Average Medicaid Upper Endoscopy (EGD) Payments in Forest Hills, NY: $203.71
Avg. Paid
$203.71
Range
$69.09 – $347.33
Total Claims
9,179
Providers
12
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 Forest Hills, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Golyan
69-02 Austin St |
$86.77 | 12 | 12 |
|
Sidney A Rosman
11203 Queens Blvd |
$314.55 | 13 | 13 |
|
Joel Asher Baum
11203 Queens Blvd |
$69.09 | 14 | 13 |
|
Steven Guttmann
10201 66Th Rd |
$98.03 | 22 | 22 |
|
Samantha Nazareth
10840 Queens Blvd |
$190.02 | 85 | 85 |
|
Forest Hills Gastroenterology P.C.
108-40 Queens Blvd |
$245.76 | 170 | 170 |
|
Yuriy Israel
10816 72Nd Ave |
$347.33 | 271 | 269 |
|
Daniel Horacio Wasserman
11203 Queens Blvd |
$276.88 | 279 | 279 |
|
Daniel S Reich
6960 108Th St |
$111.08 | 1,128 | 1,089 |
|
Albert Shalomov
10721 Queens Blvd |
$151.54 | 1,574 | 1,572 |
|
Samuel Davidoff
10816 72Nd Ave |
$303.08 | 2,265 | 2,259 |
|
Azeem Khan
10840 Queens Blvd |
$173.94 | 3,346 | 3,337 |
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 Forest Hills, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Forest Hills, NY is $203.71 per claim, based on 9,179 claims from 12 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 Forest Hills, NY?
There are 12 Medicaid providers offering Upper Endoscopy (EGD) related services in Forest Hills, NY according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Forest Hills, NY?
Medicaid reimbursement for Upper Endoscopy (EGD) in Forest Hills, NY ranges from $69.09 to $347.33 per claim, with an average of $203.71. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Upper Endoscopy (EGD) in Other Cities
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Avg $375.46
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