Based on public Medicaid payment data.

Average Medicaid Upper Endoscopy (EGD) Payments in Philadelphia, PA: $374.90

Avg. Paid

$374.90

Range

$0.00 – $2,094

Total Claims

16,447

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 Philadelphia, PA

Provider	Avg. Paid	Claims	Patients
Xiaoli Ma 121 N 9Th St	$219.37	1,334	1,324
Childrens Hospital Of Philadelphia 34Th And Civic Center Blvd	$1,203	1,205	889
Oleg Volchonok 11400 Bustleton Ave	$153.67	1,203	1,173
Shiban K Raina 700 Cottman Ave	$250.13	1,045	1,024
Maya Spodik 2000 Grant Ave	$292.67	1,006	994
Chau Che 2301 E Allegheny Ave	$477.27	947	919
Praneet Kaur Wander 333 Cottman Ave	$44.33	904	815
Pgc Endoscopy Center For Excellence, Llc 700 Cottman Ave	$256.20	889	844
Daniel J. Sher 700 Cottman Ave	$221.77	813	795
Corey Stefan Brotz 700 Cottman Ave	$203.09	756	733
Grant Surgicenter Llc 2000 Grant Ave	$188.58	503	487
Lawrence B Grossman 2000 Grant Ave	$186.73	395	377
Mark S Malamood 3401 N Broad St	$678.48	392	388
Zachary Wilmer Reichenbach 3401 N Broad St	$455.08	384	367
Zubair Ahmed Malik 3401 N Broad St	$516.60	364	356
Rajiv Vijay Bhuta 3401 N Broad St	$453.46	363	351
Neena Mohan 3401 N Broad St	$417.81	271	264
Nancy L. Graboyes-Leopold 525 Jamestown St	$581.26	251	242
Michael Lee Davis 1200 W Tabor Rd Bldg Suite275	$304.95	249	243
Richard Salvatore Depalma 5501 Old York Rd	$368.68	232	225
Jessica Ann Briscoe 3401 N Broad St	$514.18	181	177
Roopali Mittal 3401 Civic Center Blvd	$590.05	158	144
Mayada Ismail 3401 N Broad St	$86.09	136	136
Temple University Hospital, Inc 3401 N Broad St	$1,502	129	128
Mark Stephen Codella 1403 Rhawn Street	$137.82	128	125
Nnaemeka U. Anyadike 833 Chestnut Street	$147.10	124	106
Keith Joseph Buhl 1403 Rhawn Street	$172.03	123	115
Akil Hassam 3401 N Broad St	$124.33	116	116
Mark L Bierhoff 2000 Grant Ave	$221.36	114	100
Stc Opco Llc 160 E Erie Ave	$1,313	107	103
Laurence Feinstein 160 E Erie Ave	$171.76	105	103
James William Walter 833 Chestnut St	$327.52	98	97
Abhinav Sankineni 3401 N Broad St	$105.56	97	93
Holly Samantha Greenwald 3401 N Broad St	$516.89	96	93
Andrew Herman Zabolotsky 833 Chestnut St	$177.77	79	78
David Roth Lichtenstein 3401 N Broad St	$66.77	73	71
William Shi 3400 Spruce St	$1,175	69	69
Kashyap V Panganamamula 51 N 39Th St	$129.76	68	66
Stephen J. Heller 3401 N Broad St	$213.33	61	61
Charles Bongiorno 3401 N Broad St	$799.92	56	55
Akinbowale Olatokunbo Oyalowo 3400 Civic Center Blvd	$117.15	55	51
Dimitri Belkin 111 S 11Th St	$68.97	54	54
Alexandra G. Selby 3401 N Broad St	$128.58	45	44
Ellen Lide Mitchell 160 E Erie Ave	$176.29	39	39
Jonathan A Flick 3401 Civic Center Blvd	$829.56	37	36
Gi Asc Llc 3998 Red Lion Rd	$424.47	37	37
Bruce P Gelman 700 Cottman Ave	$112.31	37	37
Christopher Schmoyer 3400 Spruce St	$416.74	31	31
Austin F Hwang 833 Chestnut St	$147.27	28	26
Stadium Campus Ambulatory Surgical Center, Llc 3340 S Broad St	$139.01	28	27

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 Philadelphia, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Philadelphia, PA is $374.90 per claim, based on 16,447 claims from 77 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 Philadelphia, PA?

There are 77 Medicaid providers offering Upper Endoscopy (EGD) related services in Philadelphia, PA according to public payment data.

What is the price range for Upper Endoscopy (EGD) in Philadelphia, PA?

Medicaid reimbursement for Upper Endoscopy (EGD) in Philadelphia, PA ranges from $0.00 to $2,094 per claim, with an average of $374.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Upper Endoscopy (EGD) Payments in Philadelphia, PA: $374.90

Providers Offering Upper Endoscopy (EGD) in Philadelphia, PA

What to Expect: Upper Endoscopy (EGD)

Cost Components

Frequently Asked Questions

Upper Endoscopy (EGD) in Other Cities

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