Average Medicaid Upper Endoscopy (EGD) Payments in Milwaukee, WI: $194.85
Avg. Paid
$194.85
Range
$117.58 – $518.79
Total Claims
46,905
Providers
54
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 Milwaukee, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aurora Health Care Metro, Inc.
2900 W Oklahoma Ave |
$191.08 | 7,756 | 7,135 |
|
Children'S Hospital Of Wisconsin, Inc.
9000 W Wisconsin Ave |
$320.84 | 5,721 | 5,355 |
|
Froedtert Memorial Lutheran Hospital, Inc.
9200 W Wisconsin Ave |
$198.20 | 5,565 | 4,830 |
|
Rajeev Nayar
2801 W Kk River Pkwy |
$176.20 | 3,619 | 3,396 |
|
Columbia St. Mary'S Hospital Milwaukee, Inc.
2323 N Lake Dr |
$164.39 | 3,256 | 2,709 |
|
Ascension Se Wisconsin Hospital, Inc
5000 W Chambers St |
$187.08 | 3,252 | 2,981 |
|
Ascension St Francis Hospital, Inc
3237 S 16Th St |
$166.52 | 2,560 | 2,373 |
|
Ricardo A Li
2801 W Kinnickinnic River Pkwy Ste 1080 |
$133.50 | 2,436 | 2,188 |
|
Center For Digestive Health Ltd
2801 W Kinnickinnic River Pkwy Ste 1060 |
$133.13 | 1,980 | 1,775 |
|
Aboud Affi
1218 W Kilbourn Ave |
$155.16 | 1,837 | 1,680 |
|
Jamal A Qureshi
2801 W Kinnickinnic River Pkwy Ste 1080 |
$170.40 | 1,329 | 1,207 |
|
Tarun Kaura
2901 W Kk River Pkwy |
$152.76 | 935 | 844 |
|
Chad J Stepke
2350 N Lake Dr Ste 500 |
$150.91 | 753 | 706 |
|
Tarun Sharma
2901 W Kk River Pkwy |
$149.55 | 670 | 609 |
|
Nilay Kumar
2901 W Kk River Pkwy |
$142.99 | 666 | 585 |
|
Hassaan A Zia
9200 W Wisconsin Ave |
$239.82 | 654 | 576 |
|
Lyndon V Hernandez
2801 W Kinnickinnic River Pkwy Ste 1080 |
$130.60 | 496 | 428 |
|
Syed Murtuza Hussain
2801 W Kinnickinnic River Pkwy Ste 1080 |
$161.86 | 362 | 325 |
|
Sunil Kapur
3003 W Good Hope Rd |
$144.60 | 334 | 312 |
|
Alfonso Martinez
9000 W Wisconsin Ave |
$403.81 | 254 | 242 |
|
Anas Raed
2801 W Kinnickinnic River Pkwy Ste 1080 |
$155.43 | 236 | 210 |
|
Chetan Mittal
2801 W Kinnickinnic River Pkwy Ste 1080 |
$204.27 | 228 | 190 |
|
Brian F Moloney
2801 W Kinnickinnic River Pkwy Ste 1080 |
$181.22 | 203 | 185 |
|
Gokulakrishnan Balasubramanian
9200 W Wisconsin Avenue |
$222.09 | 201 | 183 |
|
Maria T Rivera
2801 W Kinnickinnic River Pkwy Ste 1080 |
$396.64 | 187 | 174 |
|
Joseph Peter Kim
2801 W Kinnickinnic River Pkwy Ste 1080 |
$180.82 | 175 | 166 |
|
Patrick Paul Sanvanson
9200 W Wisconsin Ave |
$144.83 | 133 | 128 |
|
Asad Jehangir
2801 W Kinnickinnic River Pkwy Ste 1080 |
$166.37 | 109 | 95 |
|
Froedtert Surgery Center, Llc
840 N 87Th St |
$142.09 | 100 | 95 |
|
Aaron C Baltz
2801 W Kinnickinnic River Pkwy Ste 1080 |
$136.90 | 99 | 84 |
|
Thomas Slota
3070 N 51St St |
$181.70 | 81 | 76 |
|
Thomas Rudolph Wagner
9200 W Wisconsin Ave |
$149.84 | 73 | 63 |
|
Alan N Mayer
2801 W Kinnickinnic River Pkwy Ste 1080 |
$381.19 | 69 | 66 |
|
North Shore Surgical Center A Wi
7007 N Range Line Rd |
$148.19 | 60 | 52 |
|
Tedd P Cain
2801 W Kinnickinnic River Pkwy Ste 1080 |
$170.67 | 45 | 38 |
|
Ling Mei
9200 W Wisconsin Ave |
$150.93 | 43 | 40 |
|
Adrian Miranda
9000 W Wisconsin Ave |
$518.79 | 37 | 36 |
|
C.M.M. Sundaram
2600 N Mayfair Road |
$201.60 | 34 | 31 |
|
Nathaniel Timothy Jest
2801 W Kinnickinnic River Pkwy Ste 1080 |
$174.67 | 31 | 26 |
|
Michael Schmalz
2801 W Kinnickinnic River Pkwy Ste 1080 |
$300.14 | 30 | 26 |
|
Alexandra Nicole Modiri
9200 W Wisconsin Ave |
$425.35 | 29 | 29 |
|
Benson Massey
9200 W Wisconsin Ave |
$117.58 | 28 | 27 |
|
Cristino C Canga
2801 W Kk River Pkwy |
$139.35 | 28 | 24 |
|
Diana Greyz Lerner
9000 W Wisconsin Ave |
$379.27 | 26 | 25 |
|
Kia Saeian
9200 W Wisconsin Ave |
$133.81 | 26 | 26 |
|
Farhat N Ashai-Khan
9000 W Wisconsin Ave |
$506.51 | 25 | 25 |
|
Alex Ulitsky
2801 W Kinnickinnic River Pkwy, Ste 1080 |
$144.81 | 24 | 24 |
|
Vasanth K. Siddalingaiah
3003 W Good Hope Rd |
$202.13 | 24 | 24 |
|
W Harley Sobin
9200 W Wisconsin Ave |
$269.65 | 18 | 18 |
|
Maurice Wendell Chung
2311 N Prospect Ave |
$224.48 | 15 | 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 Milwaukee, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Milwaukee, WI is $194.85 per claim, based on 46,905 claims from 54 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 Milwaukee, WI?
There are 54 Medicaid providers offering Upper Endoscopy (EGD) related services in Milwaukee, WI according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Milwaukee, WI?
Medicaid reimbursement for Upper Endoscopy (EGD) in Milwaukee, WI ranges from $117.58 to $518.79 per claim, with an average of $194.85. 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 Milwaukee, WI
Blood Work & Lab Tests
Avg $12.08
6,063,751 claims
Office Visit
Avg $50.47
5,280,772 claims
Emergency Room Visit
Avg $64.11
3,433,334 claims
Behavioral & Mental Health Therapy
Avg $97.09
2,167,359 claims
Case Management Services
Avg $88.79
1,899,271 claims
X-Ray
Avg $5.82
1,618,246 claims
Physical Therapy
Avg $31.00
1,562,867 claims
Urinalysis & Urine Tests
Avg $7.57
1,368,239 claims