Average Medicaid Upper Endoscopy (EGD) Payments in Columbus, OH: $323.93
Avg. Paid
$323.93
Range
$66.40 – $749.25
Total Claims
33,220
Providers
47
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 Columbus, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Central Ohio Gastroenterology Associates,Llc
99 North Brice Road |
$316.04 | 6,525 | 6,033 |
|
Anjana Samadder
99 N Brice Rd |
$138.08 | 5,096 | 4,792 |
|
Ohio State University Hospitals
410 W 10Th Ave |
$478.26 | 3,667 | 3,009 |
|
Nationwide Children'S Hospital
700 Childrens Dr |
$749.25 | 2,850 | 2,042 |
|
Sumit Kapoor
3400 Olentangy River Rd |
$319.84 | 1,917 | 1,836 |
|
Emmanuel E. Ugbarugba
410 W 10Th Ave |
$126.17 | 1,269 | 1,178 |
|
Nirav Rajendrasinh Rana
3773 Olentangy River Rd |
$299.40 | 1,165 | 1,124 |
|
Isabel Manzanillo-Devore
5131 Beacon Hill Rd Ste 200 |
$318.46 | 1,117 | 1,071 |
|
Ohiohealth Corporation
3535 Olentangy River Rd |
$582.72 | 1,113 | 893 |
|
Mount Carmel Health System
6001 E Broad St |
$491.06 | 927 | 796 |
|
Thomas Calloway Robertson
3773 Olentangy River Rd Lowr Level |
$308.09 | 904 | 877 |
|
Seth Levin
5131 Beacon Hill Rd |
$309.63 | 895 | 853 |
|
Tasos Manokas
700 E Broad St |
$97.45 | 727 | 660 |
|
Adam Charles Tzagournis
700 E Broad St |
$87.38 | 624 | 567 |
|
Muhammad Ali Khan
700 Childrens Dr |
$78.89 | 606 | 501 |
|
Akeek Sanat Bhatt
410 W 10Th Ave |
$176.59 | 500 | 465 |
|
Nancy P. Villalobos
410 W 10Th Ave |
$325.85 | 338 | 323 |
|
John Paul Tzagournis
700 E Broad St |
$93.51 | 302 | 278 |
|
Madalina I Butnariu
410 W 10Th Ave |
$124.76 | 282 | 274 |
|
Michael Andrew Tzagournis
700 E Broad St |
$89.04 | 253 | 229 |
|
Ohiohealth Corporation
5100 W Broad St |
$456.42 | 248 | 197 |
|
Grant Scope Center, Llc
700 E Broad St |
$105.12 | 242 | 171 |
|
Gordon Young Kim
700 E Broad St |
$92.54 | 230 | 215 |
|
Jacob Matthew Skeans
410 W 10Th Ave |
$212.38 | 216 | 208 |
|
Vimal K. Narula
1800 Zollinger Rd |
$481.75 | 123 | 123 |
|
Anthony J Michaels
3400 Olentangy River Rd |
$187.99 | 123 | 122 |
|
Jennifer M. Behzadi
410 W 10Th Ave |
$208.72 | 117 | 112 |
|
Ohiohealth Corporation
111 S Grant Ave |
$595.01 | 116 | 88 |
|
Kent Williams
700 Childrens Dr |
$216.61 | 94 | 90 |
|
Abdul R Shahein
700 Childrens Dr |
$513.21 | 87 | 78 |
|
Na Li
410 W 10Th Ave |
$117.08 | 84 | 81 |
|
Ryan K Fawley
410 W 10Th Ave |
$88.98 | 72 | 64 |
|
Hamza Walid Shah
410 W 10Th Ave |
$163.35 | 54 | 50 |
|
Tracy R Ediger
700 Childrens Dr |
$229.78 | 52 | 52 |
|
Sean Thomas Mccarthy
3400 Olentangy River Rd |
$81.42 | 51 | 51 |
|
Subhankar Chakraborty
410 W 10Th Ave |
$83.30 | 40 | 38 |
|
Joshua Robert Peck
410 W 10Th Ave Fl 2 |
$66.40 | 39 | 36 |
|
Bennie R Upchurch
99 N Brice Rd # N |
$97.78 | 33 | 33 |
|
William F Emlich
4930 W Broad St |
$93.16 | 17 | 14 |
|
Vivek Mendiratta
410 W 10Th Ave |
$161.10 | 15 | 13 |
|
Colleen B Flahive
700 Childrens Dr |
$137.10 | 14 | 12 |
|
Desalegn Yacob
700 Children'S Drive |
$125.83 | 14 | 14 |
|
Darrell M. Gray
410 W 10Th Ave |
$76.14 | 14 | 12 |
|
Ala K. Shaikhkhalil
700 Children'S Drive |
$141.26 | 12 | 12 |
|
John Marshall Russo
700 Childrens Dr |
$132.88 | 12 | 12 |
|
Chaitanya Vadlamudi
1800 Zollinger Rd |
$104.18 | 12 | 12 |
|
Jeffrey Wenzke
410 W 10Th Ave |
$81.65 | 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 Columbus, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Columbus, OH is $323.93 per claim, based on 33,220 claims from 47 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 Columbus, OH?
There are 47 Medicaid providers offering Upper Endoscopy (EGD) related services in Columbus, OH according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Columbus, OH?
Medicaid reimbursement for Upper Endoscopy (EGD) in Columbus, OH ranges from $66.40 to $749.25 per claim, with an average of $323.93. 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
Other Procedures in Columbus, OH
Home Health Visit
Avg $45.80
26,745,681 claims
Office Visit
Avg $62.00
8,388,006 claims
Blood Work & Lab Tests
Avg $8.64
6,317,089 claims
Emergency Room Visit
Avg $98.63
3,813,295 claims
X-Ray
Avg $8.91
2,932,314 claims
Behavioral & Mental Health Therapy
Avg $86.62
2,709,784 claims
Substance Abuse Treatment
Avg $101.75
2,434,686 claims
Psychiatric Evaluation
Avg $92.89
2,227,259 claims