Average Medicaid Upper Endoscopy (EGD) Payments in New York, NY: $375.46
Avg. Paid
$375.46
Range
$41.70 – $690.18
Total Claims
133,047
Providers
106
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 York, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Neena Malik
353 E 17Th St Fl 2 |
$312.04 | 12 | 12 |
|
Shilpa Mehra Dang
112 W 72Nd St |
$275.54 | 12 | 12 |
|
Jeffrey Stephen Crespin
155 E 47Th St |
$256.29 | 12 | 12 |
|
Karina Arbatova Mcarthur
506 Lenox Ave |
$86.47 | 12 | 12 |
|
Fay Kastrinos
161 Fort Washington Ave |
$165.89 | 13 | 13 |
|
Sivan Kinberg
630 W 168Th St |
$162.26 | 13 | 13 |
|
Seth Cohen
305 2Nd Ave Ste 3 |
$154.76 | 13 | 13 |
|
Bhavana Bhagya Rao
17 E 102Nd St |
$125.83 | 13 | 13 |
|
Cameron Wilkinson
506 Lenox Ave |
$95.45 | 13 | 13 |
|
Lawrence Bruce Cohen
5 E 98Th St |
$79.21 | 13 | 13 |
|
Jennifer Mireille Harley
1901 1St Ave |
$64.94 | 13 | 13 |
|
Franklin Marsh
342 E 67Th St |
$41.70 | 14 | 14 |
|
Thomas Michael Gould
4915 Broadway |
$153.89 | 16 | 16 |
|
Joseph Picoraro
3959 Broadway |
$141.83 | 17 | 17 |
|
Jenny Jee-Eun Choi
161 Fort Washington Ave |
$129.67 | 17 | 17 |
|
Kaveh Hajifathalian
1305 York Ave Fl 4 |
$92.18 | 17 | 13 |
|
Carl V. Crawford
1305 York Ave |
$53.90 | 22 | 16 |
|
Ilan Seth Weisberg
10 Union Sq E |
$128.41 | 24 | 24 |
|
New York Gastroenterology Associates Llp
311 E 79Th St |
$246.47 | 25 | 25 |
|
Cheguevara Afaneh
520 E 70Th St Fl 8 |
$129.00 | 25 | 25 |
|
Samuel Schwarz
205 E 76Th St Fl M2 |
$395.99 | 26 | 26 |
|
David Sung Lee
161 Fort Washington Ave |
$69.65 | 26 | 26 |
|
Amrita Sethi
161 Ft Washingtn Ave |
$103.37 | 27 | 27 |
|
Evin Joseph Mccabe
305 2Nd Ave Ste 3 |
$74.75 | 27 | 27 |
|
Andrew Blank
1090 Amsterdam Ave |
$280.87 | 29 | 29 |
|
Adam Pont
201 E 65Th St |
$168.18 | 38 | 38 |
|
Jennifer Katz
550 1St Ave |
$101.32 | 39 | 37 |
|
Neelesh Rastogi
550 1St Ave |
$149.23 | 40 | 32 |
|
Michael Ammirati
205 E 76Th St Fl M2 |
$398.49 | 42 | 42 |
|
Isaiah Paul Schuster
1275 York Ave |
$107.74 | 42 | 42 |
|
Steven Naymagon
5 E 98Th St |
$97.38 | 44 | 44 |
|
Virginia Maria Baez Socorro
1 Gustave L Levy Pl |
$114.16 | 45 | 40 |
|
Nicholas Gregory Brown
161 Fort Washington Ave Ste 862 |
$143.60 | 46 | 46 |
|
Alvaro Genao
30 W 138Th St |
$77.21 | 56 | 55 |
|
Jay C Desai
423 East 23Rd Street |
$85.45 | 61 | 50 |
|
Anjanet L. Perez-Colon
353 East 17Th Street |
$86.42 | 65 | 65 |
|
Anish George Mammen
310 E 24Th St |
$103.56 | 67 | 64 |
|
Steven Finkelstein
215 E 95Th St |
$358.49 | 76 | 74 |
|
Kips Bay Endoscopy Center, Llc
535 2Nd Ave |
$333.42 | 83 | 82 |
|
Bharat Sanghavi
44 Gramercy Park N |
$178.59 | 85 | 85 |
|
Yi Jia Gi Medical P.C.
70 W 36Th St # 5C |
$397.71 | 88 | 88 |
|
Uws Asc Llc
230 W 74Th St |
$264.68 | 94 | 93 |
|
Ahmed Elsayed Shady
1901 1St Ave |
$79.31 | 103 | 103 |
|
Gaurav Ghosh
1283 York Avenue |
$71.72 | 116 | 111 |
|
Taruna Bhatia
1111 Amsterdam Ave |
$93.37 | 138 | 137 |
|
Karim Sayad
60 Gramercy Park N |
$118.13 | 138 | 132 |
|
Akash Kumar
1 Gustave L Levy Pl |
$102.79 | 147 | 142 |
|
Forrest Manheimer
156 William St |
$80.52 | 147 | 140 |
|
Reuben John Garcia-Carrasquillo
161 Fort Washington Ave |
$90.15 | 150 | 149 |
|
Gil Ignacio Ascunce
161 Madison Ave Rm 10Sw |
$107.46 | 154 | 149 |
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 York, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in New York, NY is $375.46 per claim, based on 133,047 claims from 106 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 York, NY?
There are 106 Medicaid providers offering Upper Endoscopy (EGD) related services in New York, NY according to public payment data.
What is the price range for Upper Endoscopy (EGD) in New York, NY?
Medicaid reimbursement for Upper Endoscopy (EGD) in New York, NY ranges from $41.70 to $690.18 per claim, with an average of $375.46. 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
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
Milwaukee, WI
Avg $194.85
46,905 claims · 54 providers
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
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Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims