Average Medicaid Upper Endoscopy (EGD) Payments in Los Angeles, CA: $140.58
Avg. Paid
$140.58
Range
$0.00 – $1,033
Total Claims
60,228
Providers
72
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 Los Angeles, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kevin Ta Kang Kao
4733 W Sunset Blvd |
$435.17 | 12 | 12 |
|
Altamed Health Services Corp
500 Citadel Dr |
$266.38 | 12 | 12 |
|
Sharon Tam
4650 W Sunset Blvd # 78 |
$107.96 | 12 | 12 |
|
Paul Leonor
1200 N State St |
$66.61 | 12 | 12 |
|
White Memorial Medical Group, Inc.
1701 E Cesar E Chavez Ave |
$42.01 | 12 | 12 |
|
Paul Shao
757 Westwood Plz |
$11.43 | 12 | 12 |
|
Gabriela Kuftinec
9400 Rosecrans Ave |
$710.00 | 13 | 13 |
|
Michael Y. Chan
1983 Marengo St |
$339.23 | 13 | 13 |
|
Keivan Golchini
11835 W Olympic Blvd |
$95.95 | 13 | 12 |
|
La Digestive Health And Wellness, Inc
8631 W 3Rd St |
$31.78 | 13 | 12 |
|
Hassan Wadie Hamandi
200 Ucla Medical Plz Ste 265 |
$408.26 | 14 | 14 |
|
Sohrab Yamini
1700 Westwood Blvd Fl 1 |
$122.06 | 14 | 14 |
|
Barry A Morguelan
201 S Alvarado St |
$6.25 | 14 | 14 |
|
Jessica Hong
1200 N State St |
$70.73 | 15 | 15 |
|
Keith Zachary Hazleton
4650 W Sunset Blvd |
$127.68 | 17 | 17 |
|
West Gastroenterology Medical Group
8110 Airport Blvd |
$77.32 | 26 | 26 |
|
Neel Kamal Mann
1520 San Pablo St Ste 1000 |
$92.18 | 26 | 26 |
|
Julio A Gutierrez
2200 W 3Rd St Ste 5000 |
$273.88 | 29 | 29 |
|
Pih Health Good Samaritan Hospital
1225 Wilshire Blvd |
$4.12 | 29 | 29 |
|
Century City Endoscopy, Llc
2080 Century Park E |
$11.42 | 30 | 29 |
|
John Robert Debanto
1412 1/2 Calumet Ave |
$94.25 | 32 | 28 |
|
Virgil Endoscopy Center Llc
500 S Virgil Ave |
$8.02 | 32 | 29 |
|
Amir T. Ekanej
6041 Cadillac Ave |
$498.80 | 36 | 36 |
|
Jeremy Wang
200 Ucla Medical Plz |
$61.78 | 38 | 38 |
|
Regents Univ Of Calif Los Angeles
10833 Le Conte Ave Ste Be-144 |
$155.62 | 39 | 38 |
|
Ariel Malamud, A Medical Corporation
1513 S Grand Ave |
$124.08 | 40 | 40 |
|
Aaron Lee
1526 N Edgemont St |
$86.67 | 51 | 28 |
|
Bae Oh And Takahashi Inc
500 S Virgil Ave |
$52.27 | 67 | 67 |
|
County Of Los Angeles
2051 Marengo St |
$0.00 | 72 | 72 |
|
University Of Southern California
1500 San Pablo Street |
$339.12 | 83 | 82 |
|
Martin H. Lee, M.D., Inc
1245 Wilshire Blvd Ste 780 |
$35.33 | 115 | 114 |
|
John Kim
1520 San Pablo St Ste 1000 |
$100.01 | 154 | 153 |
|
St Vincent Medical Center
2131 W 3Rd St |
$25.85 | 159 | 157 |
|
Childrens Hospital Of Los Angeles
4650 W Sunset Blvd |
$70.60 | 171 | 163 |
|
Los Angeles Endoscopy Center
266 S Harvard Blvd |
$51.96 | 172 | 165 |
|
Alta Los Angeles Hospitals, Inc.
4081 E Olympic Blvd |
$25.75 | 181 | 180 |
|
Myung Choi
266 S Harvard Blvd Ste 250 |
$37.90 | 227 | 226 |
|
Eladh, Lp
4060 Whittier Blvd |
$77.74 | 246 | 245 |
|
Lee & Bae Gi Medical Corporation
3200 Wilshire Blvd Ste 101 |
$74.64 | 259 | 241 |
|
Cedars-Sinai Medical Care Foundation
6500 Wilshire Blvd Fl 15 |
$29.84 | 268 | 266 |
|
Mordecai Solomon
1513 S Grand Ave |
$106.89 | 287 | 285 |
|
Daniel Rheem Md Inc
505 S Virgil Ave |
$55.43 | 321 | 316 |
|
Usc Care Medical Group, Inc
1520 San Pablo St |
$35.10 | 330 | 329 |
|
Paul M Choi Md A California Medical Corp
266 S Harvard Blvd Ste 250 |
$47.75 | 352 | 351 |
|
Alexander H Kim
1245 Wilshire Blvd Ste 430 |
$118.79 | 407 | 397 |
|
Cedars-Sinai Medical Center
8700 Beverly Blvd |
$98.36 | 431 | 414 |
|
Grand Gi & Endoscopy Group, Inc.
505 S Virgil Ave |
$134.11 | 441 | 355 |
|
Keck Medical Center Of Usc
1500 San Pablo St |
$1,033 | 560 | 547 |
|
Ho Seob Bae
520 S Virgil Ave Ste 202 |
$109.31 | 633 | 626 |
|
Parviz Javdan
1762 Westwood Blvd |
$140.96 | 659 | 651 |
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 Los Angeles, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Los Angeles, CA is $140.58 per claim, based on 60,228 claims from 72 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 Los Angeles, CA?
There are 72 Medicaid providers offering Upper Endoscopy (EGD) related services in Los Angeles, CA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Los Angeles, CA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Los Angeles, CA ranges from $0.00 to $1,033 per claim, with an average of $140.58. 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
Tucson, AZ
Avg $288.42
55,967 claims · 58 providers
Detroit, MI
Avg $206.86
50,758 claims · 16 providers
Milwaukee, WI
Avg $194.85
46,905 claims · 54 providers
Other Procedures in Los Angeles, CA
Office Visit
Avg $24.20
16,948,065 claims
Blood Work & Lab Tests
Avg $4.54
14,406,706 claims
Dental Cleaning & Exam
Avg $49.60
3,990,780 claims
X-Ray
Avg $17.59
3,407,369 claims
Behavioral & Mental Health Therapy
Avg $203.16
3,345,905 claims
Urinalysis & Urine Tests
Avg $2.44
3,302,824 claims
Vaccines & Immunizations
Avg $3.85
3,256,340 claims
Emergency Room Visit
Avg $84.68
3,238,140 claims