Average Medicaid Upper Endoscopy (EGD) Payments in Denver, CO: $190.73
Avg. Paid
$190.73
Range
$9.10 – $545.68
Total Claims
10,325
Providers
30
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 Denver, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rose Ambulatory Surgery Center Lp
4700 Hale Pkwy |
$188.71 | 1,708 | 1,592 |
|
Alvaro Federico Martinez-Camacho
700 Delaware St |
$157.01 | 1,668 | 1,366 |
|
Pranav Periyalwar
1400 Jackson St |
$201.16 | 1,181 | 882 |
|
Jeffrey Bryan King
1400 Jackson St |
$212.06 | 721 | 422 |
|
Denver Surgicenter, Llc
8155 E 1St Ave |
$170.60 | 622 | 594 |
|
Aaron Joseph Burrows
4545 E 9Th Ave Ste 440 |
$177.11 | 615 | 597 |
|
Denver Mid-Town Surgery Center Ltd
1919 E 18Th Ave |
$315.52 | 602 | 574 |
|
Donald M Kirkpatrick
777 Bannock St |
$143.91 | 366 | 305 |
|
Courtney Marie Bhat
2045 N Franklin St |
$124.33 | 364 | 291 |
|
Katayun Irani
4600 E 9Th Ave Ste 200 |
$320.75 | 327 | 299 |
|
Neil W Toribara
1400 Jackson St |
$176.06 | 293 | 158 |
|
Vihang Vijaykumar Patel
2335 S Downing St Ste 360 |
$101.75 | 255 | 229 |
|
Jeffrey Rosensweig
1601 E 19Th Ave |
$160.91 | 254 | 220 |
|
Julie Christine Osborne Heller
2045 N Franklin St |
$150.45 | 254 | 219 |
|
Cameron Myln Thompson
2535 S Downing St Ste 410 |
$80.12 | 164 | 163 |
|
Joseph Yun Jo Chang
777 Bannock St # Mc3240 |
$278.75 | 161 | 158 |
|
Luette Marie Morton
1400 Jackson St |
$210.76 | 126 | 55 |
|
Uchealth Ambulatory Surgery Centers
100 Cook St Ste 500 |
$217.48 | 112 | 109 |
|
Jennifer Lynne Goldman Moss
4500 E 9Th Ave Ste 560S |
$66.71 | 85 | 54 |
|
Matthew Jonathon Stotts
2535 S Downing St Ste 380 |
$243.37 | 83 | 80 |
|
John S Weaver
4600 Hale Pkwy Ste 340 |
$9.10 | 55 | 38 |
|
Arash Babaei
1400 Jackson St |
$209.15 | 48 | 43 |
|
Jordan Jay Karlitz
660 Bannock St |
$116.68 | 47 | 45 |
|
Robert Thomas Simril
777 Bannock St |
$458.49 | 45 | 44 |
|
Vivian Ussui
1400 Jackson St |
$269.11 | 42 | 36 |
|
Nicole A. Doria
777 Bannock St |
$502.68 | 40 | 40 |
|
Barry Aaron Ross
2535 S Downing St |
$251.91 | 25 | 25 |
|
Sahibzada Mohsin Shah
777 Bannock St |
$545.68 | 24 | 24 |
|
Mary Ann Yi-Ang Huang
1601 E 19Th Ave Ste 5050 |
$247.88 | 24 | 24 |
|
Lawrence Miller
4500 E 9Th Ave Ste 720S |
$139.98 | 14 | 13 |
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 Denver, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Denver, CO is $190.73 per claim, based on 10,325 claims from 30 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 Denver, CO?
There are 30 Medicaid providers offering Upper Endoscopy (EGD) related services in Denver, CO according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Denver, CO?
Medicaid reimbursement for Upper Endoscopy (EGD) in Denver, CO ranges from $9.10 to $545.68 per claim, with an average of $190.73. 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 $26.40
71,876,674 claims
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Avg $23.52
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