Average Medicaid Upper Endoscopy (EGD) Payments in New Hyde Park, NY: $514.76
Avg. Paid
$514.76
Range
$73.87 – $810.02
Total Claims
9,169
Providers
16
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 New Hyde Park, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anant V Indaram
1575 Hillside Ave |
$147.36 | 12 | 12 |
|
Christine J. Chen
1991 Marcus Ave Ste M200 |
$103.44 | 24 | 24 |
|
Asadur Miah Physician Pc
1575 Hillside Ave |
$294.50 | 24 | 24 |
|
Jennifer Mait-Kaufman
1991 Marcus Ave |
$137.92 | 26 | 25 |
|
Cindy Haller
269-01 76Th Avenue |
$156.36 | 28 | 28 |
|
Merajur Rahman
915 Hillside Ave |
$73.87 | 41 | 41 |
|
Samuel Bitton
1991 Marcus Ave |
$139.80 | 43 | 42 |
|
Robert Jerry Brunner
3003 New Hyde Park Road |
$119.73 | 57 | 55 |
|
Biju Abraham
915 Hillside Ave |
$106.61 | 91 | 91 |
|
Ian Michael Storch
2001 Marcus Ave |
$276.54 | 127 | 125 |
|
Long Island Jewish Medical Center
26901 76Th Ave |
$810.02 | 223 | 222 |
|
Preeti Mehta
915 Hillside Ave |
$97.54 | 234 | 232 |
|
Asadur Rahman Miah
1575 Hillside Ave |
$240.04 | 236 | 236 |
|
Nilesh Mehta
915 Hillside Ave |
$154.04 | 509 | 503 |
|
Nhpe, Llc
1991 Marcus Ave |
$497.51 | 3,281 | 3,253 |
|
Long Island Jewish Medical Center
270-05 76 Ave |
$633.53 | 4,213 | 4,193 |
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 New Hyde Park, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in New Hyde Park, NY is $514.76 per claim, based on 9,169 claims from 16 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 New Hyde Park, NY?
There are 16 Medicaid providers offering Upper Endoscopy (EGD) related services in New Hyde Park, NY according to public payment data.
What is the price range for Upper Endoscopy (EGD) in New Hyde Park, NY?
Medicaid reimbursement for Upper Endoscopy (EGD) in New Hyde Park, NY ranges from $73.87 to $810.02 per claim, with an average of $514.76. 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 New Hyde Park, NY
Home Health Visit
Avg $137.64
21,953,889 claims
Blood Work & Lab Tests
Avg $9.28
4,134,836 claims
Office Visit
Avg $99.67
957,044 claims
Urinalysis & Urine Tests
Avg $3.87
729,299 claims
Emergency Room Visit
Avg $158.57
601,883 claims
Case Management Services
Avg $329.32
505,699 claims
Culture & Microbiology Tests
Avg $6.45
404,494 claims
X-Ray
Avg $8.96
276,841 claims