Average Medicaid Upper Endoscopy (EGD) Payments in Knoxville, TN: $293.51
Avg. Paid
$293.51
Range
$7.75 – $436.02
Total Claims
30,472
Providers
22
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 Knoxville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Youhanna S Al-Tawil
1975 Town Center Blvd |
$383.66 | 9,286 | 8,394 |
|
David E Devoid
2100 West Clinch Ave Suite 510 |
$381.01 | 5,857 | 5,260 |
|
Chad Alan Thornhill
2100 Clinch Avenue Suite 420 |
$407.67 | 3,190 | 2,815 |
|
Eric Matthew Redmon
11408 Kingston Pike Ste 400 |
$7.75 | 2,550 | 1,073 |
|
Meade Castleton Edmunds
4713 Papermill Dr |
$93.06 | 1,953 | 1,323 |
|
Ravi Kiran Ghanta
9330 Park West Blvd Ste 302 |
$257.63 | 1,626 | 1,331 |
|
Nitin J Rangnekar
10810 Parkside Drive, G-9 |
$110.91 | 1,429 | 1,056 |
|
Ramanujan Samavedy
1311 Dowell Springs Blvd |
$142.83 | 1,214 | 1,037 |
|
Caroline Conley Phillips
1975 Town Center Blvd |
$398.08 | 1,152 | 1,039 |
|
Carlos A Rollhauser
1928 Alcoa Highway |
$139.59 | 558 | 479 |
|
East Tennessee Children'S Hospital Association Inc.
2018 W Clinch Ave |
$210.31 | 376 | 313 |
|
Steedman A Sarbah
9330 Park West Blvd Ste 508 |
$240.61 | 361 | 299 |
|
Sangeeta Gulati
1928 Alcoa Highway |
$161.66 | 236 | 204 |
|
Mark Alan Colquitt
1819 W Clinch Ave |
$312.73 | 187 | 147 |
|
Thomas L Young
1928 Alcoa Hwy |
$143.21 | 162 | 132 |
|
Harold Steven Silver
10800 Parkside Dr Ste 201 |
$197.14 | 119 | 100 |
|
Cory Thomas Strobel
2100 W Clinch Ave |
$306.07 | 81 | 67 |
|
Jonathan Holcombe Ray
1819 W Clinch Ave |
$436.02 | 51 | 49 |
|
Jason L. Huffman
1311 Dowell Springs Blvd |
$31.87 | 37 | 29 |
|
Benjamin P Dalton
1928 Alcoa Hwy |
$58.26 | 19 | 13 |
|
Mark D Anderson
1928 Alcoa Hwy |
$43.91 | 14 | 12 |
|
John A Stancher
1928 Alcoa Hwy |
$83.20 | 14 | 14 |
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 Knoxville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Knoxville, TN is $293.51 per claim, based on 30,472 claims from 22 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 Knoxville, TN?
There are 22 Medicaid providers offering Upper Endoscopy (EGD) related services in Knoxville, TN according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Knoxville, TN?
Medicaid reimbursement for Upper Endoscopy (EGD) in Knoxville, TN ranges from $7.75 to $436.02 per claim, with an average of $293.51. 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 Knoxville, TN
Office Visit
Avg $45.18
3,462,740 claims
Blood Work & Lab Tests
Avg $4.36
3,232,027 claims
Case Management Services
Avg $11.55
1,534,932 claims
Emergency Room Visit
Avg $112.38
1,231,223 claims
Ambulance Transport
Avg $34.35
1,208,594 claims
Speech Therapy
Avg $48.14
1,179,507 claims
X-Ray
Avg $5.65
1,112,380 claims
Psychiatric Evaluation
Avg $54.43
1,063,759 claims