Average Medicaid Upper Endoscopy (EGD) Payments in Dayton, OH: $209.89
Avg. Paid
$209.89
Range
$74.24 – $770.11
Total Claims
21,685
Providers
41
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 Dayton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Digestive Endoscopy Center Llc
4340 Clyo Rd Ste 100 |
$209.94 | 2,486 | 2,251 |
|
Charles William Oberer
425 W Grand Ave Ste 2002 |
$192.50 | 1,753 | 1,687 |
|
Kanan Sharma
1530 Needmore Rd Ste 101 |
$108.18 | 1,465 | 1,368 |
|
Bikram Verma Ansil
4340 Clyo Rd Ste 200 |
$119.89 | 1,260 | 1,177 |
|
Endoscopy Center Of Dayton North Llc
9000 N Main St |
$249.49 | 1,248 | 1,068 |
|
Salma Akram
4340 Clyo Rd Ste 200 |
$109.95 | 1,211 | 1,145 |
|
Ramesh K Gandhi
7211 N Main St Ste 2 |
$211.94 | 1,176 | 1,136 |
|
Dayton Osteopathic Hospital
405 W Grand Ave |
$414.56 | 1,157 | 991 |
|
Digestive Endoscopy Center Llc
1530 Needmore Rd |
$192.79 | 1,017 | 900 |
|
Dayton Children'S Hospital
1 Childrens Plz |
$770.11 | 1,009 | 906 |
|
Miami Valley Hospital
1 Wyoming St |
$289.37 | 943 | 636 |
|
David M Zapf
2400 W Stroop Rd |
$179.29 | 926 | 899 |
|
Urmee Siraj
4340 Clyo Rd Ste 200 |
$125.86 | 523 | 500 |
|
Shashank Sarvepalli
425 W Grand Ave Ste 2002 |
$76.33 | 463 | 438 |
|
Rizwan E Kibria
75 Sylvania Dr |
$84.35 | 461 | 439 |
|
Mustafa Musleh
4340 Clyo Rd Ste 200 |
$97.68 | 449 | 412 |
|
Diklar Makola
75 Sylvania Dr |
$92.10 | 416 | 397 |
|
Rajkamal Jit
4340 Clyo Rd Ste 200 |
$103.45 | 401 | 378 |
|
Syed A Ali
75 Sylvania Dr |
$119.72 | 399 | 390 |
|
Colonoscopy And Endoscopy Center Llc
7211 N Main St |
$263.78 | 339 | 306 |
|
Jonathan Paige Kushner
4340 Clyo Rd Ste 200 |
$97.34 | 321 | 297 |
|
Michael Richard Sherman
Wright Patterson Medical Center |
$74.24 | 293 | 287 |
|
Carey Christopher Brown
7740 Washington Village Dr Ste 110 |
$298.62 | 291 | 284 |
|
Drew Jared Triplett
75 Sylvania Dr |
$98.50 | 265 | 248 |
|
Teressa J Patrick
1530 Needmore Rd Ste 101 |
$96.57 | 237 | 224 |
|
Kevin M Reid
425 W Grand Ave |
$195.74 | 208 | 187 |
|
Atindra N. Chatterji
8701 Old Troy Pike, Suite 70 |
$203.64 | 177 | 161 |
|
Vasundhara Appalaneni
1501 Ashbury Woods Dr |
$135.44 | 171 | 168 |
|
James William Augusta
7740 Washington Village Dr |
$308.97 | 124 | 119 |
|
Mauricio Daniel Carballo Montero
75 Sylvania Dr |
$75.77 | 83 | 78 |
|
Jigna Thakore
4340 Clyo Rd Ste 200 |
$80.22 | 69 | 53 |
|
Benjamin Evans Wheeler
75 Sylvania Dr |
$144.77 | 68 | 64 |
|
Kalyan Mohan Bhoopal
75 Sylvania Dr |
$165.60 | 64 | 60 |
|
Ramakrishna Mutyala
1 Childrens Plz |
$104.83 | 54 | 51 |
|
Roberta Elizabeth Galford
1997 Miamisburg Centerville Rd |
$364.44 | 47 | 45 |
|
Sean Michael Bingham
1 Childrens Plz |
$99.52 | 42 | 37 |
|
Gregory J Beck
75 Sylvania Dr |
$92.50 | 15 | 15 |
|
Michael D Bates
1 Childrens Plz |
$134.24 | 15 | 15 |
|
Shelly Rustagi
1 Childrens Plz |
$128.02 | 14 | 14 |
|
Alex Daniel Green
1 Childrens Plz |
$248.74 | 13 | 12 |
|
April Ann Mathews
1 Childrens Plz |
$116.45 | 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 Dayton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Dayton, OH is $209.89 per claim, based on 21,685 claims from 41 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 Dayton, OH?
There are 41 Medicaid providers offering Upper Endoscopy (EGD) related services in Dayton, OH according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Dayton, OH?
Medicaid reimbursement for Upper Endoscopy (EGD) in Dayton, OH ranges from $74.24 to $770.11 per claim, with an average of $209.89. 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 $59.90
3,092,172 claims
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Avg $64.03
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Avg $99.66
2,178,156 claims
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Avg $97.08
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Avg $6.58
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Avg $69.30
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Avg $74.24
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Avg $8.52
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