkeley Endoscopy Center Llc
1072 Wildwood Centre Dr |
$173.71 | 45 | 45 |
|
Columbia Asc Llc
2739 Laurel St |
$101.30 | 54 | 51 |
|
Nizar P Hallak
3 Richland Medical Park Dr Ste 120 |
$51.56 | 56 | 55 |
|
Stephen C Lloyd
2631 Forest Dr |
$48.70 | 84 | 74 |
|
Carl Alvin Foulks
3 Richland Medical Park Dr Ste 120 |
$55.76 | 103 | 91 |
|
Kara Anne Kwiatkowski
14 Richland Medical Park Dr Ste 310 |
$87.90 | 113 | 109 |
|
Nuri Ozden
3 Richland Medical Park Dr Ste 120 |
$75.91 | 163 | 162 |
|
South Carolina Endoscopy Center - Northeast
11 Gateway Corners Park |
$184.56 | 174 | 165 |
|
Siva Kumar Chockalingam
1070 Wildewood Ctr Dr |
$64.31 | 182 | 181 |
|
South Carolina Medical Endoscopy, Inc.
2631 Forest Dr |
$109.93 | 201 | 155 |
|
Cory Wyatt Jones
14 Richland Medical Park Dr Ste 310 |
$81.40 | 244 | 240 |
|
Amir R Ahmed
3 Richland Medical Park Dr Ste 120 |
$71.89 | 352 | 337 |
|
Yuliya Rekhtman
14 Richland Medical Park Dr Ste 310 |
$119.39 | 399 | 370 |
|
Farzin Rashti
3 Richland Medical Park Dr Ste 120 |
$71.26 | 549 | 487 |
|
Prisma Health-Midlands
1330 Taylor St |
$1.15 | 996 | 965 |
|
Prisma Health-Midlands
1330 Taylor St |
$40.79 | 1,193 | 1,189 |
|
Zeid Mahmoud Keilani
2 Medical Park Rd Ste 306 |
$88.84 | 1,308 | 1,291 |
|
Prisma Health-Midlands
5 Richland Medical Park Dr |
$26.08 | 1,629 | 1,617 |
|
Prisma Health-Midlands
3301 Harden Street |
$2.68 | 2,056 | 1,952 |
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 Columbia, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Columbia, SC is $46.73 per claim, based on 10,022 claims from 24 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 Columbia, SC?
There are 24 Medicaid providers offering Upper Endoscopy (EGD) related services in Columbia, SC according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Columbia, SC?
Medicaid reimbursement for Upper Endoscopy (EGD) in Columbia, SC ranges from $1.15 to $184.56 per claim, with an average of $46.73. 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 $72.57
2,249,167 claims
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