Average Medicaid Upper Endoscopy (EGD) Payments in Phoenix, AZ: $302.49
Avg. Paid
$302.49
Range
$63.66 – $1,213
Total Claims
71,548
Providers
71
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 Phoenix, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Phoenix Children'S Hospital
1919 E Thomas Rd |
$459.65 | 8,294 | 8,153 |
|
Az West Endoscopy Center Llc
1850 N 95Th Ave |
$200.72 | 7,107 | 6,533 |
|
Banner - University Medical Center Phoenix
1111 E Mcdowell Rd |
$360.82 | 6,573 | 6,228 |
|
St. Joseph'S Outpatient Surgery Center, Llc
240 W Thomas Rd |
$229.85 | 6,479 | 6,204 |
|
Honorhealth
19829 N 27Th Ave |
$571.25 | 4,677 | 4,408 |
|
Maricopa County Special Health Care District
2601 E Roosevelt St |
$1,213 | 3,283 | 3,194 |
|
Banner Estrella Medical Center
9201 W Thomas Rd |
$406.69 | 2,551 | 2,398 |
|
Nadim T Zyadeh
5815 N Black Canyon Hwy Ste 101 |
$102.13 | 2,465 | 2,403 |
|
Dignity Health
350 W Thomas Rd |
$204.29 | 2,314 | 2,121 |
|
Biltmore Surgical Partners, Llc
19646 N 27Th Ave Ste 101 |
$216.50 | 1,978 | 1,926 |
|
Elizabeth Cruz
500 W Thomas Rd Ste 100 |
$68.29 | 1,900 | 1,815 |
|
Rushda Mumtaz
1310 N 24Th St Ste 100 |
$95.50 | 1,882 | 1,802 |
|
Joseph B Fares
18404 N Tatum Blvd |
$73.89 | 1,734 | 1,584 |
|
Vhs Of Phoenix Inc
2000 W Bethany Home Rd |
$279.49 | 1,725 | 1,627 |
|
Krishdeep Chadha
9305 W Thomas Rd |
$87.47 | 1,475 | 1,367 |
|
Jonathan Spencer Mellen
9305 W Thomas Rd |
$79.43 | 1,106 | 1,022 |
|
Bassel Al-Lahham
19636 N 27Th Ave Ste 408 |
$83.80 | 1,021 | 964 |
|
St Lukes Medical Center Lp
1800 E Van Buren St |
$333.55 | 1,017 | 926 |
|
Kandarp R Patel
9305 W Thomas Rd |
$82.87 | 919 | 860 |
|
Indu Srinivasan
2525 E Roosevelt St |
$85.40 | 795 | 739 |
|
Honorhealth
250 E Dunlap Ave |
$446.52 | 778 | 704 |
|
Vhs Acquisition Subsidiary Number 1 Inc
3929 E Bell Rd |
$566.72 | 745 | 734 |
|
Mansur A. Khan
9305 W Thomas Rd |
$74.75 | 723 | 639 |
|
Florin Gaidici
1310 N 24Th St Ste 100 |
$101.48 | 656 | 635 |
|
Dalbir Singh Sandhu
500 W Thomas Rd Ste 100 |
$199.88 | 616 | 483 |
|
Arizona Endoscopy Center, Llc
1410 E Mcdowell Rd |
$196.20 | 608 | 581 |
|
Emmanuel Siaw
1919 E Thomas Rd |
$106.94 | 591 | 546 |
|
Shauna Schroeder
1919 E Thomas Rd |
$117.75 | 553 | 537 |
|
Dana I Williams
1919 E Thomas Rd |
$110.73 | 519 | 503 |
|
Ozlem Pinar Bulut
1919 E Thomas Rd |
$112.21 | 496 | 479 |
|
Jen-Jung Pan
1441 N 12Th St Fl 2 |
$87.46 | 455 | 445 |
|
Omar Nadhem
2901 North Central Avenue |
$86.17 | 404 | 396 |
|
Elizabeth Collyer
1919 E Thomas Rd |
$115.96 | 388 | 371 |
|
Shahab Aftahi
500 W Thomas Rd Ste 100 |
$63.66 | 372 | 309 |
|
Abdul Nadir
2601 E Roosevelt St |
$78.35 | 368 | 364 |
|
Andrew Weinberg
4375 E Irma Ln |
$90.63 | 352 | 338 |
|
Banner Estrella Surgery Center Llc
9301 W Thomas Rd |
$162.75 | 271 | 250 |
|
Amy Soloman
9305 W Thomas Rd Ste 500 |
$90.20 | 260 | 250 |
|
Eric Duquella
6707 N 19Th Ave |
$71.13 | 254 | 230 |
|
Desert Ridge Outpatient Surgery Llc
20940 N Tatum Blvd |
$193.07 | 247 | 220 |
|
Daniel T. Fang
3811 E Bell Rd Ste 300 |
$120.88 | 234 | 233 |
|
Sakolwan Suchartlikitwong
1441 N 12Th St Fl 2 |
$94.73 | 233 | 232 |
|
Danlu Wang
2601 E Roosevelt St |
$92.82 | 219 | 217 |
|
Alberto Xavier Ramos
1400 N. 12Th Street |
$94.24 | 217 | 216 |
|
Richard Patrick Shaughnessy
1300 N 12Th St |
$85.15 | 180 | 177 |
|
Nicholas David Harrel
3815 E Bell Rd |
$112.26 | 178 | 177 |
|
Neil Shernoff
4110 N 108Th Ave Ste 105 |
$80.62 | 160 | 158 |
|
Shreya Samir Amin
19636 N 27Th Ave Ste 408 |
$82.61 | 142 | 141 |
|
Brad A Pasternak
1919 E Thomas Rd |
$104.40 | 133 | 127 |
|
Banner Phoenix Surgery Center Llc
1111 E Mcdowell Rd Ste B |
$248.32 | 129 | 127 |
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 Phoenix, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Phoenix, AZ is $302.49 per claim, based on 71,548 claims from 71 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 Phoenix, AZ?
There are 71 Medicaid providers offering Upper Endoscopy (EGD) related services in Phoenix, AZ according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Phoenix, AZ?
Medicaid reimbursement for Upper Endoscopy (EGD) in Phoenix, AZ ranges from $63.66 to $1,213 per claim, with an average of $302.49. 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
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
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Avg $4.07
28,642,228 claims
Case Management Services
Avg $37.73
14,607,817 claims
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Avg $47.53
13,269,420 claims
Substance Abuse Treatment
Avg $94.34
10,076,493 claims
Personal Care Services
Avg $130.72
9,443,796 claims
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Avg $10.65
6,526,097 claims
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Avg $1.58
4,901,181 claims
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Avg $123.66
4,416,857 claims