Average Medicaid Upper Endoscopy (EGD) Payments in Louisville, KY: $336.87
Avg. Paid
$336.87
Range
$68.85 – $1,107
Total Claims
46,818
Providers
46
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 Louisville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey W. Allen
4121 Dutchmans Ln |
$126.60 | 12 | 12 |
|
Sunana Sohi
1941 Bishop Ln Ste 200 |
$119.21 | 13 | 13 |
|
Jon David Walker
3 Audubon Plaza Dr |
$110.84 | 13 | 12 |
|
James Paul Franciosi
411 E Chestnut St |
$481.42 | 13 | 13 |
|
Raja M Kaikaus
225 Abraham Flexner Way |
$95.12 | 15 | 13 |
|
Lynette Gillis
411 E Chestnut St Ste 5B |
$139.01 | 15 | 15 |
|
Paul E Brown
1169 Eastern Pkwy |
$120.39 | 19 | 16 |
|
Maria Fatima Khan
210 East Gray St. |
$156.65 | 25 | 24 |
|
Whitney Jones
2401 Terra Crossing Blvd Ste 410 |
$89.86 | 27 | 25 |
|
John N Olsofka
4402 Churchman Ave |
$90.54 | 27 | 25 |
|
Kristine J Krueger
401 E Chestnut St |
$68.91 | 29 | 25 |
|
Martin D Mark
3999 Dutchmans Ln |
$108.49 | 46 | 44 |
|
Rehan Ahmad Khan
1169 Eastern Pkwy |
$79.15 | 47 | 39 |
|
John Horlander
1941 Bishop Ln Ste 200 |
$75.38 | 58 | 52 |
|
David R. Geller
2401 Terra Crossing Blvd Ste 375 |
$179.23 | 63 | 59 |
|
Stephen Kastor Overstreet
4001 Kresge Way |
$98.76 | 76 | 68 |
|
Rachel Scott Kennedy
210 E Gray St |
$68.85 | 114 | 90 |
|
Benjamin D Tanner
1000 Dupont Rd |
$106.36 | 116 | 99 |
|
Rajesh A Joseph
3999 Dutchmans Ln Ste 7B |
$84.50 | 142 | 109 |
|
Alan J Cox
1941 Bishop Ln Ste 200 |
$75.99 | 166 | 134 |
|
Kartika Bellam Reddy
1169 Eastern Pkwy Ste G58 |
$104.90 | 215 | 192 |
|
Abigail Melissa Stocker
401 E Chestnut St |
$106.11 | 217 | 204 |
|
Jeffrey A Tuvlin
3920 Dutchmans Ln |
$106.00 | 218 | 199 |
|
Brian Michael Dobozi
3950 Kresge Way |
$96.61 | 219 | 193 |
|
Michael Patrick Krease
1941 Bishop Ln Ste 200 |
$78.56 | 259 | 208 |
|
Tracey Danielle Wolford
210 E Gray St Ste 602 |
$104.46 | 298 | 270 |
|
Jonathan William Goldstein
3920 Dutchmans Ln |
$94.75 | 519 | 474 |
|
Ross Barrett Deppe
3999 Dutchmans Ln Ste 7B |
$98.02 | 531 | 460 |
|
Alison Smith Sharpe
3999 Dutchmans Ln Ste 7B |
$101.89 | 549 | 501 |
|
Premier Surgery Center Of Louisville Lp
2511 Terra Crossing Blvd |
$238.60 | 638 | 552 |
|
Baptist Healthcare System, Inc.
2400 Eastpoint Pkwy |
$175.93 | 665 | 487 |
|
Endashaw Mahmud Omer
550 S Jackson St |
$82.55 | 756 | 606 |
|
John Samuel Oldham
950 Breckenridge Ln Ste 10 |
$156.54 | 899 | 823 |
|
Frederick J Hardin
2400 Eastpoint Pkwy Ste 350 |
$97.89 | 917 | 774 |
|
Thomas R Coppola
3999 Dutchmans Ln Ste 7B |
$110.64 | 952 | 868 |
|
Gerard V Siciliano
3999 Dutchmans Ln |
$131.07 | 1,128 | 1,060 |
|
Bhargab Dixit
3999 Dutchmans Ln |
$113.42 | 1,431 | 1,317 |
|
Louisville Endoscopy Center, Pllc
1400 Poplar Level Rd |
$209.71 | 1,645 | 1,377 |
|
University Medical Center, Inc
530 S Jackson St |
$1,107 | 1,677 | 1,251 |
|
Meredith Linley Harvie
411 E Chestnut St |
$412.26 | 1,888 | 1,713 |
|
Anand Gupta
1003N Dupont Sq 9A |
$102.67 | 2,282 | 1,681 |
|
Sanjay K. Jain
4402 Churchman Ave Ste 201 |
$134.27 | 2,713 | 2,151 |
|
Baptist Healthcare System Inc.
4000 Kresge Way |
$411.15 | 3,399 | 2,753 |
|
Norton Hospitals, Inc
200 E Chestnut St |
$414.32 | 5,982 | 3,861 |
|
Uofl Health-Louisville Inc
200 Abraham Flexner Way |
$545.23 | 6,827 | 5,514 |
|
Norton Hospitals Inc
234 E Gray St |
$358.83 | 8,958 | 6,915 |
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 Louisville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Louisville, KY is $336.87 per claim, based on 46,818 claims from 46 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 Louisville, KY?
There are 46 Medicaid providers offering Upper Endoscopy (EGD) related services in Louisville, KY according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Louisville, KY?
Medicaid reimbursement for Upper Endoscopy (EGD) in Louisville, KY ranges from $68.85 to $1,107 per claim, with an average of $336.87. 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
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