Average Medicaid Upper Endoscopy (EGD) Payments in Pittsburgh, PA: $201.22
Avg. Paid
$201.22
Range
$1.16 – $483.97
Total Claims
3,232
Providers
27
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 Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ravi Kondaveeti
4815 Liberty Ave |
$188.12 | 1,928 | 1,900 |
|
Steven R Abo
300 Halket St |
$138.34 | 226 | 225 |
|
Hitendra Patel
5200 Centre Ave |
$101.65 | 120 | 120 |
|
Vikram Kalathur Raghu
4401 Penn Ave |
$396.18 | 113 | 113 |
|
Jungmin Lee
2589 Boyce Plaza Rd |
$107.00 | 78 | 75 |
|
Whitney Marie Sunseri
4401 Penn Ave |
$353.91 | 75 | 75 |
|
Vibha Sood
4401 Penn Ave |
$350.01 | 74 | 74 |
|
Feras Tawfiq Al-Issa
200 Lothrop St |
$341.41 | 63 | 63 |
|
Kristen M Critelli
4401 Penn Ave Fl 3 |
$240.01 | 59 | 59 |
|
M Samir Ayasso
5200 Centre Ave |
$98.54 | 53 | 53 |
|
Douglas Martin Weissman
1307 Federal St Ste B100 |
$67.72 | 43 | 39 |
|
Rachel Warsco Smith
4401 Penn Ave |
$298.72 | 43 | 42 |
|
Bridger Clarke
2589 Boyce Plaza Rd |
$126.99 | 40 | 39 |
|
Arvind Srinath
1 Childrens Hospital Dr |
$483.97 | 39 | 39 |
|
Veena Venkat
3705 5Th Ave |
$440.66 | 39 | 39 |
|
Upmc Children'S Hospital Of Pittsburgh
4401 Penn Ave |
$399.11 | 37 | 37 |
|
Michael Angelo Pezzone
1515 Locust St Ste 500 |
$148.53 | 36 | 35 |
|
Su Min Cho
5200 Centre Ave |
$133.28 | 28 | 28 |
|
Tunc Aksehirli
810 Clairton Blvd Ste 400 |
$156.31 | 27 | 27 |
|
Kirsten Newhams
4815 Liberty Ave Ste 439 |
$85.34 | 16 | 16 |
|
Amy Elizabeth Hosmer
5200 Centre Ave Ste 409 |
$51.98 | 15 | 14 |
|
Douglas Scott Lindblad
3705 5Th Ave |
$208.00 | 15 | 15 |
|
Andrew W Thomas
3285 Babcock Blvd |
$83.79 | 14 | 14 |
|
Erin Crawford
Upmc Presbyterian M2, C-Wing 200 Lothrop Street |
$105.36 | 14 | 13 |
|
Arthur M. Barrie
200 Lothrop St |
$297.73 | 13 | 13 |
|
Aylin Tansel
1515 Locust St Fl 5 |
$80.52 | 12 | 12 |
|
Mary Ayers
4401 Penn Ave |
$1.16 | 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 Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Pittsburgh, PA is $201.22 per claim, based on 3,232 claims from 27 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 Pittsburgh, PA?
There are 27 Medicaid providers offering Upper Endoscopy (EGD) related services in Pittsburgh, PA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Pittsburgh, PA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Pittsburgh, PA ranges from $1.16 to $483.97 per claim, with an average of $201.22. 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
Other Procedures in Pittsburgh, PA
Blood Work & Lab Tests
Avg $12.74
5,898,610 claims
Office Visit
Avg $58.11
1,594,344 claims
Emergency Room Visit
Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
Culture & Microbiology Tests
Avg $5.35
530,883 claims
Physical Therapy
Avg $57.35
415,480 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
404,951 claims