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 |
|---|---|---|---|
|
Joseph M Buadoo-Croffie
705 Riley Hospital Dr |
$227.68 | 12 | 12 |
|
Samer Gawrieh
550 University Blvd |
$242.49 | 12 | 12 |
|
Brandon Arnold Sparks
705 Riley Hospital Dri |
$488.62 | 12 | 12 |
|
Earl David Brown
8051 South Emerson Ave |
$94.60 | 12 | 12 |
|
John M Wo
550 University Blvd Ste 1710 |
$91.14 | 13 | 12 |
|
Paroma Bose
705 Riley Hospital Dr |
$422.24 | 13 | 12 |
|
Marian D Pfefferkorn
705 Riley Hospital Dr |
$381.18 | 13 | 12 |
|
Jingliang Yan
8711 Us 31 S |
$157.88 | 14 | 13 |
|
David Ira Hollander
1400 N Ritter Ave |
$81.43 | 14 | 12 |
|
Indianapolis Endoscopy Center Llp
8315 E 56Th St |
$66.99 | 15 | 14 |
|
Charles Phillip Blair Vanderpool
705 Riley Hospital Dr |
$149.39 | 18 | 12 |
|
Mohammad A Al-Haddad
550 University Blvd |
$80.64 | 18 | 15 |
|
David Bruce Thomas
1801 N Senate Blvd |
$59.56 | 18 | 13 |
|
Jianmin Tian
8333 Naab Rd Ste 230 |
$52.23 | 18 | 13 |
|
Olajide O Odelowo
1801 N Senate Blvd |
$102.08 | 25 | 25 |
|
Indiana Endoscopy Centers Llc
1801 N Senate Blvd Ste 410 |
$68.69 | 25 | 25 |
|
Abdul Aleem
8711 Us 31 S |
$759.41 | 27 | 26 |
|
Brett Jared Hoskins
705 Riley Hospital Dr |
$283.42 | 27 | 26 |
|
Timothy David Imler
550 University Blvd |
$215.71 | 29 | 24 |
|
Arthur Ramirez Baluyut
8424 Naab Rd |
$110.76 | 29 | 26 |
|
Marwan Samir Ghabril
1701 N Senate Blvd |
$907.70 | 30 | 29 |
|
Benjamin L Bick
702 Rotary Cir |
$136.62 | 31 | 26 |
|
William E. Bennett
705 Riley Hospital Dr # 4270 |
$130.83 | 31 | 17 |
|
Khalid Azam Alkimawi
8333 Naab Rd Ste 230 |
$64.06 | 39 | 28 |
|
Beltway Surgery Centers, L.L.C.
550 University Blvd Ste 4100 |
$43.90 | 40 | 38 |
|
Matthew Warren Harrison
7950 N Shadeland Ave |
$73.88 | 43 | 39 |
|
Andrew W Crane
8051 South Emerson Ave |
$68.54 | 47 | 36 |
|
Paul Kendel Haynes
8051 South Emerson Ave |
$75.93 | 48 | 37 |
|
James Allen Jacob
8051 South Emerson Ave |
$126.12 | 52 | 41 |
|
Chelsey Mcshane
1400 N Ritter Ave Ste 370 |
$97.96 | 57 | 53 |
|
Amanda Fehring Swingley
8333 Naab Rd Ste 230 |
$81.03 | 65 | 54 |
|
Steven J Steiner
705 Riley Hospital Dr |
$531.18 | 66 | 54 |
|
Sakib Karim Khalid
1801 N Senate Blvd Ste 700 |
$76.71 | 73 | 62 |
|
Rakesh Vinayek
550 University Blvd |
$75.89 | 75 | 61 |
|
Mark Joseph Lybik
8424 Naab Rd |
$86.90 | 76 | 68 |
|
Jason Ray Roberts
8051 S Emerson Ave |
$538.22 | 84 | 69 |
|
Joseph Marvin Henderson
1400 N Ritter Ave |
$73.60 | 95 | 78 |
|
Mazen Alsatie
8333 Naab Rd Ste 230 |
$76.66 | 102 | 85 |
|
Donato Ciaccia
7950 N Shadeland Ave |
$63.55 | 112 | 107 |
|
Emily C Hon
705 Riley Hospital Dr |
$335.29 | 122 | 112 |
|
Umer Aziz Bhatti
1701 N Senate Blvd |
$519.27 | 145 | 120 |
|
Ernest Jonathan Orinion
8051 South Emerson Ave |
$84.20 | 154 | 132 |
|
Myungwon Christine Chang
7250 Clearvista Dr Ste 100 |
$854.81 | 168 | 144 |
|
Wen W Boynton
1801 N Senate Blvd Ste 700 |
$108.09 | 183 | 160 |
|
Kavitha Marie Nair
1400 N Ritter Ave Ste 370 |
$177.90 | 211 | 195 |
|
Yunwei Wang
8333 Naab Rd Ste 230 |
$91.00 | 219 | 199 |
|
Lucas Matthew Drake
8051 South Emerson Ave |
$105.33 | 274 | 236 |
|
Shan L Cheng
8051 South Emerson Ave |
$164.28 | 298 | 238 |
|
Sheela Deivanayagam
8402 Harcourt Rd Ste 402 |
$166.38 | 325 | 294 |
|
Stephen James Carlson
7950 N Shadeland Avenue |
$89.36 | 335 | 304 |
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