Average Medicaid Upper Endoscopy (EGD) Payments in Redding, CA: $166.19
Avg. Paid
$166.19
Range
$23.25 – $302.26
Total Claims
9,359
Providers
13
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 Redding, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paul Julius Spinka
1839 Sonoma Street |
$163.57 | 12 | 12 |
|
Bret Nicholas Namihas
2147 Court St |
$196.79 | 13 | 13 |
|
Gaddam Naresh Reddy
1825 Sonoma St |
$84.77 | 14 | 12 |
|
Paramvir Singh Md Inc
2632 Edith Ave Ste B |
$302.26 | 46 | 46 |
|
Igi Care Inc
1825 Sonoma St |
$23.25 | 61 | 61 |
|
Piyush K Dhanuka
2147 Court St |
$91.14 | 68 | 66 |
|
Dignity Health
2175 Rosaline Ave |
$87.48 | 82 | 79 |
|
North State Surgery Centers Lp
2184 Court St |
$57.86 | 173 | 173 |
|
Paramvir Singh
2110 Railroad Ave |
$253.63 | 954 | 950 |
|
Prathibha Chandrasekaran
1825 Sonoma St |
$118.72 | 1,603 | 1,582 |
|
Hongguang Liu
1825 Sonoma St |
$282.74 | 1,805 | 1,799 |
|
Leo Edward Eickhoff
2147 Court St |
$266.05 | 1,839 | 1,835 |
|
Gastroenterology Associates Endoscopy Center, Llc
2179 Court St |
$29.41 | 2,689 | 2,685 |
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 Redding, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Redding, CA is $166.19 per claim, based on 9,359 claims from 13 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 Redding, CA?
There are 13 Medicaid providers offering Upper Endoscopy (EGD) related services in Redding, CA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Redding, CA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Redding, CA ranges from $23.25 to $302.26 per claim, with an average of $166.19. 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 Redding, CA
Office Visit
Avg $24.72
1,389,034 claims
Blood Work & Lab Tests
Avg $6.29
880,262 claims
Emergency Room Visit
Avg $123.87
610,646 claims
Psychiatric Evaluation
Avg $50.57
540,138 claims
Substance Abuse Treatment
Avg $66.88
513,660 claims
Urinalysis & Urine Tests
Avg $2.01
285,727 claims
Non-Emergency Medical Transportation
Avg $35.70
198,476 claims
X-Ray
Avg $23.45
182,898 claims