Average Medicaid Upper Endoscopy (EGD) Payments in Staten Island, NY: $549.90
Avg. Paid
$549.90
Range
$53.71 – $964.15
Total Claims
5,791
Providers
13
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 Staten Island, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Staten Island University Hospital
475 Seaview Ave |
$611.73 | 2,572 | 2,554 |
|
Richmond Medical Center
355 Bard Ave |
$964.15 | 1,136 | 1,132 |
|
Anu Sampat
305 Seguine Ave |
$312.22 | 863 | 857 |
|
Sherif A Farag
5091 Amboy Rd |
$263.89 | 771 | 762 |
|
Mira Alsheikh
475 Seaview Ave |
$53.71 | 166 | 163 |
|
Michael Tyshkov
584 Forest Ave |
$168.75 | 79 | 79 |
|
Liliane Sarkis Deeb
4106 Hylan Blvd |
$129.66 | 57 | 56 |
|
Youssef El Douaihy
475 Seaview Ave |
$104.13 | 53 | 53 |
|
Iskandar Barakat
475 Seaview Ave |
$59.70 | 41 | 41 |
|
Jean Chalhoub
475 Seaview Avenue |
$76.37 | 15 | 15 |
|
Sherin Daniel
2460 Hylan Blvd |
$132.66 | 13 | 13 |
|
Sherif Abotaga Andrawes
475 Seaview Ave |
$116.71 | 13 | 13 |
|
Hassan Al Moussawi
475 Seaview Ave |
$78.61 | 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 Staten Island, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Staten Island, NY is $549.90 per claim, based on 5,791 claims from 13 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 Staten Island, NY?
There are 13 Medicaid providers offering Upper Endoscopy (EGD) related services in Staten Island, NY according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Staten Island, NY?
Medicaid reimbursement for Upper Endoscopy (EGD) in Staten Island, NY ranges from $53.71 to $964.15 per claim, with an average of $549.90. 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 Staten Island, NY
Home Health Visit
Avg $172.13
4,076,849 claims
Office Visit
Avg $79.09
2,187,504 claims
Physical Therapy
Avg $29.38
1,016,273 claims
Blood Work & Lab Tests
Avg $12.64
775,473 claims
Psychiatric Evaluation
Avg $136.47
770,133 claims
Substance Abuse Treatment
Avg $61.61
735,524 claims
Ambulance Transport
Avg $68.77
602,608 claims
Emergency Room Visit
Avg $136.33
532,721 claims