Average Medicaid Upper Endoscopy (EGD) Payments in Loma Linda, CA: $117.84
Avg. Paid
$117.84
Range
$46.97 – $452.28
Total Claims
6,948
Providers
17
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 Loma Linda, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Seventh-Day Adventists Loma Linda University Medical Center
11234 Anderson St Rm 1150 |
$51.82 | 2,498 | 2,394 |
|
Loma Linda University Children'S Hospital
11234 Anderson St Rm 1147 |
$49.91 | 1,733 | 1,680 |
|
Keisha Leah Baldeosingh
25333 Barton Rd |
$208.38 | 1,598 | 1,589 |
|
Loma Linda Surgical Institute, Llc
25915 Barton Road |
$371.42 | 481 | 469 |
|
Andrew C Chang
11370 Anderson St # 3625 |
$46.97 | 307 | 306 |
|
Prashanth Porayette
25845 Barton Rd Ste 101 |
$452.28 | 109 | 51 |
|
Manoj Shah
11370 Anderson St |
$162.08 | 39 | 39 |
|
Keith Ryan Scharf
Coleman Pavilion Rm 21111 |
$147.69 | 28 | 28 |
|
Erick Jordan Imbertson
11234 Anderson St |
$116.48 | 28 | 27 |
|
Nour Parsa
11234 Anderson St # Mc-1509 |
$77.68 | 25 | 25 |
|
Kendrick Minyen Che
11234 Anderson St |
$75.66 | 25 | 25 |
|
Rodolfo Silva
11175 Campus St Ste A1120 |
$141.73 | 14 | 14 |
|
Marquelle Klooster
11370 Anderson St |
$208.36 | 14 | 13 |
|
Crystal Elizabeth Alvarez
11370 Anderson St |
$95.81 | 13 | 13 |
|
Roy P. Liu
11234 Anderson St Rm 1556 |
$150.78 | 12 | 12 |
|
Nikhil Thiruvengadam
11234 Anderson St # Mc1516 |
$76.39 | 12 | 12 |
|
Timothy Yen
11234 Anderson St # Mc-1516 |
$82.32 | 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 Loma Linda, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Loma Linda, CA is $117.84 per claim, based on 6,948 claims from 17 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 Loma Linda, CA?
There are 17 Medicaid providers offering Upper Endoscopy (EGD) related services in Loma Linda, CA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Loma Linda, CA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Loma Linda, CA ranges from $46.97 to $452.28 per claim, with an average of $117.84. 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
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Phoenix, AZ
Avg $302.49
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Bakersfield, CA
Avg $392.48
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Los Angeles, CA
Avg $140.58
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Tucson, AZ
Avg $288.42
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Detroit, MI
Avg $206.86
50,758 claims · 16 providers
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