Average Medicaid Upper Endoscopy (EGD) Payments in Seattle, WA: $297.59
Avg. Paid
$297.59
Range
$37.82 – $615.92
Total Claims
28,654
Providers
40
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 Seattle, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Swedish Health Services
747 Broadway |
$366.52 | 6,088 | 5,947 |
|
University Of Washington
1959 Ne Pacific St |
$331.30 | 4,638 | 4,506 |
|
Harborview Medical Center
325 9Th Ave |
$306.43 | 3,617 | 3,486 |
|
Seattle Children'S Hospital
4800 Sand Point Way Ne |
$615.92 | 3,570 | 3,527 |
|
Virginia Mason Medical Center
925 Seneca St |
$204.36 | 2,452 | 2,271 |
|
Abhishek Seth
904 7Th Ave |
$51.38 | 1,735 | 1,710 |
|
Nandakumar Srinivasan
1100 9Th Ave |
$207.73 | 1,715 | 1,495 |
|
Michael Keith Pickens
4800 Sand Point Way Ne |
$283.32 | 826 | 819 |
|
Seyed Abdol Reza Jalali
1550 N 115Th St |
$59.96 | 611 | 606 |
|
Rubeela Malik
125 16Th Ave E |
$55.70 | 575 | 525 |
|
Dian Jung Chiang
1221 Madison St Ste 1220 |
$52.82 | 401 | 396 |
|
Kunjali T Padhya
1221 Madison St Ste 1220 |
$53.73 | 352 | 345 |
|
Pacmed Clinics
1101 Madison St Ste 400 |
$189.02 | 325 | 318 |
|
Lulu Iles-Shih
1221 Madison St |
$56.68 | 192 | 189 |
|
Gorav Kalra
410 9Th Ave |
$49.44 | 174 | 173 |
|
Maximilian Lee
747 Broadway |
$74.76 | 162 | 161 |
|
Yutaka Tomizawa
325 9Th Ave |
$42.45 | 140 | 138 |
|
Bryan L Balmadrid
410 9Th Ave N |
$47.59 | 137 | 137 |
|
Nicole Pattamanuch
4800 Sand Point Way Ne |
$65.40 | 107 | 105 |
|
Ghassan Wahbeh
4800 Sand Point Way Ne |
$63.29 | 103 | 102 |
|
Sravanthi Parasa
1221 Madison St Ste 1220 |
$58.02 | 92 | 91 |
|
Harry L Teicher
747 Broadway |
$43.74 | 80 | 79 |
|
Travis Loyd Piester
4800 Sand Point Way Ne |
$107.45 | 74 | 74 |
|
Nicholas J Procaccini
1221 Madison St Ste 1220 |
$56.99 | 70 | 70 |
|
Mark David Derleth
1959 Ne Pacific St |
$60.08 | 63 | 63 |
|
Mohit Girotra
1221 Madison St Ste 1220 |
$37.82 | 56 | 56 |
|
Jennifer K Kennedy
1221 Madison St Ste 1220 |
$53.47 | 39 | 38 |
|
Richard W Tobin
11027 Meridian Ave N |
$55.54 | 39 | 39 |
|
Vikram Anand
1100 9Th Ave |
$43.89 | 31 | 28 |
|
Rohit Sharda
1221 Madison St Ste 1220 |
$54.39 | 27 | 27 |
|
Jason William Harper
1221 Madison St Ste 1220 |
$43.55 | 26 | 26 |
|
Nicole Green
4800 Sand Point Way Ne |
$69.60 | 24 | 24 |
|
Elisa K Boden
1100 9Th Ave |
$62.82 | 17 | 15 |
|
Jasmine Kai-Tse Zia
1221 Madison St Ste 1220 |
$57.70 | 16 | 16 |
|
Hannibal Person
4800 Sand Point Way Ne |
$88.73 | 15 | 15 |
|
Glen Adrian Lutchman
1124 Columbia St Ste 600 |
$59.56 | 14 | 14 |
|
Johannes Koch
1100 9Th Ave |
$54.57 | 13 | 13 |
|
Mitra Barahimi
1959 Ne Pacific St |
$50.28 | 13 | 13 |
|
Margaret Desiree Eugenio
1959 Ne Pacific St |
$51.16 | 13 | 13 |
|
Kendra Francis
4800 Sand Point Way Ne |
$82.48 | 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 Seattle, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Seattle, WA is $297.59 per claim, based on 28,654 claims from 40 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 Seattle, WA?
There are 40 Medicaid providers offering Upper Endoscopy (EGD) related services in Seattle, WA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Seattle, WA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Seattle, WA ranges from $37.82 to $615.92 per claim, with an average of $297.59. 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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