Based on public Medicaid payment data.

Average Medicaid Upper Endoscopy (EGD) Payments in San Juan, PR: $289.60

Avg. Paid

$289.60

Range

$51.22 – $367.31

Total Claims

12,587

Providers

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 Juan, PR

Provider	Avg. Paid	Claims	Patients
Denise Baez Garcia Medical Center Udh Adult 2 Hipaa Office	$51.22	12	12
Rosalyn Diaz 684 Calle Merida	$245.38	13	13
Benjamin Muniz Roldos 150 Ave De Diego	$100.00	13	13
Recinto De Ciencias Medicas Centro Medico De Pr Edif Principal	$288.07	15	12
Henry Gonzalez-Rivera 200 Ave W Churchill	$199.51	16	14
Victor Luis Carlo Torre Medica Auxilio Mutuo Suite 816	$224.28	17	16
Lmv Gastroenterology Psc 1449 Calle Americo Salas Ste 103	$290.00	24	24
Hato Rey Medical Gastro,Csp 735 Ave Ponce De Leon Ste 809	$274.41	25	25
San Jorge Associates 258 Calle San Jorge	$100.96	26	25
Hamid Galib 1801 Ave Ponce De Leon	$77.89	27	27
Ian Carlos Padial Doble University District Hospital	$202.50	28	28
Julia Haydee Maldonado-Alejandro Anestesia Rcm	$104.85	34	34
Miguel A. Marrero - Rivera Anesthesiology Department Suite 983	$98.27	50	24
Lymari Vargas-Rivera 550 Calle Sergio Cuevas	$70.78	51	30
Javier Antonio Cerra-Franco Centro Comprensivo De Cancer De Puerto Rico	$282.93	54	49
Vasco Eguia Moreda 1607 Ave Ponce De Leon Ste Gm04	$333.35	66	56
Allan Santiago 29 Calle Washington Ste 705	$317.70	97	87
Rodolfo Estremera-Marcial 1801 Santurce Medical Mall	$329.33	143	141
Fernando J Bonilla-Valentin 10 Calle Casia	$356.27	158	150
Pablo J Costas 1056 Ave Munoz Rivera	$277.00	162	159
Carlos J Fernandez-Cruz 1801 Ave Ponce De Leon Ste 409-410	$327.24	350	321
Fernando Ramos-Mercado 400 Ave Fd Roosevelt	$329.40	429	410
Walisbeth Class-Vazquez 239 Arterial Hostos Ave	$305.13	500	424
Luis Vargas Bird 275 Calle Jilguero	$95.52	591	466
Rafael Cordero-Arill University Of Puerto Rico Medical Sciences Campus	$225.36	617	585
Reinaldo Ramirez Amill Centro Medico	$367.31	815	761
Carlos Laboy-Olivieri 8050 Cond San Juan Chalets	$232.23	1,019	975
Myriam Villafana-Suarez 400 Ave Fd Roosevelt	$328.44	1,257	1,170
Instituto De Gastroenterologia De P.R. 400 Ave F.D. Roosevelt Ave.	$280.35	1,376	1,357
Jose M Vega-Martinez University District Hospital	$306.70	1,869	1,737
Eladio Perez Cruz 1449 Calle Americo Salas	$316.27	2,733	2,616

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 Juan, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in San Juan, PR is $289.60 per claim, based on 12,587 claims from 31 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 Juan, PR?

There are 31 Medicaid providers offering Upper Endoscopy (EGD) related services in San Juan, PR according to public payment data.

What is the price range for Upper Endoscopy (EGD) in San Juan, PR?

Medicaid reimbursement for Upper Endoscopy (EGD) in San Juan, PR ranges from $51.22 to $367.31 per claim, with an average of $289.60. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Upper Endoscopy (EGD) Payments in San Juan, PR: $289.60

Providers Offering Upper Endoscopy (EGD) in San Juan, PR

What to Expect: Upper Endoscopy (EGD)

Cost Components

Frequently Asked Questions

Upper Endoscopy (EGD) in Other Cities

Brooklyn, NY

New York, NY

Flushing, NY

Phoenix, AZ

Bakersfield, CA

Los Angeles, CA

Tucson, AZ

Detroit, MI

Other Procedures in San Juan, PR

Office Visit

Blood Work & Lab Tests

Pathology & Lab Services

Dental Cleaning & Exam

X-Ray

Emergency Room Visit

Urinalysis & Urine Tests

Eye Exam