Average Medicaid Upper Endoscopy (EGD) Payments in Saint Louis, MO: $248.09
Avg. Paid
$248.09
Range
$36.37 – $1,037
Total Claims
7,664
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 Saint Louis, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elizabeth Marsicano
3635 Vista Ave |
$220.34 | 12 | 12 |
|
Ronald John Gould
1035 Bellevue Ave |
$218.49 | 12 | 12 |
|
Richard Paul Rood
1 Barnes Jewish Hospital Plz |
$63.37 | 12 | 12 |
|
Nisha Mangalat
1465 S Grand Blvd |
$270.31 | 12 | 12 |
|
Michael Ansstas
11155 Dunn Rd Ste 309E |
$182.38 | 13 | 13 |
|
Kishore Maganty
522 N New Ballas Rd Ste 210 |
$66.83 | 14 | 12 |
|
W. Richard Sylvanovich
2821 N Ballas Rd Ste 110 |
$456.20 | 14 | 14 |
|
Priyanka Tiwari
615 S New Ballas Rd Ste 1200 |
$259.30 | 18 | 16 |
|
Matthew A Lange
456 N New Ballas Rd Ste 386 |
$535.75 | 25 | 25 |
|
Meryl Kersten Perlman
1 Childrens Pl |
$690.64 | 26 | 26 |
|
Nicole Tsein Shen
1034 S Brentwood Blvd Ste 555 |
$148.46 | 29 | 25 |
|
Fernando Rafael Medina Carbonell
1465 S Grand Blvd |
$715.98 | 31 | 28 |
|
Yazan A Abdalla
10012 Kennerly Rd |
$277.46 | 34 | 33 |
|
Shannon Marie Joerger
1 Childrens Pl |
$1,037 | 39 | 39 |
|
Laura Albert Duckworth
1 Childrens Pl |
$647.27 | 42 | 42 |
|
Deepu Sudhakaran
10004 Kennerly Rd Ste 295B |
$237.23 | 43 | 40 |
|
Sami Ali Almaskeen
915 N Grand Blvd |
$91.60 | 51 | 51 |
|
Olayiwola C Olagbegi
11155 Dunn Rd Ste 309E |
$163.23 | 51 | 50 |
|
Jeffrey Teckman
1465 S Grand Blvd |
$256.33 | 57 | 56 |
|
Mohammad Tarik Alam Firozi
763 S New Ballas Rd |
$160.23 | 69 | 65 |
|
Youssef Assioun
10012 Kennerly Rd Ste 102 |
$115.85 | 98 | 95 |
|
Ryan T Pitman
615 S New Ballas Rd Ste Y-G230 |
$408.75 | 119 | 108 |
|
Jose Javier Derdoy
615 S New Ballas Rd |
$737.53 | 175 | 173 |
|
Jason Gary Bill
1 Barnes Jewish Hospital Plz |
$182.56 | 185 | 155 |
|
Stephen Lawler Hasak
1 Barnes Jewish Hospital Plz |
$101.51 | 215 | 213 |
|
Aaron B Greenspan
1 Barnes Jewish Hospital Plz |
$174.95 | 329 | 306 |
|
Giao Vuong
6400 Clayton Rd Ste 216 |
$220.05 | 475 | 425 |
|
Joel Riley
6400 Clayton Rd |
$184.67 | 534 | 488 |
|
Mohammad Kashif Ismail
1 Barnes Jewish Hospital Plz |
$36.37 | 606 | 447 |
|
Naeem Aslam
11155 Dunn Rd Ste 300 |
$143.36 | 720 | 640 |
|
Brendan Ryan Harris
615 S New Ballas Rd Fl Y-G230 |
$337.32 | 889 | 862 |
|
Jhony Y Doumit
10012 Kennerly Rd Ste 102 |
$104.38 | 1,060 | 897 |
|
Amana N Nasir
615 S New Ballas Rd |
$394.43 | 1,655 | 1,627 |
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 Saint Louis, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Saint Louis, MO is $248.09 per claim, based on 7,664 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 Saint Louis, MO?
There are 33 Medicaid providers offering Upper Endoscopy (EGD) related services in Saint Louis, MO according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Saint Louis, MO?
Medicaid reimbursement for Upper Endoscopy (EGD) in Saint Louis, MO ranges from $36.37 to $1,037 per claim, with an average of $248.09. 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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