Average Medicaid Upper Endoscopy (EGD) Payments in San Francisco, CA: $140.26
Avg. Paid
$140.26
Range
$0.40 – $944.87
Total Claims
9,561
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 San Francisco, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James K. Yan
728 Pacific Ave Ste 305 |
$7.38 | 1,656 | 1,653 |
|
Tarun Rustagi
1100 Van Ness Ave |
$534.38 | 1,581 | 1,320 |
|
Timothy Chen
2100 Webster St Ste 115 |
$46.32 | 778 | 770 |
|
University Of California San Francisco Medical Center
505 Parnassus Ave |
$96.58 | 714 | 703 |
|
San Francisco Endoscopy Center Llc
3468 California Street |
$14.43 | 699 | 686 |
|
Sutter West Bay Hospitals
2333 Buchanan Street |
$0.40 | 665 | 661 |
|
Dennis D Shen
909 Hyde St |
$135.62 | 662 | 662 |
|
City & County Of San Francisco
1001 Potrero Ave |
$6.21 | 352 | 348 |
|
Jesse Liu
2100 Webster St Ste 115 |
$6.28 | 307 | 301 |
|
Chinese Hospital Association
845 Jackson St |
$1.06 | 220 | 215 |
|
Lukejohn Welch Day
505 Parnassus Ave |
$51.75 | 207 | 206 |
|
Andy Liu
2351 Clay St |
$78.17 | 169 | 165 |
|
Golden Gate Endoscopy Center, Llc
3370 Geary Blvd |
$20.70 | 163 | 163 |
|
Dayana Othonie Carcamo-Molina
2351 Clay St Ste 380 |
$2.70 | 158 | 157 |
|
Kaiser Foundation Hospitals
2425 Geary Blvd |
$944.87 | 153 | 150 |
|
Justin Louis Sewell
1001 Potrero Ave |
$46.83 | 134 | 134 |
|
Jeffrey M Baumgardner
1001 Potrero Ave |
$25.05 | 129 | 129 |
|
Priya Kathpalia
1701 Divisadero St Ste 120 |
$156.75 | 106 | 104 |
|
Christina Chou
1100 Van Ness Ave Fl 3 |
$105.96 | 105 | 87 |
|
Shreya Patel
1001 Potrero Ave Bldg 5 |
$47.84 | 93 | 93 |
|
Ma Somsouk
1001 Potrero Ave # 3D-2 |
$75.32 | 85 | 85 |
|
John P. Cello
505 Parnassus Ave |
$31.21 | 82 | 80 |
|
Colin John Feuille
1001 Potrero Avenue |
$61.71 | 68 | 68 |
|
Dhruv Verma
2425 Geary Blvd |
$327.10 | 53 | 37 |
|
Mimi Lin
1100 Van Ness Ave Fl 5 |
$155.46 | 43 | 43 |
|
Michele May-Sien Tana
1001 Potrero Ave # 3D |
$54.11 | 38 | 38 |
|
Robert J Elsen
45 Castro St Ste 437 |
$36.45 | 38 | 38 |
|
Kendall Rhea Beck
505 Parnassus Ave |
$147.97 | 27 | 27 |
|
James W. Ostroff
350 Parnassus Ave |
$255.83 | 25 | 25 |
|
Sara Michelle Epstein Lewin
513 Parnassus Ave |
$170.90 | 14 | 14 |
|
Namrata Patel
550 16Th St |
$148.74 | 13 | 13 |
|
Waseem Ahmad
1701 Divisadero St Rm 120 |
$346.48 | 12 | 12 |
|
Jennifer Y Chen
400 Parnassus Ave Fl 7 |
$83.84 | 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 Francisco, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in San Francisco, CA is $140.26 per claim, based on 9,561 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 San Francisco, CA?
There are 33 Medicaid providers offering Upper Endoscopy (EGD) related services in San Francisco, CA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in San Francisco, CA?
Medicaid reimbursement for Upper Endoscopy (EGD) in San Francisco, CA ranges from $0.40 to $944.87 per claim, with an average of $140.26. 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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Office Visit
Avg $27.38
4,381,925 claims
Substance Abuse Treatment
Avg $24.87
3,627,413 claims
Blood Work & Lab Tests
Avg $9.39
1,330,034 claims
Emergency Room Visit
Avg $99.86
864,304 claims
Case Management Services
Avg $219.34
857,389 claims
X-Ray
Avg $10.29
837,190 claims
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Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims