Average Medicaid Upper Endoscopy (EGD) Payments in Fort Worth, TX: $154.00
Avg. Paid
$154.00
Range
$37.87 – $251.79
Total Claims
6,934
Providers
19
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 Worth, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicholas A Ogunmola
1500 Cooper St |
$251.79 | 1,924 | 1,847 |
|
Bankole O Osuntokun
1500 Cooper St |
$88.72 | 944 | 915 |
|
Jane Abigal Keng
1500 Cooper St |
$79.35 | 723 | 706 |
|
Venkat Eswara-Rao Namburu
7633 Bellaire Dr S |
$144.79 | 699 | 664 |
|
Samson Cantu
1500 Cooper St |
$85.50 | 676 | 661 |
|
Shilpa Madadi
1617 Hemphill St |
$155.57 | 447 | 436 |
|
Clifton Steve Huang
1500 Cooper St |
$193.87 | 436 | 421 |
|
Tarrant County Hospital District
1500 S Main St |
$161.59 | 248 | 236 |
|
Danny Salah Rafati
1500 Cooper St |
$88.65 | 241 | 236 |
|
Sangameshwar Reddy
1500 S Main St |
$168.69 | 220 | 207 |
|
Long Truong Hoang
855 Montgomery St |
$54.62 | 154 | 133 |
|
Jeffrey Capati
1350 S Main St Ste 3200 |
$112.48 | 52 | 52 |
|
Sherief M Mansi
1500 Cooper St |
$124.20 | 48 | 41 |
|
Ahmad Jamal Khalifa Alsaleh
1111 5Th Ave |
$49.01 | 30 | 29 |
|
Thao Thi Ngoc Nguyen
900 8Th Ave |
$141.87 | 26 | 24 |
|
Zeeshan Ramzan
1325 Pennsylvania Ave Ste 890 |
$37.87 | 25 | 24 |
|
Curtis Brewer
1350 S Main St Ste 3200 |
$58.30 | 14 | 12 |
|
Srinivas Reddy Puli
1575 S Main St |
$196.52 | 14 | 12 |
|
Scharles Alicia Konadu
900 W Magnolia Ave Ste 100 |
$55.49 | 13 | 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 Fort Worth, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Fort Worth, TX is $154.00 per claim, based on 6,934 claims from 19 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 Worth, TX?
There are 19 Medicaid providers offering Upper Endoscopy (EGD) related services in Fort Worth, TX according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Fort Worth, TX?
Medicaid reimbursement for Upper Endoscopy (EGD) in Fort Worth, TX ranges from $37.87 to $251.79 per claim, with an average of $154.00. 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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