Average Medicaid Upper Endoscopy (EGD) Payments in Sacramento, CA: $168.97
Avg. Paid
$168.97
Range
$0.00 – $719.83
Total Claims
16,930
Providers
49
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 Sacramento, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonathan Sam Davidson
2288 Auburn Blvd Ste 101 |
$131.23 | 5,619 | 4,699 |
|
Regents Of The University Of California
2315 Stockton Blvd |
$103.47 | 1,609 | 1,602 |
|
Gastro Physicians Of California, Inc.
2288 Auburn Blvd Ste 101 |
$298.40 | 1,498 | 915 |
|
Rekha Cheruvattath
8120 Timberlake Way Ste 101 |
$251.48 | 1,375 | 1,264 |
|
Rana Khan
8118 Timberlake Way Ste 210 |
$93.23 | 1,205 | 1,181 |
|
Yinka K Davies
5767 Greenback Ln |
$146.89 | 1,097 | 882 |
|
G S S C Ltd Partnership
2288 Auburn Blvd |
$396.68 | 617 | 545 |
|
Rana Mahfooz Ali Khan
3000 Q St |
$49.30 | 571 | 562 |
|
Thomas J Imperato
8120 Timberlake Way |
$287.49 | 387 | 358 |
|
David Kawatu
2521 Stockton Blvd |
$270.90 | 361 | 320 |
|
Nivano Ambulatory Surgery Center, Lp
77 Cadillac Dr |
$261.25 | 275 | 264 |
|
Thimmaiah Ganapathi Theethira
8120 Timberlake Way Ste 107 |
$32.30 | 256 | 252 |
|
Abhinav Koul
4150 V St Ste 3500 |
$248.35 | 240 | 230 |
|
Kiran Mudambi
2516 Stockton Blvd |
$70.03 | 211 | 208 |
|
Sutter Bay Medical Foundation
1315 Alhambra Blvd Ste 210 |
$61.99 | 178 | 177 |
|
Sutter Valley Hospitals
2825 Capitol Avenue |
$129.33 | 174 | 164 |
|
Dignity Health Medical Foundation
3000 Q St |
$6.25 | 141 | 140 |
|
Shruti Pravinkumar Patel
4150 V St # 1110 |
$250.51 | 116 | 111 |
|
Hisham Hussan
3160 Folsom Blvd Ste 3500 |
$119.16 | 112 | 109 |
|
Ashwani Kapoor
3000 Q St Fl 2 |
$25.98 | 110 | 109 |
|
Patrick Kai-Ming Mccabe
8120 Timberlake Way Ste 101 |
$92.56 | 103 | 86 |
|
Rama Rao Ganga
1201 Alhambra Blvd |
$378.89 | 59 | 56 |
|
De Tan
2725 Capitol Ave Dept 300 |
$109.11 | 55 | 55 |
|
Johnathan Wei Zhang
3000 Q St Fl 3 |
$35.87 | 48 | 48 |
|
Fort Sutter Surgery Center A California Limited Partnership
2801 K St |
$313.17 | 48 | 48 |
|
Palaniappan Manickam
3000 Q St Fl 2 |
$36.78 | 39 | 39 |
|
Juan Carlos Garcia
4150 V St |
$132.62 | 38 | 38 |
|
Huy Duc Hoang
7601 Hospital Dr Ste 203 |
$171.33 | 35 | 33 |
|
Dignity Community Care
7500 Hospital Dr |
$688.49 | 33 | 33 |
|
Aram Nathaniel Millstein
4400 V St |
$0.00 | 26 | 26 |
|
Loc Ton
6600 Bruceville Rd |
$372.88 | 26 | 26 |
|
Cindy Piao
6600 Bruceville Rd |
$627.00 | 26 | 26 |
|
Marina Panopoulos
1625 Stockton Blvd |
$62.33 | 26 | 26 |
|
Lybil Briscia Mendoza Alvarez
1625 Stockton Blvd Ste 105 |
$127.84 | 25 | 24 |
|
Christopher Aoki
4150 V St |
$76.57 | 14 | 13 |
|
Stephanie Mai
2725 Capitol Ave Dept 300 |
$355.09 | 14 | 14 |
|
Altaf Jan
2725 Capitol Ave |
$219.10 | 14 | 14 |
|
Arthur John Delorimier
2516 Stockton Blvd |
$192.66 | 14 | 14 |
|
Sacramento Pediatric Gastroenterology,Inc.
5767 Greenback Ln |
$366.19 | 14 | 14 |
|
Trinh Thi Truong
2516 Stockton Blvd |
$306.38 | 13 | 13 |
|
Alexander Kuo
4150 V St |
$105.79 | 12 | 12 |
|
Sunpreet Kaur
2516 Stockton Blvd |
$87.59 | 12 | 12 |
|
Sirisha Grandhe
2315 Stockton Blvd |
$280.00 | 12 | 12 |
|
Sadha Tivakaran
2025 Morse Ave |
$148.71 | 12 | 12 |
|
Thomas P Prindiville
4150 V Street, Ste 3500 |
$164.95 | 12 | 12 |
|
Sheeva Johnson
6600 Bruceville Rd |
$707.83 | 12 | 12 |
|
Abdul M Khaleq
2725 Capitol Ave |
$190.19 | 12 | 12 |
|
Andrew S. Chao
4150 V St Ste 3500 |
$334.67 | 12 | 12 |
|
Linda Lee
3000 Q St |
$719.83 | 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 Sacramento, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Sacramento, CA is $168.97 per claim, based on 16,930 claims from 49 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 Sacramento, CA?
There are 49 Medicaid providers offering Upper Endoscopy (EGD) related services in Sacramento, CA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Sacramento, CA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Sacramento, CA ranges from $0.00 to $719.83 per claim, with an average of $168.97. 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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