Average Medicaid Upper Endoscopy (EGD) Payments in Tucson, AZ: $288.42
Avg. Paid
$288.42
Range
$65.64 – $641.12
Total Claims
55,967
Providers
58
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 Tucson, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vijit Chouhan
2200 S Houghton Rd |
$101.37 | 12 | 12 |
|
Pooja Kanhya Lal
2300 S Houghton Rd Ste 160 |
$98.41 | 12 | 12 |
|
Anas Bitar
535 N Wilmot Rd Ste 101 |
$148.10 | 12 | 12 |
|
Walaa Elfar
535 N Wilmot Rd Ste 101 |
$86.78 | 12 | 12 |
|
James Patrick Dinning
7566 N La Cholla Blvd |
$97.74 | 12 | 12 |
|
Kristen Marie Barrett
1601 W Saint Marys Rd |
$237.67 | 13 | 13 |
|
Kai Rou Tey
2800 E Ajo Way |
$84.25 | 13 | 13 |
|
Desert Sun Surgery Center Llc
7140 E Rosewood St |
$243.90 | 18 | 16 |
|
Loyal G Tillotson
1501 N Campbell Ave |
$97.03 | 26 | 26 |
|
Jeffrey Brian Monash
3925 E Fort Lowell Rd Ste 104 |
$112.48 | 27 | 25 |
|
John J. Mcnerney
3040 N Swan Rd |
$83.62 | 30 | 28 |
|
Hassan Bokaie
535 N Wilmont |
$130.70 | 54 | 54 |
|
Larissa Maria Allen
6130 N La Cholla Blvd |
$94.42 | 68 | 67 |
|
Matthew Jeremy Weiner
5155 E Farness Dr Ste 111A |
$122.16 | 69 | 69 |
|
Cristiana Bortuzzo
7490 N Oracle Rd Ste 210 |
$80.03 | 69 | 67 |
|
Rilwan Balogun
1501 N Campbell Ave |
$81.40 | 78 | 77 |
|
El Dorado Surgery Center Lp
7140 E Rosewood St |
$241.10 | 89 | 89 |
|
Hassan H Hassan
535 N Wilmot Rd |
$272.56 | 96 | 92 |
|
Marie Raphaelle Mona Jean
1625 N Campbell Ave |
$143.29 | 101 | 97 |
|
Romeo Esquivel
6130 N La Cholla Blvd |
$81.85 | 110 | 106 |
|
Sasha Taleban
1625 N Campbell Ave |
$83.79 | 120 | 115 |
|
Craig G Gross
5301 E Grant Rd |
$136.05 | 128 | 123 |
|
Patrick Michael Chiasson
6230 N La Cholla Blvd Ste 250 |
$102.40 | 166 | 155 |
|
El Dorado Surgery Center Lp
2121 N Craycroft Rd Bldg 8 |
$227.60 | 172 | 167 |
|
Northwest Allied Physicians Llc
6060 N Fountain Plaza Dr Ste 270 |
$65.64 | 186 | 153 |
|
Le Roi Arturo Baez
6365 E Tanque Verde Rd |
$152.63 | 227 | 213 |
|
Robert M Mccallum
3040 N. Swan Rd Ste B |
$88.62 | 269 | 243 |
|
Guillermo Higa Sansone
1712 W Anklam Rd Ste 101 |
$117.77 | 306 | 301 |
|
Leon Tsai
7566 N La Cholla Blvd |
$94.19 | 329 | 321 |
|
Bryan Contreras
7566 N La Cholla Blvd |
$114.43 | 341 | 333 |
|
Arizona Digestive Institute Llc
7566 N La Cholla Blvd |
$192.88 | 345 | 301 |
|
Gary Ronald Monash
7566 N La Cholla Blvd |
$98.07 | 382 | 369 |
|
Scott Edward Blinkoff
7566 N La Cholla Blvd |
$103.16 | 388 | 376 |
|
Ahmed Hassan Dahshan
5300 E Erickson Dr Ste 101 |
$148.02 | 410 | 399 |
|
Avin Aggarwal
1625 N Campbell Ave |
$82.97 | 430 | 415 |
|
Iman Ghaderi
3950 S Country Club Rd |
$121.01 | 432 | 416 |
|
Anis Hanna
3040 N Swan Rd, Ste B |
$91.36 | 440 | 426 |
|
Stephen Edward Burpee
6130 N La Cholla Blvd Ste 250 |
$116.75 | 598 | 572 |
|
Bassel Kisso
1505 N Swan Rd Ste 121 |
$145.75 | 787 | 760 |
|
Ibraheem M Mizyed
1871 W Orange Grove Rd Ste 101 |
$84.83 | 815 | 764 |
|
Bechara Mezher
1505 N Swan Rd |
$142.64 | 909 | 861 |
|
Smsj Tucson Holdings Llc
1601 W Saint Marys Rd |
$514.29 | 941 | 879 |
|
Sylvain Sidi
310 N Wilmot Rd |
$85.17 | 999 | 947 |
|
Reham Abdou
5300 E Erickson Dr Ste 100 |
$124.72 | 1,179 | 1,152 |
|
John K. Shekleton
1871 W Orange Grove Rd Ste 101 |
$94.54 | 1,256 | 1,038 |
|
Smsj Tucson Holdings Llc
350 N Wilmot Rd |
$371.59 | 1,486 | 1,355 |
|
Fadi Deeb
1505 N Swan Rd # 121 |
$135.21 | 1,677 | 1,464 |
|
Swan Surgery Center, Llc
1505 N Swan Rd # 101 |
$227.29 | 2,046 | 1,987 |
|
Mesquite Surgery Center Llc
7445 E Tanque Verde Rd |
$202.77 | 2,337 | 2,176 |
|
Tucson Gastroenterology Institute, Llc
3040 N. Swan Road |
$241.53 | 2,400 | 2,277 |
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 Tucson, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Tucson, AZ is $288.42 per claim, based on 55,967 claims from 58 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 Tucson, AZ?
There are 58 Medicaid providers offering Upper Endoscopy (EGD) related services in Tucson, AZ according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Tucson, AZ?
Medicaid reimbursement for Upper Endoscopy (EGD) in Tucson, AZ ranges from $65.64 to $641.12 per claim, with an average of $288.42. 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
Detroit, MI
Avg $206.86
50,758 claims · 16 providers
Milwaukee, WI
Avg $194.85
46,905 claims · 54 providers
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