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 |
|---|---|---|---|
|
Abdul Aziz Kamal Elkadri
9000 W Wisconsin Ave |
$300.14 | 12 | 12 |
|
Ifunanya Agbim
9000 W Wisconsin Ave |
$373.08 | 13 | 12 |
|
Grzegorz W Telega
9000 W Wisconsin Ave |
$278.20 | 13 | 13 |
|
Maurice Wendell Chung
2311 N Prospect Ave |
$224.48 | 15 | 12 |
|
Vincents J. Dindzans
788 N Jefferson St |
$190.70 | 15 | 15 |
|
W Harley Sobin
9200 W Wisconsin Ave |
$269.65 | 18 | 18 |
|
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 |
|
Farhat N Ashai-Khan
9000 W Wisconsin Ave |
$506.51 | 25 | 25 |
|
Kia Saeian
9200 W Wisconsin Ave |
$133.81 | 26 | 26 |
|
Diana Greyz Lerner
9000 W Wisconsin Ave |
$379.27 | 26 | 25 |
|
Benson Massey
9200 W Wisconsin Ave |
$117.58 | 28 | 27 |
|
Cristino C Canga
2801 W Kk River Pkwy |
$139.35 | 28 | 24 |
|
Alexandra Nicole Modiri
9200 W Wisconsin Ave |
$425.35 | 29 | 29 |
|
Michael Schmalz
2801 W Kinnickinnic River Pkwy Ste 1080 |
$300.14 | 30 | 26 |
|
Nathaniel Timothy Jest
2801 W Kinnickinnic River Pkwy Ste 1080 |
$174.67 | 31 | 26 |
|
C.M.M. Sundaram
2600 N Mayfair Road |
$201.60 | 34 | 31 |
|
Adrian Miranda
9000 W Wisconsin Ave |
$518.79 | 37 | 36 |
|
Ling Mei
9200 W Wisconsin Ave |
$150.93 | 43 | 40 |
|
Tedd P Cain
2801 W Kinnickinnic River Pkwy Ste 1080 |
$170.67 | 45 | 38 |
|
North Shore Surgical Center A Wi
7007 N Range Line Rd |
$148.19 | 60 | 52 |
|
Alan N Mayer
2801 W Kinnickinnic River Pkwy Ste 1080 |
$381.19 | 69 | 66 |
|
Thomas Rudolph Wagner
9200 W Wisconsin Ave |
$149.84 | 73 | 63 |
|
Thomas Slota
3070 N 51St St |
$181.70 | 81 | 76 |
|
Aaron C Baltz
2801 W Kinnickinnic River Pkwy Ste 1080 |
$136.90 | 99 | 84 |
|
Froedtert Surgery Center, Llc
840 N 87Th St |
$142.09 | 100 | 95 |
|
Asad Jehangir
2801 W Kinnickinnic River Pkwy Ste 1080 |
$166.37 | 109 | 95 |
|
Patrick Paul Sanvanson
9200 W Wisconsin Ave |
$144.83 | 133 | 128 |
|
Joseph Peter Kim
2801 W Kinnickinnic River Pkwy Ste 1080 |
$180.82 | 175 | 166 |
|
Maria T Rivera
2801 W Kinnickinnic River Pkwy Ste 1080 |
$396.64 | 187 | 174 |
|
Gokulakrishnan Balasubramanian
9200 W Wisconsin Avenue |
$222.09 | 201 | 183 |
|
Brian F Moloney
2801 W Kinnickinnic River Pkwy Ste 1080 |
$181.22 | 203 | 185 |
|
Chetan Mittal
2801 W Kinnickinnic River Pkwy Ste 1080 |
$204.27 | 228 | 190 |
|
Anas Raed
2801 W Kinnickinnic River Pkwy Ste 1080 |
$155.43 | 236 | 210 |
|
Alfonso Martinez
9000 W Wisconsin Ave |
$403.81 | 254 | 242 |
|
Sunil Kapur
3003 W Good Hope Rd |
$144.60 | 334 | 312 |
|
Syed Murtuza Hussain
2801 W Kinnickinnic River Pkwy Ste 1080 |
$161.86 | 362 | 325 |
|
Lyndon V Hernandez
2801 W Kinnickinnic River Pkwy Ste 1080 |
$130.60 | 496 | 428 |
|
Hassaan A Zia
9200 W Wisconsin Ave |
$239.82 | 654 | 576 |
|
Nilay Kumar
2901 W Kk River Pkwy |
$142.99 | 666 | 585 |
|
Tarun Sharma
2901 W Kk River Pkwy |
$149.55 | 670 | 609 |
|
Chad J Stepke
2350 N Lake Dr Ste 500 |
$150.91 | 753 | 706 |
|
Tarun Kaura
2901 W Kk River Pkwy |
$152.76 | 935 | 844 |
|
Jamal A Qureshi
2801 W Kinnickinnic River Pkwy Ste 1080 |
$170.40 | 1,329 | 1,207 |
|
Aboud Affi
1218 W Kilbourn Ave |
$155.16 | 1,837 | 1,680 |
|
Center For Digestive Health Ltd
2801 W Kinnickinnic River Pkwy Ste 1060 |
$133.13 | 1,980 | 1,775 |
|
Ricardo A Li
2801 W Kinnickinnic River Pkwy Ste 1080 |
$133.50 | 2,436 | 2,188 |
|
Ascension St Francis Hospital, Inc
3237 S 16Th St |
$166.52 | 2,560 | 2,373 |
|
Ascension Se Wisconsin Hospital, Inc
5000 W Chambers St |
$187.08 | 3,252 | 2,981 |
|
Columbia St. Mary'S Hospital Milwaukee, Inc.
2323 N Lake Dr |
$164.39 | 3,256 | 2,709 |
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