Average Medicaid Upper Endoscopy (EGD) Payments in Portland, OR: $323.46
Avg. Paid
$323.46
Range
$41.96 – $592.38
Total Claims
10,977
Providers
43
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 Portland, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Portland Gastroenterology Equipment
1111 Ne 99Th Ave Ste 302 |
$405.44 | 3,785 | 3,595 |
|
West Hills Gastroenterology Equipment Corp
9701 Sw Barnes Rd Ste 310 |
$404.98 | 2,706 | 2,515 |
|
Ngc Endoscopy Services Llc
1130 Nw 22Nd Ave Ste 410 |
$213.96 | 2,192 | 2,071 |
|
Richard W Brandes
10000 Se Main St Ste 112 |
$189.96 | 309 | 286 |
|
Ryan Fairley
1040 Nw 22Nd Ave Ste 520 |
$94.92 | 233 | 205 |
|
Christopher R Carter
9701 Sw Barnes Rd |
$158.18 | 217 | 217 |
|
Oregon Health & Science University
3181 Sw Sam Jackson Park Rd |
$431.02 | 211 | 204 |
|
Anthony Anwar Razzak
1111 Ne 99Th Ave |
$84.75 | 173 | 166 |
|
Gillian Lam
700 Sw Campus Dr |
$161.44 | 163 | 38 |
|
Melissa Paige Hershman
3303 S Bond Ave |
$325.92 | 137 | 120 |
|
Emilie Helen Regner
3303 S Bond Ave |
$53.64 | 74 | 71 |
|
Anna K Hunter
700 Sw Campus Dr |
$233.60 | 60 | 49 |
|
Raghu U Varier
300 N Graham St |
$76.79 | 57 | 56 |
|
Legacy Emanuel Hospital & Health Center
2801 N Gantenbein Ave |
$592.38 | 52 | 50 |
|
Charles Gabbert
1111 Ne 99Th Ave Ste 301 |
$83.16 | 47 | 43 |
|
Kent David Rosenwald
300 N Graham St Ste 420 |
$115.52 | 38 | 37 |
|
Benjamin Mark Hornung
3181 Sw Sam Jackson Park Rd |
$67.66 | 37 | 37 |
|
Daniel Davila Bradley
4805 Ne Glisan St Ste 6N60 |
$312.65 | 32 | 31 |
|
Fouad Otaki
3303 Sw Bond Ave Ste 6D |
$151.17 | 28 | 26 |
|
Ian Holmes
1111 Ne 99Th Ave Ste 301 |
$57.28 | 28 | 27 |
|
Stephen Michael Vindigni
9701 Sw Barnes Rd Ste 300 |
$405.63 | 27 | 27 |
|
Atif Zaman
3181 Sw Sam Jackson Park Rd |
$215.95 | 27 | 26 |
|
Ginger L Degravelle
10000 Se Main St Ste 112 |
$364.90 | 26 | 26 |
|
Kellie Young
1130 Nw 22Nd Ave Ste 410 |
$65.94 | 26 | 25 |
|
Steven Ryan Demeester
4805 Ne Glisan St |
$372.13 | 25 | 24 |
|
Laura Pestana
10000 Se Main St Ste 112 |
$156.25 | 25 | 25 |
|
Erich David Vorlop
1130 Nw 22Nd Ave Ste 410 |
$68.03 | 25 | 24 |
|
Debbie F Cheng
1111 Ne 99Th Ave Ste 301 |
$271.04 | 17 | 14 |
|
Young K Choi
800 Sw 13Th Ave |
$53.31 | 17 | 16 |
|
Michael M Owens
10000 Se Main St Ste 112 |
$301.17 | 15 | 13 |
|
Jessica Xinyao Yu
3181 Sw Sam Jackson Park Rd |
$55.73 | 15 | 12 |
|
Elliot Joo
9701 Sw Barnes Rd Ste 300 |
$41.96 | 15 | 12 |
|
Milton Charles Johnson
10000 Se Main St Ste 112 |
$373.70 | 14 | 14 |
|
Barry L Schlansky
3303 S Bond Ave |
$415.65 | 13 | 12 |
|
Mikelle Bassett
3181 Sw Sam Jackson Park Rd |
$125.81 | 13 | 13 |
|
Matthew Andres Smith
1130 Nw 22Nd Ave Ste 410 |
$108.69 | 13 | 13 |
|
Lehel Somogyi
1111 Ne 99Th Ave |
$45.45 | 13 | 13 |
|
Justin Stites Lewis
10000 Se Main St Ste 112 |
$520.78 | 12 | 12 |
|
Margot Louise Herman
9701 Sw Barnes Rd |
$109.02 | 12 | 12 |
|
Amanda Drucker Lee
3181 Sw Sam Jackson Park Rd |
$89.03 | 12 | 12 |
|
Jeffrey Charles Buehler
1130 Nw 22Nd Ave |
$72.56 | 12 | 12 |
|
Michael Gregory Phillips
1111 Ne 99Th Ave |
$66.08 | 12 | 12 |
|
Siddharth Bhikhubhai Javia
3303 S Bond Ave |
$53.58 | 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 Portland, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Portland, OR is $323.46 per claim, based on 10,977 claims from 43 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 Portland, OR?
There are 43 Medicaid providers offering Upper Endoscopy (EGD) related services in Portland, OR according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Portland, OR?
Medicaid reimbursement for Upper Endoscopy (EGD) in Portland, OR ranges from $41.96 to $592.38 per claim, with an average of $323.46. 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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