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 |
|---|---|---|---|
|
Gpddc, Llc
250 Park Ave S |
$422.96 | 12,087 | 12,021 |
|
Nyu Langone Hospitals
550 1St Ave |
$690.18 | 10,274 | 10,165 |
|
West Side Gi, Llc
619 W 54Th St |
$518.14 | 10,081 | 10,027 |
|
Anthony P Chan
198 Canal Street |
$231.47 | 8,887 | 8,851 |
|
The New York And Presbyterian Hospital
622 W 168Th St |
$657.47 | 7,956 | 7,903 |
|
Anthony J Ng
139 Centre St |
$274.88 | 7,907 | 7,900 |
|
Chun Tung Wong
98 E Broadway Fl 6 |
$290.57 | 5,994 | 5,982 |
|
The New York And Presbyterian Hospital
525 E 68Th St |
$598.51 | 5,838 | 5,801 |
|
Ricardo E Pou
300 Fort Washington Ave Ofc 1 |
$133.92 | 5,283 | 5,224 |
|
Peter M Distler
3 E 83Rd St |
$187.88 | 4,420 | 4,401 |
|
Timothy Wong
77 Bowery # 701 |
$310.69 | 3,660 | 3,657 |
|
Ray Dong
10 Union Sq E # 2G |
$297.57 | 3,461 | 3,454 |
|
St Lukes Roosevelt Hospital Center
1000 10Th Ave |
$616.43 | 3,396 | 3,382 |
|
Julio E Albarran
452 Fort Washington Ave |
$179.49 | 3,287 | 3,261 |
|
Wallace J. Wang
17 Elizabeth St |
$190.37 | 2,872 | 2,854 |
|
Jonathan Max Rieber
5030 Broadway |
$99.39 | 2,412 | 2,315 |
|
Lincoln Hernandez
495 Fort Washington Ave Ste Pe1C |
$138.51 | 2,301 | 2,258 |
|
Mount Sinai Hospital
1 Gustave L Levy Pl |
$552.24 | 1,862 | 1,849 |
|
Danny Chu
17 Elizabeth Street |
$393.42 | 1,463 | 1,462 |
|
Grigoriy E. Gurvits
530 1St Ave |
$75.72 | 1,442 | 1,391 |
|
Rene Shek-Ming Eng
217 Grand St |
$248.85 | 1,411 | 1,405 |
|
Anthony Foong
210 Canal St |
$383.10 | 1,407 | 1,404 |
|
East Side Endoscopy Llc
380 2Nd Ave |
$399.37 | 1,337 | 1,326 |
|
Mark Chu
13-17 Elizabeth Street |
$406.18 | 1,319 | 1,315 |
|
Lenox Hill Hospital
100 E 77Th St |
$609.42 | 1,294 | 1,288 |
|
Yorkville Endoscopy, Llc
201 E 93Rd St |
$418.18 | 1,291 | 1,274 |
|
Guy Alexander Renvoize
161 W 15Th St Apt 2G |
$168.12 | 1,277 | 1,266 |
|
Mihaela I. Vladutiu
60 Gramercy Park N |
$155.35 | 1,255 | 1,186 |
|
Indira R Kairam
50 W 97Th St |
$165.41 | 1,187 | 1,166 |
|
New York City Health And Hospitals Corporation
506 Lenox Ave |
$609.62 | 1,149 | 1,147 |
|
Chien Chiang
109 Lafayette St |
$267.17 | 1,126 | 1,111 |
|
Icahn School Of Medicine At Mount Sinai
1 Gustave L Levy Pl |
$147.79 | 1,053 | 1,051 |
|
Liberty Endoscopy, Llc
156 William St |
$444.63 | 973 | 968 |
|
Jeevan Y Vinod
100 E 77Th St |
$78.99 | 874 | 808 |
|
New York City Health And Hospitals Corporation
462 First Avenue |
$549.99 | 842 | 826 |
|
New York City Health And Hospitals Corporation
1901 1St Ave |
$507.99 | 783 | 778 |
|
Charles Oliner
60 Gramercy Park N |
$154.24 | 704 | 676 |
|
Hyman L Kirschenbaum
425 W 59Th St |
$343.69 | 516 | 508 |
|
Snow Trinh Thi Nguyen
86 Bowery Fl 7 |
$395.46 | 508 | 507 |
|
Yi Jia
70 W 36Th St # 5C |
$409.21 | 498 | 496 |
|
Manhattan Endoscopy Center Llc
535 5Th Ave |
$431.81 | 483 | 468 |
|
Philip Kazlow
3959 Broadway |
$159.40 | 453 | 453 |
|
Ugonna Iroku
311 E 79Th St Ste 2A |
$45.81 | 443 | 307 |
|
Lawrence J Ottaviano
60 Gramercy Park N |
$137.26 | 440 | 426 |
|
Memorial Hospital For Cancer And Allied Diseases
1275 York Ave |
$451.61 | 411 | 391 |
|
Patrick Vincent Saitta
232 E 30Th St |
$68.29 | 373 | 259 |
|
Robert Marc Meltzer
103 E 75Th St |
$184.37 | 267 | 267 |
|
Ari B Goldstein
506 Lenox Ave |
$343.37 | 263 | 263 |
|
Michael Ivan Zelenetz
215 E 95Th St |
$387.19 | 242 | 239 |
|
Premetesh Chattoo
122 Fulton St |
$162.97 | 235 | 227 |
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
Blood Work & Lab Tests
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