Average Medicaid Upper Endoscopy (EGD) Payments in Flushing, NY: $306.22
Avg. Paid
$306.22
Range
$54.96 – $1,047
Total Claims
93,103
Providers
35
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 Flushing, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Suma Sudheendran Kamath
5645 Main St |
$197.61 | 13 | 13 |
|
Calvin Q Pan
13221 41St Ave |
$271.70 | 13 | 13 |
|
Hafsa Abbas
14015 Sanford Ave Fl 1 |
$66.44 | 15 | 15 |
|
Queens Surgical Center Llc
3636 Main St Ste 1S |
$401.04 | 16 | 15 |
|
Juan Manuel Baez
41-61 Kissena Blvd |
$424.72 | 27 | 27 |
|
Melissa Lobel Rose
5645 Main St |
$156.14 | 39 | 39 |
|
Aaron Turkish
5645 Main St |
$174.82 | 50 | 50 |
|
Chung Ki Ha
15615 35Th Ave |
$146.52 | 64 | 64 |
|
Michael Li Md Pllc
13620 38Th Ave |
$391.85 | 77 | 77 |
|
Sang Hoon Kim
5645 Main St |
$107.26 | 87 | 81 |
|
King-Chen Hon
13511 40Th Rd |
$118.82 | 96 | 96 |
|
Constantine George Fisher
5645 Main St |
$79.34 | 101 | 98 |
|
Flushing Hospital & Medical Center
4500 Parsons Blvd |
$1,047 | 122 | 121 |
|
Kaumudi Somnay
5514 Main St |
$239.16 | 132 | 127 |
|
Philip Ta-Huey Chuang
13347 Sanford Ave Ste 1D |
$230.29 | 137 | 137 |
|
Ellen Gutkin
5645 Main St |
$178.91 | 187 | 182 |
|
Ilya Badalov
14015 Sanford Ave |
$107.90 | 215 | 214 |
|
Jing Gastroenterology & Hepatology Pc
13668 Roosevelt Ave |
$54.96 | 440 | 423 |
|
He Qiu
13633 37Th Ave Fl 7 |
$103.28 | 556 | 556 |
|
Syed Ahsan Hussain
5645 Main St |
$67.91 | 716 | 701 |
|
Mitanshu Shah
4500 Parsons Blvd |
$105.18 | 909 | 876 |
|
Chang Ho Suk
41 61 Kissena Blvd |
$373.99 | 928 | 927 |
|
Daniel Yeoun
3808 Union St Ste 13A |
$380.50 | 1,840 | 1,839 |
|
Newyork-Presbyterian-Queens
5645 Main St |
$625.04 | 2,736 | 2,729 |
|
Xianyang Yio
13619 41St Ave |
$423.09 | 4,197 | 4,193 |
|
Tong Jing
13668 Roosevelt Ave |
$347.66 | 4,353 | 4,334 |
|
Che-Nan Chuang
13347 Sanford Ave |
$156.48 | 4,479 | 4,455 |
|
Samuel Cho
15011 Northern Blvd |
$232.60 | 5,729 | 5,717 |
|
Xinyu Zhao
4199 Main St Ste 203 |
$339.55 | 7,474 | 7,463 |
|
Sing Chan
3808 Union St |
$223.41 | 7,763 | 7,665 |
|
Joon Mo Myung
15408 Northern Blvd |
$291.42 | 7,877 | 7,863 |
|
Flushing Endoscopy Center
136-02 Roosevelt Avenue |
$504.85 | 9,220 | 9,183 |
|
Jianlin Xie
3808 Union St Ste 6A |
$381.25 | 9,718 | 9,706 |
|
Michael Yang Li
136-20 38 Ave |
$281.79 | 11,318 | 11,288 |
|
Alan C. Yao
13633 37Th Ave 7Th Floor |
$151.15 | 11,459 | 11,318 |
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 Flushing, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Flushing, NY is $306.22 per claim, based on 93,103 claims from 35 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 Flushing, NY?
There are 35 Medicaid providers offering Upper Endoscopy (EGD) related services in Flushing, NY according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Flushing, NY?
Medicaid reimbursement for Upper Endoscopy (EGD) in Flushing, NY ranges from $54.96 to $1,047 per claim, with an average of $306.22. 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
Phoenix, AZ
Avg $302.49
71,548 claims · 71 providers
Bakersfield, CA
Avg $392.48
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Los Angeles, CA
Avg $140.58
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Tucson, AZ
Avg $288.42
55,967 claims · 58 providers
Detroit, MI
Avg $206.86
50,758 claims · 16 providers
Milwaukee, WI
Avg $194.85
46,905 claims · 54 providers
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