Average Medicaid Upper Endoscopy (EGD) Payments in Toledo, OH: $261.44
Avg. Paid
$261.44
Range
$51.80 – $559.49
Total Claims
14,620
Providers
24
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 Toledo, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mercy Health - St Vincent Medical Center Llc
2213 Cherry St |
$431.27 | 2,679 | 1,882 |
|
The Toledo Hospital
2142 N Cove Blvd |
$378.41 | 2,546 | 2,197 |
|
Antwan Noshi Atia
3840 Woodley Rd Ste B |
$116.15 | 2,062 | 1,876 |
|
Toledo Clinic Incorporated
4235 Secor Rd |
$245.06 | 1,528 | 1,339 |
|
Abdallah Kobeissy
3125 Transverse Dr |
$130.60 | 1,037 | 951 |
|
Medical University Of Ohio At Toledo
3000 Arlington Ave |
$330.19 | 989 | 708 |
|
Gregory Ross Johnston
3930 Sunforest Ct |
$303.15 | 973 | 940 |
|
Promedica Monroe Physicians Pllc
100 Madison Ave |
$60.33 | 913 | 906 |
|
Sapna T Reddy
4235 Secor Rd |
$69.52 | 367 | 338 |
|
Mark Anthony Naddaf
2222 Cherry St |
$260.59 | 311 | 295 |
|
S T Hamdani
4841 Monroe St |
$62.53 | 212 | 188 |
|
Ali Taleb Nawras
3125 Transverse Dr |
$55.04 | 141 | 126 |
|
Thomas C Sodeman
3125 Transverse Dr |
$131.55 | 132 | 120 |
|
Muhammad Aziz
3425 Executive Pkwy Ste 210 |
$73.51 | 125 | 120 |
|
Sanjoy Banerjee
2109 Hughes Dr |
$214.72 | 118 | 115 |
|
Promedica Central Physicians
100 Madison Ave |
$63.82 | 112 | 110 |
|
Nationwide Children'S Hospital Toledo, Llc
2213 Cherry St |
$559.49 | 100 | 79 |
|
Yaseen S Y Alastal
3000 Arlington Ave |
$87.27 | 66 | 65 |
|
Benjamin Randall Hart
1125 Hospital Dr Ste 1620 |
$114.53 | 57 | 55 |
|
Ahmad Malas
3439 Granite Cir |
$104.88 | 53 | 49 |
|
Toledo Endoscopy Asc Llc
4841 Monroe St |
$273.45 | 50 | 44 |
|
Mona Hassan
3125 Transverse Dr |
$51.80 | 20 | 12 |
|
Michael Pappas
4841 Monroe St |
$74.52 | 15 | 14 |
|
Scott Andrew Corman
4841 Monroe St |
$84.84 | 14 | 13 |
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 Toledo, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Toledo, OH is $261.44 per claim, based on 14,620 claims from 24 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 Toledo, OH?
There are 24 Medicaid providers offering Upper Endoscopy (EGD) related services in Toledo, OH according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Toledo, OH?
Medicaid reimbursement for Upper Endoscopy (EGD) in Toledo, OH ranges from $51.80 to $559.49 per claim, with an average of $261.44. 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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