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
77
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 |
|---|---|---|---|
|
Daniela M Proca
3401 N Broad St |
$1,858 | 12 | 12 |
|
Maria Spassova Altieri
3400 Civic Center Blvd Fl 4 |
$1,747 | 12 | 12 |
|
Thomas Jefferson University Hospitals Inc
111 S 11Th St |
$1,531 | 12 | 12 |
|
Amir Prushani
230 N Broad St |
$309.43 | 12 | 12 |
|
Cottman Ambulatory Surgery Center
8400 Roosevelt Blvd |
$190.37 | 12 | 12 |
|
Woo Jung Jay Lee
3401 N Broad St |
$155.19 | 12 | 12 |
|
Immanuel King Hang Ho
800 Spruce Street |
$118.60 | 12 | 12 |
|
Aaron Peter Martin
1101 Chestnut St |
$107.68 | 12 | 12 |
|
Vesta Salehi
160 E Erie Ave |
$93.50 | 12 | 12 |
|
Alexandra Lee Strauss
3400 Spruce St |
$147.51 | 13 | 13 |
|
Neilanjan Nandi
219 N Broad St |
$99.30 | 13 | 12 |
|
Alexandra Weiss
301 N Broad St |
$99.07 | 13 | 13 |
|
Nazareth Physician Services, Inc.
1403 Rhawn St |
$0.00 | 13 | 13 |
|
Arunjot Singh
3401 Civic Center Blvd |
$2,094 | 14 | 12 |
|
Chung Sang Tse
3400 Spruce St. |
$135.29 | 14 | 13 |
|
Maria Alejandra Lagarde Mussa
5501 Old York Rd |
$128.15 | 14 | 13 |
|
Yogesh K Govil
5401 Old York Rd |
$169.34 | 15 | 15 |
|
Mervyn D Danilewitz
501 S 54Th St |
$157.07 | 15 | 15 |
|
Jian Fu
3401 N Broad St |
$1,683 | 16 | 16 |
|
Alessandro Bombonati
5501 Old York Rd |
$1,233 | 16 | 16 |
|
Yuan Rong
3401 N Broad St |
$1,334 | 18 | 18 |
|
Philadelphia Gastroenterology Consultants Ltd.
700 Cottman Ave |
$230.40 | 21 | 21 |
|
Benjamin Krevsky
3401 N Broad St |
$1,153 | 24 | 24 |
|
Ragunath Appasamy
3400 Spruce Street |
$694.76 | 25 | 25 |
|
Steven Stanek
3401 N Broad St |
$171.17 | 25 | 25 |
|
David M. Zisa
1403 Rhawn St |
$187.79 | 27 | 26 |
|
Austin F Hwang
833 Chestnut St |
$147.27 | 28 | 26 |
|
Stadium Campus Ambulatory Surgical Center, Llc
3340 S Broad St |
$139.01 | 28 | 27 |
|
Richard Paul Denicola
1101 Chestnut St |
$62.57 | 28 | 27 |
|
Christopher Schmoyer
3400 Spruce St |
$416.74 | 31 | 31 |
|
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 |
|
Ellen Lide Mitchell
160 E Erie Ave |
$176.29 | 39 | 39 |
|
Alexandra G. Selby
3401 N Broad St |
$128.58 | 45 | 44 |
|
Dimitri Belkin
111 S 11Th St |
$68.97 | 54 | 54 |
|
Akinbowale Olatokunbo Oyalowo
3400 Civic Center Blvd |
$117.15 | 55 | 51 |
|
Charles Bongiorno
3401 N Broad St |
$799.92 | 56 | 55 |
|
Stephen J. Heller
3401 N Broad St |
$213.33 | 61 | 61 |
|
Kashyap V Panganamamula
51 N 39Th St |
$129.76 | 68 | 66 |
|
William Shi
3400 Spruce St |
$1,175 | 69 | 69 |
|
David Roth Lichtenstein
3401 N Broad St |
$66.77 | 73 | 71 |
|
Andrew Herman Zabolotsky
833 Chestnut St |
$177.77 | 79 | 78 |
|
Holly Samantha Greenwald
3401 N Broad St |
$516.89 | 96 | 93 |
|
Abhinav Sankineni
3401 N Broad St |
$105.56 | 97 | 93 |
|
James William Walter
833 Chestnut St |
$327.52 | 98 | 97 |
|
Laurence Feinstein
160 E Erie Ave |
$171.76 | 105 | 103 |
|
Stc Opco Llc
160 E Erie Ave |
$1,313 | 107 | 103 |
|
Mark L Bierhoff
2000 Grant Ave |
$221.36 | 114 | 100 |
|
Akil Hassam
3401 N Broad St |
$124.33 | 116 | 116 |
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.
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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Avg $47.22
5,853,067 claims
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Avg $57.23
5,131,687 claims
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Avg $69.22
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Avg $135.52
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X-Ray
Avg $9.69
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Avg $119.23
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