Average Medicaid Upper Endoscopy (EGD) Payments in Manati, PR: $344.02
Avg. Paid
$344.02
Range
$82.17 – $396.31
Total Claims
3,105
Providers
6
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 Manati, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gastro Atenas Llc
93 Paseo Atenas |
$332.17 | 1,495 | 1,443 |
|
Rafael Tirado-Montijo
93 Paseo Atenas |
$393.86 | 568 | 378 |
|
Juan Manfredo Marques-Lespier
Doctors Center Hospital |
$312.17 | 494 | 447 |
|
Gastrointestinal Diagnostic Clinic Of Pr, Llc
Calle Sgto. Hernandez Carrion |
$396.31 | 465 | 453 |
|
Hector J Rivera Maldonado
Calle Hernandez Carrion |
$118.18 | 71 | 69 |
|
Hospitalist Medical Services, Psc
Carr 2 Km 47.7 |
$82.17 | 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 Manati, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Manati, PR is $344.02 per claim, based on 3,105 claims from 6 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 Manati, PR?
There are 6 Medicaid providers offering Upper Endoscopy (EGD) related services in Manati, PR according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Manati, PR?
Medicaid reimbursement for Upper Endoscopy (EGD) in Manati, PR ranges from $82.17 to $396.31 per claim, with an average of $344.02. 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 Manati, PR
Office Visit
Avg $25.46
767,236 claims
Blood Work & Lab Tests
Avg $8.09
395,058 claims
Dental Cleaning & Exam
Avg $23.54
163,564 claims
EKG / ECG (Electrocardiogram)
Avg $20.01
136,921 claims
Pathology & Lab Services
Avg $151.36
97,436 claims
Eye Exam
Avg $43.91
79,835 claims
Urinalysis & Urine Tests
Avg $3.44
78,665 claims
Physical Therapy
Avg $21.50
67,496 claims