Average Medicaid Upper Endoscopy (EGD) Payments in Fresno, CA: $13.14
Avg. Paid
$13.14
Range
$0.00 – $173.19
Total Claims
31,067
Providers
37
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 Fresno, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mufti Saadat Ahmed Farooqi
1332 W Herndon Ave |
$10.20 | 4,351 | 4,338 |
|
Vivek Mittal
7045 N Maple Ave Ste 101 |
$16.99 | 4,250 | 4,226 |
|
Abhishek Gulati
2335 E Kashian Ln Ste 280 |
$16.09 | 3,368 | 3,333 |
|
Prahalad B Jajodia
7085 N Maple Ave |
$12.02 | 2,664 | 2,589 |
|
Min S Win
7405 N Fresno St |
$6.39 | 2,285 | 2,277 |
|
Gastroenterology And Liver Disease Medical Center Inc
7215 N Fresno St |
$5.41 | 1,808 | 1,309 |
|
Community Foundation Medical Group
7370 N Palm Ave Ste 101 |
$6.59 | 1,651 | 1,646 |
|
Ram Lal Mittal
7215 N Fresno St Ste 101 |
$17.63 | 1,624 | 1,396 |
|
Saint Agnes Medical Center
1303 E Herndon Ave |
$3.04 | 1,370 | 1,348 |
|
Pristine Surgery Center, Inc
7085 N Maple Ave |
$9.36 | 1,164 | 1,140 |
|
Fresno Community Hospital And Medical Center
2823 Fresno St |
$15.92 | 858 | 841 |
|
Jaya Krishna Chintanaboina
7405 N Fresno St |
$30.61 | 726 | 720 |
|
Kevin Takao Kodama
1187 E Herndon Ave Ste 101 |
$19.60 | 702 | 699 |
|
University Faculty Associates, Inc.
2625 E Divisadero St |
$16.80 | 669 | 658 |
|
Ujagger Singh Dhillon
7405 N Fresno St |
$21.67 | 634 | 628 |
|
Vivek Mittal, M.D. And Manisha Mittal, M.D. Inc.
2475 E Fir Ave Ste 104 |
$9.92 | 357 | 357 |
|
Prahalad B Jajodia Md Inc
6137 North Thesta Ave |
$5.89 | 279 | 275 |
|
Ujagger Singh Dhillon Md Inc A Pro Corp
7405 N Fresno St |
$1.46 | 265 | 263 |
|
Ariel Shuchleib Cung
1510 E Herndon Ave Ste 210 |
$3.91 | 252 | 251 |
|
Community Foundation Medical Group
2151 Herndon Ave Ste 105 |
$7.90 | 230 | 227 |
|
Gurjiwan Singh Virk
7405 N Fresno St |
$25.07 | 203 | 203 |
|
Maricela Josefina Rangel-Garcia
2335 E Kashian Ln Ste 280 |
$28.91 | 201 | 200 |
|
Muhammad Baraa Hammami
2335 E Kashian Ln Ste 280 |
$35.25 | 148 | 146 |
|
Bruce Sahba
290 N Wayte Ln |
$49.06 | 133 | 131 |
|
Amreet K. Aujla
1187 E Herndon Ave Ste 101 |
$9.54 | 130 | 130 |
|
Soo Y. Kim
1187 E Herndon Ave |
$19.24 | 113 | 113 |
|
Sandeep Singh Sekhon
1187 E Herndon Ave |
$26.90 | 104 | 103 |
|
Hongtao Alex Wang
1191 E Herndon Ave Ste 103 |
$41.24 | 103 | 52 |
|
Fresno Endoscopy Center
7405 N Fresno St |
$20.66 | 97 | 97 |
|
Daniel Evan Swartz
7060 N Recreation Ave |
$6.00 | 87 | 87 |
|
Jacob H. Colarian
7300 N Fresno St |
$26.29 | 85 | 84 |
|
Nicole Kimiko Takeda
155 N Fresno St |
$45.46 | 60 | 58 |
|
Min S Win, Inc
6700 N 1St St Ste 113 |
$0.00 | 39 | 39 |
|
Nasir Halim
155 N Fresno St |
$173.19 | 16 | 16 |
|
Adam Werth Greenberg
7095 N Chestnut Ave Ste 101 |
$0.00 | 14 | 14 |
|
Devang Prajapati
2823 Fresno St |
$0.00 | 14 | 13 |
|
Jayanta Choudhury
7015 N Chestnut Ave |
$8.11 | 13 | 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 Fresno, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Fresno, CA is $13.14 per claim, based on 31,067 claims from 37 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 Fresno, CA?
There are 37 Medicaid providers offering Upper Endoscopy (EGD) related services in Fresno, CA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Fresno, CA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Fresno, CA ranges from $0.00 to $173.19 per claim, with an average of $13.14. 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
Other Procedures in Fresno, CA
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Avg $9.04
7,118,942 claims
Substance Abuse Treatment
Avg $27.33
4,413,563 claims
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Avg $2.74
2,444,948 claims
Dental Cleaning & Exam
Avg $51.51
1,690,843 claims
Urinalysis & Urine Tests
Avg $0.70
1,247,642 claims
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Avg $0.97
1,207,674 claims
Emergency Room Visit
Avg $38.60
1,035,563 claims
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Avg $160.45
952,885 claims