Average Medicaid Upper Endoscopy (EGD) Payments in Danville, PA: $188.26
Avg. Paid
$188.26
Range
$51.04 – $262.35
Total Claims
1,757
Providers
22
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 Danville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mohammad Alshelleh
100 N Academy Ave |
$51.04 | 12 | 12 |
|
Nancy Arlene Swiader
100 N Academy Ave |
$105.52 | 12 | 12 |
|
Elisabeth Hayley Kramer
100 N Academy Ave |
$65.40 | 12 | 12 |
|
Amit Sohagia
100 North Academy Ave |
$53.85 | 13 | 13 |
|
Matthew Joshua Shellenberger
100 N Academy Ave |
$111.19 | 24 | 24 |
|
Mahmoud T. Sabri
100 N Academy Ave |
$136.32 | 25 | 25 |
|
Olumide O Ajayeoba
100 N Academy Ave |
$146.47 | 26 | 25 |
|
Nina Ahuja
100 N Academy Ave |
$112.22 | 26 | 25 |
|
David G Talabiska
100 North Academy Ave. |
$100.18 | 27 | 27 |
|
Dean Richard Focht
100 N Academy Ave |
$156.26 | 27 | 27 |
|
Brian Jospeh Maksimak
100 N Academy Ave |
$152.70 | 28 | 27 |
|
Kashif Tufail
100 N Academy Ave |
$165.91 | 28 | 28 |
|
Jessica Mckee
100 N Academy Ave |
$103.08 | 30 | 29 |
|
Sunny Patel
100 N Academy Ave |
$94.69 | 31 | 31 |
|
Grant Allen Morris
100 N Academy Ave |
$145.20 | 42 | 42 |
|
Christopher Adam Pluskota
100 N Academy Ave |
$90.76 | 49 | 47 |
|
Korta Yuasa
100 N Academy Ave |
$97.10 | 58 | 57 |
|
Vladan Obradovic
100 N Academy Ave |
$120.91 | 65 | 65 |
|
Rouenne Joie Seeley
100 N Academy Ave |
$107.36 | 114 | 112 |
|
Sara Fang-Jone West
100 N Academy Ave |
$96.14 | 121 | 119 |
|
Eduardo Daniel Tron
100 N Academy Ave |
$198.19 | 220 | 219 |
|
Neil Bhogal
100 N Academy Ave |
$262.35 | 767 | 759 |
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 Danville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Danville, PA is $188.26 per claim, based on 1,757 claims from 22 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 Danville, PA?
There are 22 Medicaid providers offering Upper Endoscopy (EGD) related services in Danville, PA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Danville, PA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Danville, PA ranges from $51.04 to $262.35 per claim, with an average of $188.26. 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 Danville, PA
Office Visit
Avg $52.78
342,242 claims
Emergency Room Visit
Avg $91.85
280,993 claims
X-Ray
Avg $8.73
241,218 claims
Blood Work & Lab Tests
Avg $7.75
194,005 claims
CT Scan (Computed Tomography)
Avg $44.57
110,516 claims
EKG / ECG (Electrocardiogram)
Avg $6.78
108,676 claims
Ultrasound
Avg $48.66
86,840 claims
Pathology & Lab Services
Avg $34.89
67,136 claims