Average Medicaid Upper Endoscopy (EGD) Payments in Miami, FL: $131.94
Avg. Paid
$131.94
Range
$0.00 – $355.49
Total Claims
14,244
Providers
31
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 Miami, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Miami Children'S Hospital Ambulatory Surgery Center, Llc
800 Sw 108Th Ave |
$355.49 | 2,818 | 2,775 |
|
Cristina Sobrado Marin
9195 Sw 72Nd Street |
$26.08 | 2,597 | 1,969 |
|
Coral View Surgery Center, Llc
8390 W Flagler St |
$204.44 | 2,008 | 1,867 |
|
Javier Sobrado
8525 Sw 92Nd St |
$27.39 | 1,044 | 833 |
|
Michael G Valladares
11440 N Kendall Drive |
$35.91 | 1,006 | 635 |
|
Gastro Health Llc
9408 Sw 87Th Ave Ste 200 |
$2.07 | 952 | 805 |
|
Carlos Rene Diaz
9380 Sw 150Th Street |
$19.08 | 749 | 384 |
|
Baptist Surgery And Endoscopy Centers Llc
7500 Sw 87Th Ave Ste 101 |
$67.79 | 511 | 395 |
|
Oscar Loret De Mola
7775 Sw 87Th Ave |
$119.89 | 442 | 415 |
|
Luis S Nasiff
1321 Nw 14Th St |
$164.98 | 329 | 306 |
|
Bayside Ambulatory Center, Llc
3641 S Miami Ave |
$46.90 | 305 | 170 |
|
William Muinos
8955 Sw 87Th Ct Ste 206 |
$170.46 | 267 | 206 |
|
Miguel De Jesus Rodriguez
8525 Sw 92Nd St |
$67.73 | 239 | 214 |
|
Luis Francisco Caicedo Oquendo
3915 Biscayne Blvd |
$121.54 | 145 | 138 |
|
Juan J Alberti Flor Md, Pa
351 Nw 42Nd Ave |
$0.00 | 128 | 127 |
|
Jesse Reeves-Garcia
8955 Sw 87Th Ct Ste 206 |
$137.19 | 126 | 90 |
|
Enrico Oliveira Souto
9195 Sw 72 St |
$36.07 | 110 | 101 |
|
Roberto Enrique Gomara
3200 Sw 60Th Ct |
$220.88 | 64 | 63 |
|
Baptist Surgery And Endoscopy Centers Llc
7600 Sw 87Th Ave Ste 100 |
$39.57 | 55 | 38 |
|
Gastrointestinal Specialists Of Miami Inc
11760 Bird Rd |
$121.99 | 51 | 40 |
|
South Florida Center For Endoscopy & Digestive Disease Llc
7875 Sw 104Th St Ste 201 |
$294.03 | 45 | 41 |
|
Jordan Goldstein
1295 Nw 14Th St |
$52.16 | 44 | 42 |
|
Frances E Robles Pena
9035 Sunset Dr Ste 201 |
$47.50 | 42 | 37 |
|
Marcelo Fabian Larsen
9408 Sw 87Th Ave Ste 200 |
$60.99 | 29 | 26 |
|
Lina Maria Felipez
3200 Sw 60Th Ct |
$129.17 | 27 | 27 |
|
Richard N. Arboleda
3200 Sw 60Th Ct |
$207.50 | 26 | 26 |
|
Erick Hernandez
1601 Nw 12Th Ave |
$313.57 | 25 | 25 |
|
Karan Chawla
11440 N Kendall Drive |
$58.95 | 18 | 18 |
|
Jodie Adam Barkin
1120 Nw 14Th St Ste 1188 |
$28.45 | 18 | 13 |
|
Daylem Antunez
3661 S Miami Ave Ste 805 |
$10.15 | 12 | 12 |
|
Manol Jovani
8950 N Kendall Dr Ste 306W |
$111.64 | 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 Miami, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Miami, FL is $131.94 per claim, based on 14,244 claims from 31 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 Miami, FL?
There are 31 Medicaid providers offering Upper Endoscopy (EGD) related services in Miami, FL according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Miami, FL?
Medicaid reimbursement for Upper Endoscopy (EGD) in Miami, FL ranges from $0.00 to $355.49 per claim, with an average of $131.94. 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 Miami, FL
Home Health Visit
Avg $43.52
13,238,394 claims
Personal Care Services
Avg $33.56
10,537,763 claims
Non-Emergency Medical Transportation
Avg $17.85
8,361,700 claims
Behavioral & Mental Health Therapy
Avg $96.96
6,731,703 claims
Blood Work & Lab Tests
Avg $1.65
5,777,945 claims
Office Visit
Avg $49.15
4,998,845 claims
Case Management Services
Avg $82.94
3,929,993 claims
Physical Therapy
Avg $41.78
3,470,277 claims