Average Medicaid Upper Endoscopy (EGD) Payments in Mesa, AZ: $178.78
Avg. Paid
$178.78
Range
$73.22 – $379.09
Total Claims
25,293
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 Mesa, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sudhakar A Reddy
5555 E Baseline Rd |
$81.53 | 4,133 | 3,955 |
|
Mountain Vista Medical Center Lp
1301 S Crismon Rd |
$379.09 | 3,666 | 3,474 |
|
Banner Desert Medical Center
1400 S Dobson Rd |
$317.84 | 2,571 | 2,468 |
|
Central Arizona Endoscopy Llc
2158 N Gilbert Rd |
$217.38 | 1,898 | 1,772 |
|
Prashant Vasanth Krishnan
5555 E Baseline Rd |
$159.49 | 1,840 | 1,697 |
|
Banner Mesa Surgery Center Llc
1500 S Dobson Rd Ste 101 |
$219.27 | 1,674 | 1,610 |
|
Alpesh Patel
10238 E Hampton Ave Ste 205 |
$96.89 | 1,339 | 1,165 |
|
Swati Kolpuru
1432 S Dobson Rd |
$111.57 | 1,182 | 1,148 |
|
Raxitkumar Bhupendrakumar Patel
4540 E Baseline Rd Ste 115 |
$83.44 | 1,021 | 983 |
|
Priti Sud
4540 E Baseline Rd |
$78.87 | 1,021 | 966 |
|
Anitha Dhalappa Yadav
4540 E Baseline Rd |
$81.71 | 990 | 940 |
|
Shahbaz Qureshi
5555 E Baseline Rd |
$83.92 | 904 | 864 |
|
Jose A. Lopez Gonzalez
1810 S Crismon Rd |
$74.46 | 563 | 509 |
|
Jae H. Kim
10238 E Hampton Ave Ste 205 |
$97.37 | 561 | 512 |
|
Marek Lukacik
1432 S Dobson Rd |
$128.16 | 313 | 305 |
|
Vinay Bandla
1432 S Dobson Rd |
$132.69 | 277 | 268 |
|
David A Tessler
3638 E Southern Ave Ste C101 |
$82.16 | 257 | 240 |
|
Carlos Fernando Zapata Antigoni
3638 E Southern Ave # C-101 |
$91.94 | 216 | 211 |
|
Steven C Kaiser
4540 E Baseline Rd |
$73.22 | 195 | 186 |
|
Sara Elizabeth Ancello
3638 E Southern Ave Ste C101 |
$82.30 | 163 | 158 |
|
Raul A. Lopez Gonzalez
5555 E Baseline Rd |
$95.06 | 156 | 156 |
|
Mesa Az Endoscopy Asc Llc
603 W Baseline Rd Ste 101 |
$181.96 | 129 | 128 |
|
Banner Baywood Medical Center
6644 E Baywood Ave |
$271.85 | 111 | 101 |
|
Matthew Paul Jackson
4540 E Baseline Rd Ste 115 |
$87.48 | 88 | 87 |
|
Maria R Brown
1830 S Alma School Rd Ste 108 |
$133.14 | 13 | 13 |
|
Shiv Verma
603 W Baseline Rd Ste 200 |
$75.62 | 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 Mesa, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Mesa, AZ is $178.78 per claim, based on 25,293 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 Mesa, AZ?
There are 26 Medicaid providers offering Upper Endoscopy (EGD) related services in Mesa, AZ according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Mesa, AZ?
Medicaid reimbursement for Upper Endoscopy (EGD) in Mesa, AZ ranges from $73.22 to $379.09 per claim, with an average of $178.78. 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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