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 |
|---|---|---|---|
|
Hilario Juarez
1310 N 24Th St Ste 100 |
$136.85 | 12 | 12 |
|
Michael Francis Foley
9250 N 3Rd St Ste 4035 |
$103.93 | 12 | 12 |
|
Stephen Glouberman
9250 N 3Rd St Ste 2015 |
$96.36 | 12 | 12 |
|
Shifat Ahmed
625 N 6Th St |
$67.78 | 12 | 12 |
|
Mayo Clinic Arizona
5777 E Mayo Blvd |
$388.95 | 13 | 12 |
|
Ramon G. Montes
1919 E Thomas Rd |
$124.18 | 13 | 12 |
|
Moises Ilan Nevah Rubin
1441 N 12Th St Fl 2 |
$99.24 | 13 | 13 |
|
William A. Arnold
222 W Thomas Rd |
$140.96 | 14 | 14 |
|
Emil Graf
1300 N 12Th St |
$97.42 | 14 | 13 |
|
Rawad Mounzer
1441 N 12Th St |
$82.75 | 14 | 13 |
|
Nisha H Sharma
1441 N 12Th St Fl 2 |
$95.12 | 17 | 16 |
|
Layth Al-Jashaami
500 W Thomas Rd Ste 100 |
$80.79 | 26 | 26 |
|
Paul Tran
1919 E Thomas Rd |
$117.10 | 27 | 27 |
|
John Isaac Young
4212 N 16Th St |
$84.70 | 31 | 31 |
|
Elizabeth Kalima Hilow
1919 E Thomas Rd |
$95.15 | 40 | 40 |
|
Adarsh Sai
9250 N 3Rd St Ste 2015 |
$89.75 | 40 | 40 |
|
Mark Earl Mcomber
1919 E Thomas Rd |
$119.26 | 71 | 67 |
|
Sarabdeep Mann
500 W Thomas Rd Ste 100 |
$78.50 | 86 | 84 |
|
Joseph C Woolley
1919 E Thomas Rd |
$120.16 | 88 | 87 |
|
Shahan Fernando
2525 E Roosevelt St |
$103.76 | 107 | 100 |
|
Kristy R Ingebo
1919 E Thomas Rd |
$117.26 | 110 | 101 |
|
Banner Phoenix Surgery Center Llc
1111 E Mcdowell Rd Ste B |
$248.32 | 129 | 127 |
|
Brad A Pasternak
1919 E Thomas Rd |
$104.40 | 133 | 127 |
|
Shreya Samir Amin
19636 N 27Th Ave Ste 408 |
$82.61 | 142 | 141 |
|
Neil Shernoff
4110 N 108Th Ave Ste 105 |
$80.62 | 160 | 158 |
|
Nicholas David Harrel
3815 E Bell Rd |
$112.26 | 178 | 177 |
|
Richard Patrick Shaughnessy
1300 N 12Th St |
$85.15 | 180 | 177 |
|
Alberto Xavier Ramos
1400 N. 12Th Street |
$94.24 | 217 | 216 |
|
Danlu Wang
2601 E Roosevelt St |
$92.82 | 219 | 217 |
|
Sakolwan Suchartlikitwong
1441 N 12Th St Fl 2 |
$94.73 | 233 | 232 |
|
Daniel T. Fang
3811 E Bell Rd Ste 300 |
$120.88 | 234 | 233 |
|
Desert Ridge Outpatient Surgery Llc
20940 N Tatum Blvd |
$193.07 | 247 | 220 |
|
Eric Duquella
6707 N 19Th Ave |
$71.13 | 254 | 230 |
|
Amy Soloman
9305 W Thomas Rd Ste 500 |
$90.20 | 260 | 250 |
|
Banner Estrella Surgery Center Llc
9301 W Thomas Rd |
$162.75 | 271 | 250 |
|
Andrew Weinberg
4375 E Irma Ln |
$90.63 | 352 | 338 |
|
Abdul Nadir
2601 E Roosevelt St |
$78.35 | 368 | 364 |
|
Shahab Aftahi
500 W Thomas Rd Ste 100 |
$63.66 | 372 | 309 |
|
Elizabeth Collyer
1919 E Thomas Rd |
$115.96 | 388 | 371 |
|
Omar Nadhem
2901 North Central Avenue |
$86.17 | 404 | 396 |
|
Jen-Jung Pan
1441 N 12Th St Fl 2 |
$87.46 | 455 | 445 |
|
Ozlem Pinar Bulut
1919 E Thomas Rd |
$112.21 | 496 | 479 |
|
Dana I Williams
1919 E Thomas Rd |
$110.73 | 519 | 503 |
|
Shauna Schroeder
1919 E Thomas Rd |
$117.75 | 553 | 537 |
|
Emmanuel Siaw
1919 E Thomas Rd |
$106.94 | 591 | 546 |
|
Arizona Endoscopy Center, Llc
1410 E Mcdowell Rd |
$196.20 | 608 | 581 |
|
Dalbir Singh Sandhu
500 W Thomas Rd Ste 100 |
$199.88 | 616 | 483 |
|
Florin Gaidici
1310 N 24Th St Ste 100 |
$101.48 | 656 | 635 |
|
Mansur A. Khan
9305 W Thomas Rd |
$74.75 | 723 | 639 |
|
Vhs Acquisition Subsidiary Number 1 Inc
3929 E Bell Rd |
$566.72 | 745 | 734 |
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
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Avg $37.73
14,607,817 claims
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Avg $47.53
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Avg $94.34
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Avg $130.72
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Avg $10.65
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