Average Medicaid Upper Endoscopy (EGD) Payments in Scottsdale, AZ: $261.87
Avg. Paid
$261.87
Range
$30.45 – $900.27
Total Claims
9,916
Providers
18
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 Scottsdale, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sherif Elhanafi
13400 E Shea Blvd |
$60.75 | 13 | 12 |
|
Mary-Jane Williams
13400 E Shea Blvd |
$262.92 | 29 | 28 |
|
Derek Landan
14301 N 87Th St |
$202.07 | 57 | 56 |
|
Rosita De Jesus Frazier
13400 E Shea Blvd |
$238.52 | 69 | 66 |
|
Amar Jitendra Thosani
3501 N Scottsdale Rd |
$92.74 | 70 | 62 |
|
Honorhealth
7400 E Thompson Peak Parkway |
$900.27 | 83 | 80 |
|
Anil Bellur Seetharam
9767 N 91St St |
$98.39 | 108 | 95 |
|
Sirish Rao
5111 N Scottsdale Rd Ste 151 |
$64.76 | 111 | 108 |
|
Digestive Health Specialists Endoscopy Center Arizona, Llc
8573 E Princess Dr |
$201.92 | 149 | 139 |
|
Prabhakar Swaroop
5111 N Scottsdale Rd Ste 151 |
$79.91 | 224 | 214 |
|
Jose Machain
3501 N Scottsdale Rd Ste 320 |
$91.81 | 284 | 277 |
|
Sharad Bellapravalu
13400 E Shea Blvd |
$82.42 | 315 | 279 |
|
Yilien Alonso
10752 N 89Th Pl Ste C134 |
$30.45 | 390 | 268 |
|
S Jaffrey Kazi
8761 E Bell Rd |
$87.90 | 1,136 | 1,041 |
|
Honorhealth
9003 E Shea Blvd |
$459.70 | 1,167 | 1,092 |
|
Honorhealth
7400 E Osborn Rd |
$566.55 | 1,433 | 1,345 |
|
Arizona Digestive Center, P.C.
8761 E Bell Rd |
$221.66 | 2,100 | 1,877 |
|
Scottsdale Surgical Partners Llc
8901 E. Raintree Dr. |
$200.05 | 2,178 | 2,062 |
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 Scottsdale, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Scottsdale, AZ is $261.87 per claim, based on 9,916 claims from 18 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 Scottsdale, AZ?
There are 18 Medicaid providers offering Upper Endoscopy (EGD) related services in Scottsdale, AZ according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Scottsdale, AZ?
Medicaid reimbursement for Upper Endoscopy (EGD) in Scottsdale, AZ ranges from $30.45 to $900.27 per claim, with an average of $261.87. 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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