Average Medicaid Upper Endoscopy (EGD) Payments in Indianapolis, IN: $223.79
Avg. Paid
$223.79
Range
$43.90 – $907.70
Total Claims
18,585
Providers
71
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 Indianapolis, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Khaled Hassan Abdeljawad
1701 N Senate Blvd |
$536.42 | 1,271 | 1,123 |
|
Eric E Tibesar
8402 Harcourt Rd Ste 402 |
$207.23 | 1,267 | 1,173 |
|
Hala Fatima
1701 N Senate Blvd |
$385.75 | 1,228 | 1,111 |
|
Susan K Maisel
8402 Harcourt Rd Ste 402 |
$213.04 | 1,012 | 873 |
|
Ashish Aggarwal
7950 N Shadeland Ave |
$141.65 | 992 | 886 |
|
Ninad H Shah
7950 N. Shadeland Avenue, Suite 350 |
$150.13 | 796 | 733 |
|
Rachel Kochert Dunn
8402 Harcourt Rd Ste 402 |
$196.40 | 775 | 707 |
|
Sebastian Zavoian
8402 Harcourt Rd Ste 402 |
$255.94 | 717 | 672 |
|
Seth Allen Moore
7950 N Shadeland Ave |
$87.43 | 691 | 641 |
|
Jigar Rajnikant Bhagatwala
1400 N Ritter Ave Ste 370 |
$114.50 | 681 | 644 |
|
The Endoscopy Center At St. Francis, Llc
8051 S Emerson Ave |
$148.42 | 677 | 595 |
|
Hak Nam Kim
1701 N Senate Blvd |
$444.76 | 589 | 519 |
|
James Robert Bailey
1001 W 10Th St # M200 |
$81.26 | 499 | 441 |
|
Ajay Jain
1801 N Senate Blvd |
$97.25 | 470 | 412 |
|
Damon Fu
1400 N Ritter Ave Ste 370 |
$152.38 | 463 | 449 |
|
Shamaila Waseem
705 Riley Hospital Dr |
$361.19 | 462 | 406 |
|
Kashif Ahmed
1801 N Senate Blvd Ste 700 |
$78.57 | 461 | 428 |
|
Nikhil Patrick Martis
1400 N Ritter Ave Ste 370 |
$152.54 | 427 | 396 |
|
Majdi M Abu-Salih
8040 Clearvista Pkwy |
$282.39 | 423 | 406 |
|
Robert K Vincent
8051 S Emerson Ave Ste 200 |
$124.91 | 377 | 330 |
|
Elizabeth Ann Schaefer
8402 Harcourt Rd Ste 402 |
$179.04 | 343 | 309 |
|
Stephen James Carlson
7950 N Shadeland Avenue |
$89.36 | 335 | 304 |
|
Sheela Deivanayagam
8402 Harcourt Rd Ste 402 |
$166.38 | 325 | 294 |
|
Shan L Cheng
8051 South Emerson Ave |
$164.28 | 298 | 238 |
|
Lucas Matthew Drake
8051 South Emerson Ave |
$105.33 | 274 | 236 |
|
Yunwei Wang
8333 Naab Rd Ste 230 |
$91.00 | 219 | 199 |
|
Kavitha Marie Nair
1400 N Ritter Ave Ste 370 |
$177.90 | 211 | 195 |
|
Wen W Boynton
1801 N Senate Blvd Ste 700 |
$108.09 | 183 | 160 |
|
Myungwon Christine Chang
7250 Clearvista Dr Ste 100 |
$854.81 | 168 | 144 |
|
Ernest Jonathan Orinion
8051 South Emerson Ave |
$84.20 | 154 | 132 |
|
Umer Aziz Bhatti
1701 N Senate Blvd |
$519.27 | 145 | 120 |
|
Emily C Hon
705 Riley Hospital Dr |
$335.29 | 122 | 112 |
|
Donato Ciaccia
7950 N Shadeland Ave |
$63.55 | 112 | 107 |
|
Mazen Alsatie
8333 Naab Rd Ste 230 |
$76.66 | 102 | 85 |
|
Joseph Marvin Henderson
1400 N Ritter Ave |
$73.60 | 95 | 78 |
|
Jason Ray Roberts
8051 S Emerson Ave |
$538.22 | 84 | 69 |
|
Mark Joseph Lybik
8424 Naab Rd |
$86.90 | 76 | 68 |
|
Rakesh Vinayek
550 University Blvd |
$75.89 | 75 | 61 |
|
Sakib Karim Khalid
1801 N Senate Blvd Ste 700 |
$76.71 | 73 | 62 |
|
Steven J Steiner
705 Riley Hospital Dr |
$531.18 | 66 | 54 |
|
Amanda Fehring Swingley
8333 Naab Rd Ste 230 |
$81.03 | 65 | 54 |
|
Chelsey Mcshane
1400 N Ritter Ave Ste 370 |
$97.96 | 57 | 53 |
|
James Allen Jacob
8051 South Emerson Ave |
$126.12 | 52 | 41 |
|
Paul Kendel Haynes
8051 South Emerson Ave |
$75.93 | 48 | 37 |
|
Andrew W Crane
8051 South Emerson Ave |
$68.54 | 47 | 36 |
|
Matthew Warren Harrison
7950 N Shadeland Ave |
$73.88 | 43 | 39 |
|
Beltway Surgery Centers, L.L.C.
550 University Blvd Ste 4100 |
$43.90 | 40 | 38 |
|
Khalid Azam Alkimawi
8333 Naab Rd Ste 230 |
$64.06 | 39 | 28 |
|
Benjamin L Bick
702 Rotary Cir |
$136.62 | 31 | 26 |
|
William E. Bennett
705 Riley Hospital Dr # 4270 |
$130.83 | 31 | 17 |
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 Indianapolis, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Indianapolis, IN is $223.79 per claim, based on 18,585 claims from 71 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 Indianapolis, IN?
There are 71 Medicaid providers offering Upper Endoscopy (EGD) related services in Indianapolis, IN according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Indianapolis, IN?
Medicaid reimbursement for Upper Endoscopy (EGD) in Indianapolis, IN ranges from $43.90 to $907.70 per claim, with an average of $223.79. 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 Indianapolis, IN
Office Visit
Avg $63.89
5,827,043 claims
Blood Work & Lab Tests
Avg $6.88
4,810,486 claims
Emergency Room Visit
Avg $116.65
4,172,341 claims
Substance Abuse Treatment
Avg $55.73
3,091,944 claims
Physical Therapy
Avg $33.23
2,875,864 claims
Psychiatric Evaluation
Avg $57.23
2,769,777 claims
Behavioral & Mental Health Therapy
Avg $118.18
1,914,375 claims
X-Ray
Avg $23.18
1,907,507 claims