Average Medicaid Upper Endoscopy (EGD) Payments in Riverside, CA: $297.04
Avg. Paid
$297.04
Range
$13.91 – $754.10
Total Claims
17,000
Providers
18
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 Riverside, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Benjamin Chung Md Inc
4244 Riverwalk Pkwy |
$754.10 | 3,460 | 3,404 |
|
Benjamin Chung
4500 Brockton Ave |
$269.08 | 3,308 | 3,271 |
|
Brockton Endoscopy Surgery Center Lp
6958 Brockton Ave |
$182.53 | 2,662 | 2,349 |
|
Doctors Hospital Of Riverside Llc
3865 Jackson St |
$88.80 | 1,374 | 1,341 |
|
Riverside Healthcare System, L.P.
4445 Magnolia Ave |
$27.78 | 1,338 | 1,319 |
|
Glenwood Surgical Center L P
8945 Magnolia Ave Ste 200 |
$330.42 | 1,236 | 1,209 |
|
Pejman Solaimani
6927 Brockton Ave Ste 2A |
$141.54 | 630 | 629 |
|
Ravi Thiruvengadam
6950 Brockton Ave Ste 3 |
$156.20 | 626 | 621 |
|
Jyothi Ahalya Reddy
9670 Magnolia Ave Ste 203 |
$145.24 | 602 | 594 |
|
Parkview Community Hospital Medical Center
3865 Jackson St |
$13.91 | 541 | 511 |
|
Shin-Chern Wang
4234 Riverwalk Pkwy Ste 120 |
$210.98 | 448 | 446 |
|
Galen Chung-Liang Huang
6958 Brockton Ave |
$159.58 | 372 | 369 |
|
Rakesh Chopra, M.D., Inc.
3975 Jackson St |
$162.62 | 177 | 174 |
|
Vinod Mishra
6958 Brockton Ave Ste 201 |
$137.05 | 123 | 123 |
|
Scott Hyunsoo Lee
4244 Riverwalk Pkwy Ste 290 |
$147.92 | 53 | 53 |
|
Ghanim Almohammad Aljomah
7117 Brockton Ave |
$192.26 | 24 | 24 |
|
Rmc Surgery Center, Llc
7160 Brockton Ave |
$188.50 | 14 | 14 |
|
Jean Bernadette U Ong Kian Koc
6405 Day St |
$25.83 | 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 Riverside, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Riverside, CA is $297.04 per claim, based on 17,000 claims from 18 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 Riverside, CA?
There are 18 Medicaid providers offering Upper Endoscopy (EGD) related services in Riverside, CA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Riverside, CA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Riverside, CA ranges from $13.91 to $754.10 per claim, with an average of $297.04. 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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