Based on public Medicaid payment data.

Average Medicaid Upper Endoscopy (EGD) Payments in Fort Wayne, IN: $346.62

Avg. Paid

$346.62

Range

$61.12 – $822.43

Total Claims

11,004

Providers

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 Fort Wayne, IN

Provider	Avg. Paid	Claims	Patients
Sunil Ramrakhiani 7900 W Jefferson Blvd	$301.01	2,423	1,968
Tariq Akbar 7900 W Jefferson Blvd	$257.30	1,836	1,447
Efesomwan Aisien 11104 Parkview Circle Dr Ste 310	$503.97	792	674
Lokesh Kumar Jha 11104 Parkview Circle Dr Ste 310	$546.84	766	672
Reshi C Kanuru 11104 Parkview Circle Dr Ste 310	$365.90	667	601
Jonathan D Benson 11104 Parkview Circle Dr Ste 310	$366.99	569	507
Abdo Maroun Saad 11104 Parkview Circle Dr Ste 310	$138.06	484	478
Zhaodong Li 11104 Parkview Circle Dr Ste 310	$559.70	460	408
Adrian Chapa-Rodriguez 8028 Carnegie Blvd Ste 500	$568.21	424	394
Steven W. Fitts 7910 W Jefferson Blvd Ste 205B	$262.75	407	362
Ashok Kapur 11104 Parkview Circle Dr Ste 310	$93.61	288	258
Edgardo D Rivera-Rivera 11123 Parkview Plaza Dr Ste 200	$822.43	284	263
Robert J Dempsey 11104 Parkview Circle Dr	$351.63	213	195
Mariajose Rojas De Leon 11050 Parkview Circle Dr	$197.79	188	159
Donal P Dunne 2622 Lake Ave	$91.47	177	166
Thayer Nasereddin 11050 Parkview Circle Dr	$104.86	162	134
Kaely S Bade 11104 Parkview Circle Dr Ste 310	$342.62	145	133
Matthew L Pfister 11141 Parkview Plaza Dr Ste 305	$738.58	142	126
Samuel Thomas Boston 11123 Parkview Plaza Dr Ste 200	$277.53	139	120
Folkert G. Zijlstra 7900 W Jefferson Blvd	$78.00	128	109
Sushil K. Jain 7900 W Jefferson Blvd	$273.28	125	100
Kirsten Teaney Weiser 11104 Parkview Circle Dr Ste 310	$93.56	32	25
Andrew E. Katz 7900 W Jefferson Blvd	$65.38	28	26
Ashish Sharma 7900 W Jefferson Blvd Ste 201	$61.12	27	26
Dominic Michael Colella 11104 Parkview Circle Dr Ste 310	$164.18	25	24
Haitam Mohamad Buaisha 11104 Parkview Circle Dr Ste 310	$63.71	16	16
Muhammad Usman Mirza 7900 W Jefferson Blvd Ste 201	$141.04	15	14
David Stephen Heppner 11104 Parkview Circle Dr Ste 310	$693.68	15	13
Melissa M Garrett 11104 Parkview Circle Dr Ste 310	$64.04	15	12
Shailesh Bajaj 7900 W Jefferson Blvd	$109.24	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 Fort Wayne, IN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Fort Wayne, IN is $346.62 per claim, based on 11,004 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 Fort Wayne, IN?

There are 30 Medicaid providers offering Upper Endoscopy (EGD) related services in Fort Wayne, IN according to public payment data.

What is the price range for Upper Endoscopy (EGD) in Fort Wayne, IN?

Medicaid reimbursement for Upper Endoscopy (EGD) in Fort Wayne, IN ranges from $61.12 to $822.43 per claim, with an average of $346.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Upper Endoscopy (EGD) Payments in Fort Wayne, IN: $346.62

Providers Offering Upper Endoscopy (EGD) in Fort Wayne, IN

What to Expect: Upper Endoscopy (EGD)

Cost Components

Frequently Asked Questions

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