Average Medicaid Upper Endoscopy (EGD) Payments in Stanford, CA: $141.66
Avg. Paid
$141.66
Range
$36.55 – $406.10
Total Claims
3,232
Providers
21
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 Stanford, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tahereh Ghaziani
300 Pasteur Dr |
$207.08 | 12 | 12 |
|
Monique Theresa Barakat
300 Pasteur Dr |
$214.50 | 12 | 12 |
|
Frank Chen
300 Pasteur Dr |
$97.73 | 12 | 12 |
|
Damanpreet Kaur Grewal
300 Pasteur Dr |
$195.24 | 14 | 14 |
|
Margaret Jiemin Zhou
300 Pasteur Dr |
$159.43 | 15 | 15 |
|
Aaron Justin Yeoh
300 Pasteur Dr |
$183.23 | 25 | 25 |
|
Afrin Nahar Kamal
300 Pasteur Dr |
$173.64 | 26 | 26 |
|
Karen Chunguhn Kim
300 Pasteur Dr |
$99.52 | 77 | 77 |
|
Andrea Portocarrero Castillo
300 Pasteur Dr |
$119.00 | 77 | 77 |
|
David Edward Goldenberg
300 Pasteur Dr |
$173.55 | 80 | 80 |
|
Jennifer Haw Lai
300 Pasteur Dr |
$79.62 | 95 | 52 |
|
David Stanley Shields
300 Pasteur Dr |
$201.78 | 96 | 92 |
|
Stanford Health Care
300 Pasteur Dr |
$406.10 | 97 | 90 |
|
Ann M Chen
300 Pasteur Dr |
$46.62 | 104 | 103 |
|
Mike Tzuhen Wei
300 Pasteur Dr |
$132.97 | 120 | 120 |
|
Sharareh Moraveji
300 Pasteur Dr |
$108.43 | 228 | 223 |
|
Robert Lerrigo
300 Pasteur Dr |
$36.55 | 268 | 267 |
|
Andrew Ofosu
300 Pasteur Dr |
$169.26 | 366 | 340 |
|
Elizabeth Wonie Hwang
300 Pasteur Dr |
$40.39 | 445 | 442 |
|
Subhas Banerjee
300 Pasteur Dr |
$103.24 | 485 | 482 |
|
Vijay Raveendran Pottathil
300 Pasteur Dr |
$268.23 | 578 | 552 |
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 Stanford, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Stanford, CA is $141.66 per claim, based on 3,232 claims from 21 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 Stanford, CA?
There are 21 Medicaid providers offering Upper Endoscopy (EGD) related services in Stanford, CA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Stanford, CA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Stanford, CA ranges from $36.55 to $406.10 per claim, with an average of $141.66. 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
Other Procedures in Stanford, CA
Blood Work & Lab Tests
Avg $11.63
860,058 claims
X-Ray
Avg $10.01
606,397 claims
Office Visit
Avg $35.97
570,196 claims
Emergency Room Visit
Avg $105.79
411,677 claims
CT Scan (Computed Tomography)
Avg $92.03
305,952 claims
EKG / ECG (Electrocardiogram)
Avg $14.91
284,988 claims
Urinalysis & Urine Tests
Avg $5.54
137,865 claims
Pathology & Lab Services
Avg $42.94
136,205 claims