Average Medicaid Upper Endoscopy (EGD) Payments in Memphis, TN: $180.39
Avg. Paid
$180.39
Range
$1.13 – $667.61
Total Claims
20,859
Providers
26
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 Memphis, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Phillip R Bowden
1417 Monroe Ave |
$159.12 | 8,647 | 7,841 |
|
Kenneth I Fields
80 Humphreys Center |
$236.96 | 3,770 | 3,142 |
|
Edward S Friedman
80 Humphreys Center |
$216.76 | 2,400 | 1,973 |
|
Randelon D Smith
80 Humphreys Center Dr Ste 210 |
$95.05 | 1,522 | 1,126 |
|
Kodwo Kuntu Orleans-Lindsay
1417 Monroe Ave |
$124.93 | 1,500 | 1,401 |
|
Mid-South Gastroenterology Group, Inc.
1417 Monroe Ave |
$95.26 | 785 | 708 |
|
Methodist Healthcare - Memphis Hospitals
848 Adams Ave |
$667.61 | 462 | 405 |
|
Luis A Barranco
50 N Dunlap St |
$86.21 | 408 | 350 |
|
John R Whitworth
806 Estate Pl |
$141.58 | 249 | 234 |
|
Cary Cavender
51 N Dunlap St |
$317.16 | 226 | 203 |
|
Wesley Earl Jones
1264 Wesley Dr |
$33.70 | 157 | 108 |
|
John K Eshun
848 Adams Ave |
$122.00 | 87 | 81 |
|
Abdullah Al-Rashdan
80 Humphreys Center Dr Ste 210 |
$70.51 | 85 | 76 |
|
Mansour A. Parsi
880 Madison Ave |
$114.99 | 85 | 81 |
|
Muhammad Bilal
2996 Kate Bond Rd Ste 105 |
$52.35 | 71 | 60 |
|
Gaurav Kistangari
80 Humphreys Center Dr Ste 210 |
$34.14 | 67 | 43 |
|
Dong Xi
51 N Dunlap St Ste 400 |
$211.36 | 58 | 52 |
|
Leonard K Baidoo
880 Madison Ave |
$198.56 | 56 | 36 |
|
Yousef Abdel-Aziz
956 Court Avenue Suite G310B |
$401.40 | 43 | 26 |
|
Mark R Corkins
51 N Dunlap St Ste 400 |
$158.45 | 40 | 39 |
|
Bowden Gastro Associates Llc
1417 Monroe Ave |
$1.13 | 33 | 32 |
|
Methodist Healthcare - Memphis Hospitals
1265 Union Ave |
$410.90 | 33 | 28 |
|
George Ellis Woodman
6027 Walnut Grove Rd Ste 319 |
$498.85 | 30 | 28 |
|
Benedict Maliakkal
1265 Union Ave |
$26.84 | 18 | 13 |
|
Satheesh Padmanabhan Nair
1265 Union Ave |
$32.70 | 14 | 12 |
|
Linda F Lazar
51 N Dunlap St Ste 400 |
$130.62 | 13 | 13 |
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 Memphis, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Memphis, TN is $180.39 per claim, based on 20,859 claims from 26 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 Memphis, TN?
There are 26 Medicaid providers offering Upper Endoscopy (EGD) related services in Memphis, TN according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Memphis, TN?
Medicaid reimbursement for Upper Endoscopy (EGD) in Memphis, TN ranges from $1.13 to $667.61 per claim, with an average of $180.39. 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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