Average Medicaid Upper Endoscopy (EGD) Payments in Fredericksburg, VA: $373.90
Avg. Paid
$373.90
Range
$49.92 – $579.42
Total Claims
6,860
Providers
10
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 Fredericksburg, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mary Washington Hospital Inc.
1001 Sam Perry Blvd |
$472.80 | 3,693 | 3,334 |
|
Spotsylvania Medical Center Inc
4600 Spotsylvania Parkway |
$579.42 | 1,044 | 994 |
|
Renick Matthew Smith
1500 Dixon St Ste 202 |
$69.06 | 750 | 651 |
|
Narayan Dharel
1031 Care Way |
$57.92 | 484 | 428 |
|
Fredericksburg Endoscopy Center, Llc
1211 Central Park Blvd |
$177.10 | 481 | 427 |
|
Central Virginia Surgi-Center Lp
1500 Dixon St |
$153.88 | 262 | 225 |
|
Dong Heun Lee
1031 Care Way |
$58.09 | 55 | 50 |
|
Chetan Balakrishna Pai
1031 Care Way |
$49.92 | 44 | 39 |
|
Lisanne Anders
1031 Care Way |
$71.94 | 32 | 28 |
|
Peter Wk Wong
1031 Care Way |
$64.39 | 15 | 15 |
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 Fredericksburg, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Fredericksburg, VA is $373.90 per claim, based on 6,860 claims from 10 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 Fredericksburg, VA?
There are 10 Medicaid providers offering Upper Endoscopy (EGD) related services in Fredericksburg, VA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Fredericksburg, VA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Fredericksburg, VA ranges from $49.92 to $579.42 per claim, with an average of $373.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Upper Endoscopy (EGD) in Other Cities
Brooklyn, NY
Avg $322.26
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New York, NY
Avg $375.46
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Flushing, NY
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Phoenix, AZ
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Bakersfield, CA
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Avg $206.86
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