Average Medicaid Upper Endoscopy (EGD) Payments in San Antonio, TX: $135.53
Avg. Paid
$135.53
Range
$23.90 – $515.53
Total Claims
3,510
Providers
23
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 San Antonio, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maan Khatib
4410 Medical Dr Ste 540 |
$133.18 | 1,250 | 1,225 |
|
Antonio Serna
520 E Euclid Ave |
$80.15 | 615 | 589 |
|
Orlando Cortes
540 Madison Oak Dr Ste 620 |
$117.54 | 392 | 389 |
|
Meher Sindhoora Mavuram
621 Camden St Ste 202 |
$264.60 | 235 | 217 |
|
Nael Nabeel Haddad
4502 Medical Dr |
$144.05 | 201 | 201 |
|
Chad Best
540 Madison Oak Dr Ste 620 |
$118.21 | 150 | 147 |
|
Myriam Soraya Barragan
903 W Martin St |
$206.79 | 113 | 109 |
|
Jay Naresh Shah
903 W Martin St |
$157.78 | 109 | 107 |
|
Mohammad R Taheri
520 E Euclid Ave |
$87.06 | 94 | 92 |
|
Ernesto Guerra
520 E Euclid Ave |
$69.10 | 70 | 70 |
|
Gerardo E Carcamo
11212 State Hwy 151 |
$515.53 | 43 | 42 |
|
Damodar Pandey
520 E Euclid Ave |
$83.76 | 41 | 38 |
|
Sajneet Kaur Khangura
11212 State Highway 151 |
$125.17 | 36 | 30 |
|
Amy H. Issa
903 W Martin St |
$101.16 | 28 | 27 |
|
Richard J Noel
333 N Santa Rosa |
$121.12 | 28 | 28 |
|
Muhammad Naeem
11212 State Hwy. 151 |
$144.02 | 14 | 13 |
|
Bexar County Hospital District
4502 Medical Dr |
$119.02 | 14 | 13 |
|
Steven R. Ramos
520 E Euclid Ave |
$84.18 | 14 | 13 |
|
Anshu Maheshwari
333 N Santa Rosa |
$133.99 | 13 | 13 |
|
Joseph Keith Wright
11212 State Hwy 151 |
$469.01 | 13 | 13 |
|
Amit Goyal
621 Camden St |
$55.12 | 13 | 13 |
|
Richard L Otero
520 E Euclid Ave |
$23.90 | 12 | 12 |
|
Javier J Monagas
333 N. Santa Rosa St |
$114.57 | 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 San Antonio, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in San Antonio, TX is $135.53 per claim, based on 3,510 claims from 23 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 San Antonio, TX?
There are 23 Medicaid providers offering Upper Endoscopy (EGD) related services in San Antonio, TX according to public payment data.
What is the price range for Upper Endoscopy (EGD) in San Antonio, TX?
Medicaid reimbursement for Upper Endoscopy (EGD) in San Antonio, TX ranges from $23.90 to $515.53 per claim, with an average of $135.53. 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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