Average Medicaid Upper Endoscopy (EGD) Payments in Fountain Valley, CA: $153.84
Avg. Paid
$153.84
Range
$0.00 – $402.07
Total Claims
3,494
Providers
13
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 Fountain Valley, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Leduc Medical Group, Inc.
11160 Warner Ave |
$28.82 | 12 | 12 |
|
Jose Luis Aranez
18035 Brookhurst St., Ste. 2100 |
$97.58 | 12 | 12 |
|
Digestive & Liver Center Corp
11100 Warner Ave Ste 252 |
$217.16 | 12 | 12 |
|
Orange Coast Memorial Medical Center
9920 Talbert Ave |
$5.59 | 14 | 13 |
|
Pacific Endoscopy Center, Llc
17815 Newhope St |
$0.00 | 15 | 14 |
|
Truong-Sinh Leduc
11160 Warner Ave |
$241.14 | 52 | 52 |
|
David Minh Truong
10900 Warner Ave |
$176.71 | 53 | 53 |
|
Orange County Digestive Care Inc
9900 Talbert Ave |
$160.03 | 125 | 121 |
|
Mile Square Surgery Center Inc
10760 Warner Avenue |
$182.84 | 134 | 130 |
|
Ky-Dieu Thi Tran
11100 Warner Ave Ste 252 |
$402.07 | 199 | 199 |
|
Memorial Care Surgical Center At Orange Coast, Llc
18111 Brookhurst Street |
$71.62 | 395 | 385 |
|
Duke H Nguyen
9900 Talbert Ave |
$241.47 | 406 | 400 |
|
Pacific Endoscopy And Surgery Center, Llc
17815 Newhope St |
$126.18 | 2,065 | 2,046 |
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 Fountain Valley, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Fountain Valley, CA is $153.84 per claim, based on 3,494 claims from 13 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 Fountain Valley, CA?
There are 13 Medicaid providers offering Upper Endoscopy (EGD) related services in Fountain Valley, CA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Fountain Valley, CA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Fountain Valley, CA ranges from $0.00 to $402.07 per claim, with an average of $153.84. 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 $37.39
1,288,022 claims
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Avg $2.59
880,681 claims
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Avg $17.47
320,220 claims
Urinalysis & Urine Tests
Avg $1.67
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Avg $66.13
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Avg $10.66
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Avg $10.50
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Avg $9.34
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