Average Medicaid Upper Endoscopy (EGD) Payments in Richmond, VA: $505.38
Avg. Paid
$505.38
Range
$42.50 – $765.44
Total Claims
29,964
Providers
33
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 Richmond, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Virginia Commonwealth University Health System Authority
1250 E Marshall St |
$765.44 | 9,352 | 7,625 |
|
Bon Secours St. Mary'S Hospital Of Richmond Llc
5801 Bremo Rd |
$486.73 | 7,271 | 6,259 |
|
Chippenham & Johnston-Willis Hospitals Inc
7101 Jahnke Rd |
$484.45 | 4,344 | 3,937 |
|
Hca Health Services Of Virginia Inc
1602 Skipwith Rd |
$610.86 | 2,686 | 2,491 |
|
Gregg A Valenzuela
7702 E Parham Rd |
$195.90 | 1,475 | 1,464 |
|
Puneet Basi
1600 Wilkes Ridge Dr Ste 200 |
$126.02 | 832 | 813 |
|
Carl B Rountree
5875 Bremo Rd |
$84.06 | 627 | 528 |
|
Doumit S. Bouhaidar
1250 E Marshall St |
$68.09 | 563 | 491 |
|
Juan F Villalona
7229 Forest Ave Ste 106 |
$106.08 | 445 | 437 |
|
Henry M Ellett
201 Wadsworth Dr |
$52.88 | 410 | 302 |
|
Sanjeev K. Jairath
9105 Stony Point Dr |
$72.55 | 274 | 231 |
|
Rufus C Davis
201 Wadsworth Dr |
$63.62 | 237 | 185 |
|
Ravi K Vachhani
1250 E Marshall St |
$78.42 | 216 | 188 |
|
Puneet Kumar
1010 N Thompson St |
$71.70 | 204 | 171 |
|
Narendra Babu Vadlamudi
1250 E Marshall St |
$95.41 | 190 | 168 |
|
Gayathri Krishnaveni Naraparaju
5855 Bremo Rd Ste 605 |
$69.76 | 149 | 116 |
|
Andy Thanjan
5855 Bremo Rd Ste 706 |
$57.68 | 121 | 86 |
|
Jennifer L. Salluzzo
1250 E Marshall St |
$97.49 | 85 | 79 |
|
Bimaljit S Sandhu
5875 Bremo Rd Ste 601 |
$89.03 | 81 | 74 |
|
Milan Patel
1001 E Leigh St |
$84.78 | 70 | 61 |
|
Sasha Kareshma Mangray
8700 Stony Point Pkwy |
$45.83 | 69 | 49 |
|
Flora Klara Szabo
1250 E Marshall St |
$97.79 | 52 | 49 |
|
Michael T Farrell
7611 Forest Ave Ste 320 |
$87.25 | 47 | 42 |
|
Kathleen A. Moyer
1000 E Broad St |
$83.14 | 29 | 26 |
|
Ben Persons Bradenham
7611 Forest Ave Ste 410 |
$58.06 | 17 | 12 |
|
Michael S. Manetas
1010 N Thompson St |
$44.12 | 17 | 12 |
|
David J. Mcgroarty
5875 Bremo Rd Ste 601 |
$42.50 | 16 | 12 |
|
Guilherme Da Silva Mazzini
Vcu Dept Of Surgery |
$96.53 | 16 | 16 |
|
Hamza Khalid
5855 Bremo Rd Ste 706 |
$46.02 | 15 | 12 |
|
Souheil Ghandour Abou Assi
6602 W Broad St Ste B |
$68.44 | 15 | 13 |
|
Christopher Lee Young
417 N 11Th St |
$69.53 | 14 | 12 |
|
Christopher D. Lyons
107 Wadsworth Dr |
$73.16 | 13 | 12 |
|
Guilherme M. Rocha Campos
1250 E Marshall St |
$93.58 | 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 Richmond, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Richmond, VA is $505.38 per claim, based on 29,964 claims from 33 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 Richmond, VA?
There are 33 Medicaid providers offering Upper Endoscopy (EGD) related services in Richmond, VA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Richmond, VA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Richmond, VA ranges from $42.50 to $765.44 per claim, with an average of $505.38. 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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