Average Medicaid Upper Endoscopy (EGD) Payments in Greenville, SC: $32.76
Avg. Paid
$32.76
Range
$0.00 – $217.41
Total Claims
10,375
Providers
29
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 Greenville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prisma Health-Upstate
701 Grove Rd |
$19.31 | 5,080 | 4,897 |
|
Prisma Health-Upstate
200 Patewood Dr |
$10.47 | 2,459 | 2,431 |
|
St Francis Hospital Inc
1 Saint Francis Dr |
$42.02 | 526 | 448 |
|
Greenville Endoscopy Center Inc
125 Halton Road |
$19.90 | 484 | 416 |
|
Juan Corral Hurtado
890 W Faris Rd Ste 100 |
$217.41 | 441 | 435 |
|
Seid Ali Akbar Mirmiran-Yazdy
1025 Verdae Blvd |
$53.60 | 208 | 197 |
|
Joseph R Baber
890 W Faris Rd Ste 100 |
$41.16 | 128 | 128 |
|
Michael James Dougherty
200 Patewwod Drive |
$123.22 | 128 | 128 |
|
Rhody F Fawaz
317 Saint Francis Dr Ste 339 |
$51.93 | 109 | 107 |
|
Christina Bauer
890 W Faris Rd Ste 100 |
$48.80 | 108 | 106 |
|
Furkan Ertem
317 Saint Francis Dr Ste 330 |
$40.27 | 97 | 93 |
|
Joshua Aaron Cohen
905 Verdae Blvd Ste 204 |
$68.20 | 91 | 91 |
|
Colston Freeman Mcevoy
200 Patewood Dr |
$110.29 | 72 | 70 |
|
Luis Saul Lizardo Sanchez
890 W Faris Rd Ste 100 |
$50.15 | 63 | 63 |
|
Madhusudhan Sunkavalli
125 Halton Rd Ste 200 |
$46.71 | 50 | 49 |
|
Greenville Health System
701 Grove Rd |
$0.00 | 40 | 40 |
|
Einar Gabrielson Lurix
905 Verdae Blvd Ste 204 |
$31.33 | 39 | 36 |
|
Jonathan E Markowitz
200 Patewood Dr |
$99.86 | 38 | 38 |
|
Diego Alejandro Lim
890 W Faris Rd Ste 100 |
$96.84 | 27 | 27 |
|
Monia Elisa Werlang
890 W Faris Rd Ste 100 |
$46.59 | 27 | 26 |
|
Liz Drapete Dancel
200 Patewood Dr |
$104.65 | 26 | 25 |
|
Lester Paul Salwen
890 W Faris Rd Ste 100 |
$73.39 | 26 | 26 |
|
Lindsay M Moye
200 Patewood Dr Ste A140 |
$117.45 | 26 | 25 |
|
Gastroenterology Associates, Pa
125 Halton Road |
$0.00 | 16 | 16 |
|
Patricia Lynn Eichhorn
2104 Woodruff Road |
$83.19 | 15 | 15 |
|
Andre C Eaddy
890 W Faris Rd Ste 100 |
$59.73 | 14 | 14 |
|
Sumodh C. Kalathil
1025 Verdae Blvd |
$116.76 | 13 | 12 |
|
Veeral M Oza
890 W Faris Rd Ste 100 |
$73.69 | 12 | 12 |
|
Kalpit Himmatbhai Devani
890 W Faris Rd Ste 100 |
$59.09 | 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 Greenville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Greenville, SC is $32.76 per claim, based on 10,375 claims from 29 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 Greenville, SC?
There are 29 Medicaid providers offering Upper Endoscopy (EGD) related services in Greenville, SC according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Greenville, SC?
Medicaid reimbursement for Upper Endoscopy (EGD) in Greenville, SC ranges from $0.00 to $217.41 per claim, with an average of $32.76. 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 $63.19
2,475,692 claims
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Avg $35.65
1,555,095 claims
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Home Health Visit
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Avg $25.98
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