Based on public Medicaid payment data.

Average Medicaid Upper Endoscopy (EGD) Payments in Nashville, TN: $223.12

Avg. Paid

$223.12

Range

$1.71 – $735.75

Total Claims

18,196

Providers

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 Nashville, TN

Provider	Avg. Paid	Claims	Patients
Lindsey Lyneath Bowland 3601 The Vanderbilt Clinic	$735.75	13	13
Ronald Edward Pruitt 4230 Harding Road	$61.49	13	13
Nashville Gastrointestinal Specialists, Llc 2010 Church Street	$1.71	17	13
James Robert Davenport 209 Light Hall	$49.93	17	13
Howard R Mertz 4230 Harding Road	$66.58	18	13
Thomas J Lewis 2400 Patterson St	$30.34	19	13
Suril Patel 300 20Th Ave N Fl 7,8,9	$36.45	21	12
Vinay Prasad C-3322 Medical Ctr N	$614.83	30	27
Patrick Davis 393 Wallace Rd Ste 301	$516.66	32	30
Amethyst Kurbegov 3601 The Vanderbilt Clinic	$278.97	45	38
Mark Allen Miller 3601 The Vanderbilt Clinic	$47.74	47	38
Lauren Jane Klein 3601 The Vanderbilt Clinic	$356.85	47	38
Catherine Arthur-Johnson 3601 Tvc	$325.28	60	56
Ira E Stein 330 23Rd Ave N	$42.18	62	52
Caitlin Melissa Cutler 3601 The Vanderbilt Clinic	$207.32	72	47
Michael Dole 2200 Childrens Way Fl Way10	$190.33	84	80
Girish Hiremath 2200 Childrens Way Tower Ste 10233	$173.42	89	83
Karen Anne Demaria 3601 The Vanderbilt Clinic	$429.48	104	94
Kirk Andrew Thame 3601 Tvc	$260.63	109	105
Jose Martinez 3601 Tvc	$160.68	154	127
Kylie Swearingen 300 20Th Ave N Fl 789	$70.35	184	141
Matthew Neff 330 23Rd Ave N	$96.94	205	155
Riha Bhatt 3601 The Vanderbilt Clinic	$296.47	214	202
Jagdish Shyam Nachnani 3601 The Vanderbilt Clinic	$132.12	336	258
Kelly Thomsen 9214 Doctors Office Tower	$306.23	373	347
Clayton M Spiceland 397 Wallace Rd Ste 103	$177.45	394	317
Julia Anderson 2601 Tvc	$303.74	397	363
Diana C Riera 3601 The Vanderbilt Clinic	$310.40	456	399
Stephanie Denise Pointer 330 Wallace Rd Ste 103	$181.62	467	431
Brett C Inglis 300 20Th Ave N	$83.29	891	688
Vanderbilt University Medical Center 1211 Medical Center Drive	$517.17	1,130	879
Sari Acra 3601 Tvc	$319.61	1,235	1,132
Gastroenterology & Surgery Center Of Arkansas, Ii, Llc. 401 Commerce St	$86.69	1,539	1,513
Edward White 2010 Church St	$120.16	1,989	1,695
Saras Sharma 330 Wallace Rd Ste 103	$176.79	2,044	1,823
Mohammad Samer Ammar 330 23Rd Ave N	$375.02	2,142	1,950
Robert W Herring 330 Wallace Rd	$175.13	3,147	2,696

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 Nashville, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Nashville, TN is $223.12 per claim, based on 18,196 claims from 37 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 Nashville, TN?

There are 37 Medicaid providers offering Upper Endoscopy (EGD) related services in Nashville, TN according to public payment data.

What is the price range for Upper Endoscopy (EGD) in Nashville, TN?

Medicaid reimbursement for Upper Endoscopy (EGD) in Nashville, TN ranges from $1.71 to $735.75 per claim, with an average of $223.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Upper Endoscopy (EGD) Payments in Nashville, TN: $223.12

Providers Offering Upper Endoscopy (EGD) in Nashville, TN

What to Expect: Upper Endoscopy (EGD)

Cost Components

Frequently Asked Questions

Upper Endoscopy (EGD) in Other Cities

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Los Angeles, CA

Tucson, AZ

Detroit, MI

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