Average Medicaid Upper Endoscopy (EGD) Payments in Houston, TX: $205.54
Avg. Paid
$205.54
Range
$40.15 – $691.13
Total Claims
3,871
Providers
28
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 Houston, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Subhajit Mukherjee
6400 Fannin St Ste 1400 |
$219.37 | 844 | 772 |
|
Barani Subramaniam Mayilvaganan
6400 Fannin St Ste 1400 |
$55.20 | 444 | 435 |
|
Nizar N Ramzan
1504 Taub Loop |
$84.09 | 399 | 373 |
|
Elizabeth Gun-Wha Holt
6400 Fannin St Ste 1400 |
$103.55 | 263 | 218 |
|
Mary Lauren Wood
6410 Fannin St |
$323.89 | 260 | 254 |
|
Daniel H Darmadi
444 Fm 1959 Rd |
$59.44 | 246 | 237 |
|
Sepideh Farzin Moghadam
7200 Cambridge St |
$544.85 | 236 | 174 |
|
Ashish N. Debroy
2045 Space Park Dr Ste 280 |
$691.13 | 174 | 161 |
|
Memorial Hermann Health System
1635 North Loop W |
$72.45 | 170 | 167 |
|
Priya Raj
6621 Fannin St |
$323.20 | 109 | 108 |
|
Shahid Ali
444 Fm 1959 Rd |
$68.71 | 105 | 99 |
|
Krishnamurthy Shivshanker
7737 Southwest Fwy |
$40.15 | 104 | 69 |
|
Marc L Kudisch
3030 S Gessner Rd Ste 120 |
$279.82 | 95 | 89 |
|
Terry K. Scarborough
5115 Fannin St. |
$337.88 | 84 | 73 |
|
Ahmad Farooq
1315 St Joseph Pkwy Ste 1210 |
$90.93 | 70 | 67 |
|
Anthony Olive
6701 Fannin St |
$428.77 | 54 | 52 |
|
Wasseem Skef
6400 Fannin St Ste 1400 |
$92.00 | 44 | 44 |
|
Felix Spiegel
5373 W Alabama St |
$255.00 | 31 | 31 |
|
Vikram Jala
13219 Dotson Rd Ste 210 |
$137.17 | 25 | 25 |
|
Bharat K Puchakayala
1740 W 27Th St Ste 100 |
$198.22 | 14 | 13 |
|
Steven Christopher Ugbarugba
11302 Fallbrook |
$41.90 | 14 | 12 |
|
Sara Iqbal
6550 Fannin, Smith Tower 1001 |
$316.62 | 13 | 12 |
|
S. Julie-Ann Lloyd
1977 Butler Blvd Ste E6100 |
$107.58 | 13 | 12 |
|
Harris County Hospital District
1504 Taub Loop |
$519.93 | 12 | 12 |
|
Muhammad Talha Farooqui
18123 Upper Bay Rd Ste 400 |
$100.19 | 12 | 12 |
|
Amaar Hassan Ghazale
444 Fm 1959 Rd |
$77.01 | 12 | 12 |
|
Ihsan Al Bayati
18300 Katy Fwy Ste 425 |
$73.95 | 12 | 12 |
|
Shaheer Ahmed Siddiqui
6431 Fannin St |
$50.07 | 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 Houston, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Houston, TX is $205.54 per claim, based on 3,871 claims from 28 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 Houston, TX?
There are 28 Medicaid providers offering Upper Endoscopy (EGD) related services in Houston, TX according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Houston, TX?
Medicaid reimbursement for Upper Endoscopy (EGD) in Houston, TX ranges from $40.15 to $691.13 per claim, with an average of $205.54. 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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