Average Medicaid Upper Endoscopy (EGD) Payments in Dallas, TX: $264.67
Avg. Paid
$264.67
Range
$0.00 – $1,416
Total Claims
4,549
Providers
21
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 Dallas, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Damien B Mallat
7777 Forest Ln |
$140.96 | 2,639 | 2,566 |
|
Dallas County Hospital District
5200 Harry Hines Blvd |
$309.96 | 455 | 441 |
|
Aakash Goyal
Ut Southwestern Medical Ctr |
$866.42 | 270 | 263 |
|
Park Central Surgical Center, Ltd
12200 Park Central Dr |
$254.47 | 221 | 186 |
|
Moheb Nabil Boktor
6201 Harry Hines Blvd |
$171.61 | 218 | 211 |
|
Isabel Cristina Rojas Santamaria
5323 Harry Hines Boulevard |
$593.60 | 187 | 179 |
|
David M Troendle
5323 Harry Hines Blvd |
$288.86 | 146 | 146 |
|
Rinarani Sanghavi
5323 Harry Hines Blvd |
$762.24 | 57 | 56 |
|
Pooja Dharwadkar
5201 Harry Hines Blvd |
$48.27 | 54 | 53 |
|
Mhammad Gaith Said Semrin
5323 Harry Hines Blvd |
$1,416 | 54 | 54 |
|
Megha S Mehta
5323 Harry Hines Blvd |
$696.76 | 50 | 50 |
|
Chinemerem John Okwara
1801 Inwood Rd Fl 6 |
$144.83 | 42 | 40 |
|
Nandini Channabasappa
1935 Medical District Dr |
$927.82 | 36 | 36 |
|
Benny Liu
5323 Harry Hines Blvd |
$120.68 | 27 | 27 |
|
Naveen Kumar Mittal
5323 Harry Hines Blvd |
$406.02 | 15 | 14 |
|
Lauren Lazar
1935 Medical District Dr |
$69.25 | 15 | 15 |
|
Amarita Singh Klar
Department Of Surgery Ut Southwestern Ctr |
$56.03 | 14 | 13 |
|
Bhaskar Gurram
5323 Harry Hines Boulevard |
$97.68 | 13 | 13 |
|
Baylor University Medical Center
3500 Gaston Ave |
$0.00 | 12 | 12 |
|
Nabeel Samir Koro
3450 W Wheatland Rd Ste 240 |
$36.34 | 12 | 12 |
|
Muhammad Arslan Baig
221 W. Colorado Blvd. |
$38.43 | 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 Dallas, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Dallas, TX is $264.67 per claim, based on 4,549 claims from 21 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 Dallas, TX?
There are 21 Medicaid providers offering Upper Endoscopy (EGD) related services in Dallas, TX according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Dallas, TX?
Medicaid reimbursement for Upper Endoscopy (EGD) in Dallas, TX ranges from $0.00 to $1,416 per claim, with an average of $264.67. 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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