Average Medicaid Upper Endoscopy (EGD) Payments in Tacoma, WA: $216.07
Avg. Paid
$216.07
Range
$34.58 – $651.95
Total Claims
17,963
Providers
27
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 Tacoma, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Western Washington Endoscopy Centers Llc
3209 South 23Rd St |
$213.87 | 3,214 | 3,127 |
|
Multicare Health System
317 Martin Luther King Jr Way |
$651.95 | 2,825 | 2,807 |
|
Franciscan Health System
1717 S J St |
$283.79 | 2,141 | 2,004 |
|
John C. Sun
1112 6Th Ave Ste 200 |
$47.48 | 1,692 | 1,678 |
|
Steven Larson
1112 6Th Ave |
$52.25 | 1,482 | 1,470 |
|
Brian P Mulhall
1112 6Th Ave |
$48.08 | 1,049 | 1,046 |
|
Sangik Oh
1112 6Th Ave |
$51.11 | 986 | 975 |
|
William K Hirota
1112 6Th Ave |
$58.33 | 720 | 718 |
|
Harald L. Schoeppner
2202 S Cedar St |
$141.76 | 693 | 646 |
|
Multicare Health System
315 Martin Luther King Jr Way |
$299.59 | 650 | 630 |
|
Kalyan Chakravarthy Kanneganti
1112 6Th Ave Ste 200 |
$61.11 | 568 | 562 |
|
Lin Huang
3209 S 23Rd St |
$72.39 | 476 | 471 |
|
Ioannis Papadopoulos
1112 6Th Ave Ste 200 |
$34.58 | 327 | 327 |
|
Rohit Gupta
311 S L St |
$62.75 | 210 | 204 |
|
Diane Y Bai
1112 6Th Ave |
$53.50 | 181 | 180 |
|
Joseph Gramling
Bldg. 9040 Fitzsimmons Drive |
$70.31 | 116 | 115 |
|
Melawati Yuwono
311 S L St |
$79.94 | 108 | 108 |
|
Gary R Taubman
3209 S 23Rd St |
$65.74 | 107 | 101 |
|
Michael H. Lee
3209 S 23Rd St |
$44.49 | 94 | 92 |
|
Charles S Donner
2202 S Cedar St Ste 330 |
$58.53 | 72 | 68 |
|
Ralph J Katsman
2202 S Cedar St Ste 330 |
$58.81 | 61 | 60 |
|
Sanjay Agrawal
3209 S 23Rd St |
$72.08 | 58 | 56 |
|
Darren Craig Schwartz
3209 S 23Rd St |
$59.16 | 53 | 51 |
|
Oussama Moussan
3209 S 23Rd St |
$52.29 | 28 | 27 |
|
William H Holderman
3209 S 23Rd St |
$37.96 | 25 | 25 |
|
Jason Michael Sugar
3209 S 23Rd St |
$77.87 | 15 | 15 |
|
Michael B Kimmey
1112 6Th Ave |
$76.55 | 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 Tacoma, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Tacoma, WA is $216.07 per claim, based on 17,963 claims from 27 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 Tacoma, WA?
There are 27 Medicaid providers offering Upper Endoscopy (EGD) related services in Tacoma, WA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Tacoma, WA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Tacoma, WA ranges from $34.58 to $651.95 per claim, with an average of $216.07. 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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