Average Medicaid Upper Endoscopy (EGD) Payments in San Diego, CA: $268.12
Avg. Paid
$268.12
Range
$0.00 – $430.77
Total Claims
39,355
Providers
39
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 Diego, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Euclid Endoscopy Center, Lp
286 Euclid Ave Ste 109 |
$430.77 | 14,607 | 14,332 |
|
Carlton Wayne Thomas
292 Euclid Ave Ste 115 |
$203.14 | 3,816 | 3,810 |
|
Taddese Teferi Desta
292 Euclid Ave |
$206.71 | 3,772 | 3,770 |
|
Katherine Marie Shaffer
292 Euclid Ave Ste 115 |
$201.17 | 3,370 | 3,361 |
|
Naveen Gara
200 W Arbor Dr |
$180.98 | 3,099 | 3,089 |
|
Regents Of The University Of California
200 West Arbor Drive |
$94.73 | 2,336 | 2,273 |
|
Cynthia Lynn Schaeffer
292 Euclid Ave |
$197.90 | 1,758 | 1,755 |
|
Genesis Healthcare Partners Pc
3444 Kearny Villa Rd Ste 202 |
$37.06 | 1,427 | 1,386 |
|
Ananthram Pottipati Reddy
6699 Alvarado Rd Ste 2301 |
$166.14 | 1,390 | 1,380 |
|
Simon M Ritchken
4282 Genesee Ave |
$179.81 | 686 | 686 |
|
Scripps Health
4077 5Th Ave |
$153.90 | 491 | 467 |
|
David A Bernstein
4520 Executive Dr Ste 211 |
$202.90 | 348 | 348 |
|
Tuan Nguyen
4141 Fairmount Ave |
$153.16 | 324 | 321 |
|
Rady Children'S Hospital San Diego
3020 Childrens Way # 5002 |
$175.89 | 288 | 280 |
|
Maria Lourdes Herrera
3020 Childrens Way # Mc5124 |
$258.59 | 240 | 240 |
|
Luis Omar Chavez
292 Euclid Ave Ste 115 |
$203.33 | 209 | 209 |
|
Ranjan Dohil
8110 Birmingham Way |
$176.26 | 204 | 199 |
|
Sajiv Chandradas
4060 4Th Ave Ste 240 |
$137.04 | 202 | 202 |
|
Rady Children'S Hospital San Diego
3020 Childrens Way |
$1.41 | 149 | 146 |
|
Joshua David Penfield
2929 Health Center Dr |
$52.92 | 90 | 88 |
|
Michael Abel Chang
200 W Arbor Dr |
$84.81 | 68 | 68 |
|
Fady Youssef
200 W Arbor Dr. |
$91.13 | 57 | 57 |
|
Derek R Patel
200 W Arbor Dr |
$123.45 | 51 | 51 |
|
Hyun Sil Kim
8008 Frost St |
$136.76 | 43 | 42 |
|
Sharp Memorial Hospital
7901 Frost St |
$152.13 | 41 | 41 |
|
Faizi Mohaimen Hai
4060 4Th Ave Ste 240 |
$139.83 | 39 | 39 |
|
Koorosh Kooros
8110 Birmingham Way |
$153.99 | 38 | 38 |
|
Meng Hua
6699 Alvarado Rd Ste 2306 |
$191.63 | 36 | 36 |
|
Tom Kuoyuan Lin
3030 Childrens Way |
$138.74 | 31 | 30 |
|
Richard Joel Snyder
8008 Frost St |
$185.62 | 24 | 24 |
|
Ethan Israel Bortniker
200 W Arbor Dr |
$62.85 | 17 | 15 |
|
Lillian Jeong Choi
8110 Birmingham Way |
$135.19 | 16 | 16 |
|
Angela Lee Chu
3030 Childrens Way |
$178.76 | 13 | 12 |
|
Shyam Ramesh Patel
7901 Frost St |
$245.26 | 13 | 13 |
|
Alvarado Hospital, Llc
6655 Alvarado Rd |
$90.71 | 13 | 13 |
|
Jocelyn Antoinette Young
3030 Childrens Way |
$79.28 | 13 | 13 |
|
Amir H. Jazayeri
3030 Childrens Way |
$151.09 | 12 | 12 |
|
Armen Eskandari
200 W Arbor Dr |
$70.21 | 12 | 12 |
|
Nghia Hoang Nguyen
200 W Arbor Dr |
$0.00 | 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 Diego, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in San Diego, CA is $268.12 per claim, based on 39,355 claims from 39 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 Diego, CA?
There are 39 Medicaid providers offering Upper Endoscopy (EGD) related services in San Diego, CA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in San Diego, CA?
Medicaid reimbursement for Upper Endoscopy (EGD) in San Diego, CA ranges from $0.00 to $430.77 per claim, with an average of $268.12. 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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Avg $4.97
35,607,223 claims
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Avg $33.35
6,429,225 claims
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Avg $1.06
5,271,070 claims
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Avg $16.23
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X-Ray
Avg $14.53
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Emergency Room Visit
Avg $104.48
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Avg $88.82
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