Average Medicaid Upper Endoscopy (EGD) Payments in Warren, OH: $218.25
Avg. Paid
$218.25
Range
$62.73 – $531.76
Total Claims
15,724
Providers
17
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 Warren, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Lee Weippert
1622 E Market St |
$173.52 | 4,095 | 3,906 |
|
Kevin Castillo
1622 E Market St |
$187.79 | 3,936 | 3,780 |
|
Warren Gastro Endoscopy Ctr Inc
1622 E Market St |
$257.06 | 1,491 | 1,364 |
|
Adel I Youssef
1622 E Market St |
$137.83 | 1,439 | 1,368 |
|
Rony Camille Awaida
9225 E Market St |
$223.82 | 1,089 | 1,003 |
|
Mercy Health Youngstown Llc
667 Eastland Ave Se |
$531.76 | 819 | 711 |
|
Joseph Alvin Martin
8740 E Market St Ste 2 |
$263.05 | 788 | 750 |
|
Avamar Center For Endoscopy,Inc
9225 E Market St |
$341.33 | 482 | 449 |
|
Benjamin Ryan Biteman
627 Eastland Ave Se |
$244.40 | 440 | 427 |
|
Farid Naffah
9225 E Market St |
$214.02 | 273 | 255 |
|
Robert W. Woodruff
627 Eastland Ave Se Ste 201 |
$252.40 | 247 | 237 |
|
Amy S Calderon
8740 E Market St Ste 2 |
$209.41 | 199 | 188 |
|
Steward Trumbull Memorial Hospital, Inc.
1350 E Market St |
$354.41 | 146 | 124 |
|
Carl Emmett Manzo
1932 Niles Cortland Rd Ne |
$62.73 | 90 | 85 |
|
Carlos A Ricotti
1373 E Market St |
$104.73 | 77 | 69 |
|
Zachary Kwasnicka
1296 Tod Pl Nw |
$175.26 | 59 | 57 |
|
Nicholas Katz
1932 Niles Cortland Rd Ne |
$66.81 | 54 | 53 |
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 Warren, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Warren, OH is $218.25 per claim, based on 15,724 claims from 17 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 Warren, OH?
There are 17 Medicaid providers offering Upper Endoscopy (EGD) related services in Warren, OH according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Warren, OH?
Medicaid reimbursement for Upper Endoscopy (EGD) in Warren, OH ranges from $62.73 to $531.76 per claim, with an average of $218.25. 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
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Phoenix, AZ
Avg $302.49
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Bakersfield, CA
Avg $392.48
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Los Angeles, CA
Avg $140.58
60,228 claims · 72 providers
Tucson, AZ
Avg $288.42
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Detroit, MI
Avg $206.86
50,758 claims · 16 providers
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