Average Medicaid Upper Endoscopy (EGD) Payments in Green Bay, WI: $171.00
Avg. Paid
$171.00
Range
$66.69 – $188.15
Total Claims
12,917
Providers
17
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 Green Bay, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bellin Memorial Hospital Inc.
744 S Webster Ave |
$188.15 | 4,042 | 3,767 |
|
Baycare Aurora, Llc
2845 Greenbrier Rd |
$174.32 | 3,384 | 3,135 |
|
St Mary'S Hospital Medical Center Of Green Bay Inc.-Hospital Sisters
1726 Shawano Ave |
$172.30 | 1,472 | 1,371 |
|
Bogdan Cristescu
2845 Greenbrier Rd |
$150.83 | 1,292 | 1,215 |
|
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
835 S Van Buren St |
$183.88 | 889 | 812 |
|
Vikas Khullar
1726 Shawano Ave |
$146.78 | 350 | 302 |
|
John J. Bosco
2845 Greenbrier Rd |
$132.60 | 323 | 293 |
|
Kanwar Arora
725 S Webster Ave Ste 303 |
$114.25 | 300 | 262 |
|
Mohamed Moneeb Abdellatif Azab
1726 Shawano Ave |
$158.11 | 213 | 181 |
|
Mark Alan Laukka
1726 Shawano Ave |
$122.60 | 124 | 102 |
|
David Anthony Knuff
725 S Webster Ave |
$147.58 | 121 | 108 |
|
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
1830 Shawano Ave |
$97.40 | 118 | 108 |
|
Mitchell W Manthey
2845 Greenbrier Rd |
$168.23 | 101 | 95 |
|
David A Stampfl
725 S Webster Ave |
$116.34 | 92 | 82 |
|
Chaitanya Pant
1726 Shawano Ave |
$144.06 | 69 | 63 |
|
Matthew Braun Kaspar
725 S Webster Ave |
$80.90 | 15 | 13 |
|
Bellin Memorial Hospital Inc
744 S Webster Ave |
$66.69 | 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 Green Bay, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Green Bay, WI is $171.00 per claim, based on 12,917 claims from 17 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 Green Bay, WI?
There are 17 Medicaid providers offering Upper Endoscopy (EGD) related services in Green Bay, WI according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Green Bay, WI?
Medicaid reimbursement for Upper Endoscopy (EGD) in Green Bay, WI ranges from $66.69 to $188.15 per claim, with an average of $171.00. 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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