Average Medicaid Upper Endoscopy (EGD) Payments in Omaha, NE: $370.28
Avg. Paid
$370.28
Range
$42.04 – $1,376
Total Claims
4,508
Providers
28
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 Omaha, NE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrew Steve Huang-Pacheco
3306 N 164Th St |
$210.78 | 865 | 846 |
|
Father Flanagan'S Boys' Home
555 N 30Th St |
$391.62 | 660 | 654 |
|
Children'S Hospital & Medical Center
8200 Dodge St |
$1,376 | 591 | 585 |
|
Midwest Endoscopy Services Llc
8901 Indian Hills Dr |
$276.93 | 544 | 508 |
|
Rohtashav Dhir
8901 Indian Hills Dr Ste 200 |
$97.06 | 530 | 445 |
|
Nebraska Medical Center
987400 Nebraska Medical Ctr |
$176.23 | 403 | 375 |
|
Alegent Health Bergan Mercy Health System
7500 Mercy Rd |
$323.88 | 247 | 240 |
|
David J Freestone
8200 Dodge St |
$96.06 | 117 | 114 |
|
Sheeva Parbhu
8901 Indian Hills Dr Ste 200 |
$109.37 | 61 | 57 |
|
Sampath Kumar Poreddy
7710 Mercy Rd Ste 2000 |
$69.49 | 55 | 49 |
|
Tyron A Alli
8901 Indian Hills Dr |
$84.80 | 54 | 52 |
|
Jordan D Holmes
8901 Indian Hills Dr Ste 200 |
$93.23 | 45 | 44 |
|
Ojasvini Choudhry Chandan
1349 S 101St St |
$95.59 | 39 | 39 |
|
Ahmed Al-Chalabi
7710 Mercy Rd Ste 2000 |
$70.28 | 31 | 27 |
|
Alvaro Gustavo Flores Lopez
8200 Dodge St |
$120.17 | 28 | 28 |
|
Rajani Rangray
8901 Indian Hills Drive |
$42.04 | 27 | 25 |
|
Kyle D Rose
8901 Indian Hills Dr Ste 200 |
$76.51 | 26 | 25 |
|
Helen O Fasanya-Uptagraft
8901 Indian Hills Dr |
$91.48 | 26 | 25 |
|
Michael Edwin Schafer
8901 Indian Hills Dr |
$109.70 | 24 | 24 |
|
Thomas R. Mcginn
8901 Indian Hills Dr |
$118.95 | 24 | 24 |
|
Trevor J. Pearson
8901 Indian Hills Dr |
$50.27 | 17 | 16 |
|
Grant Farley Hutchins
8901 Indian Hills Dr |
$106.46 | 16 | 16 |
|
Alegent Health Immanuel Medical Center
6901 N 72Nd St |
$260.79 | 14 | 12 |
|
Benjamin S Hall
8901 Indian Hills Dr |
$74.43 | 14 | 14 |
|
Saurabh Chandan
7710 Mercy Rd Ste 2000 |
$76.47 | 13 | 13 |
|
William C Livingston
8901 Indian Hills Dr |
$94.89 | 13 | 13 |
|
Wuttiporn Manatsathit
Emile @ 42Nd St |
$71.63 | 12 | 12 |
|
Matthew Murphy Mcmahon
8901 Indian Hills Dr |
$94.02 | 12 | 12 |
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 Omaha, NE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Omaha, NE is $370.28 per claim, based on 4,508 claims from 28 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 Omaha, NE?
There are 28 Medicaid providers offering Upper Endoscopy (EGD) related services in Omaha, NE according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Omaha, NE?
Medicaid reimbursement for Upper Endoscopy (EGD) in Omaha, NE ranges from $42.04 to $1,376 per claim, with an average of $370.28. 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
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