Average Medicaid Upper Endoscopy (EGD) Payments in Washington, DC: $491.43
Avg. Paid
$491.43
Range
$49.63 – $1,377
Total Claims
24,318
Providers
48
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 Washington, DC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medstar Washington Hospital Center
110 Irving St Nw |
$712.33 | 4,840 | 4,530 |
|
Howard University Hospital Corp
2041 Georgia Ave Nw |
$656.31 | 4,526 | 4,315 |
|
District Hospital Partners L P
900 23Rd St Nw |
$735.01 | 3,873 | 3,545 |
|
Medstar - Georgetown Medical Center, Inc.
3800 Reservoir Rd., Nw |
$667.09 | 1,772 | 1,600 |
|
Momodu A Jack
2139 Georgia Ave Nw |
$63.78 | 1,274 | 1,198 |
|
Getachew Mekasha
2139 Georgia Ave Nw |
$57.43 | 1,228 | 1,129 |
|
Javad Khalilzadeh
106 Irving St Nw |
$49.63 | 1,135 | 1,001 |
|
Mohamed Sultan
2300 Eye Street Nw |
$198.99 | 529 | 483 |
|
Marc Justin Landsman
3800 Reservoir Rd Nw |
$255.71 | 458 | 441 |
|
Stanley James Pietrak
3800 Reservoir Rd Nw |
$77.18 | 455 | 424 |
|
Ali Alsayed Hussain
3800 Reservoir Rd Nw |
$89.97 | 355 | 244 |
|
Christopher E Hayes
111 Michigan Ave Nw |
$89.44 | 318 | 268 |
|
Children'S Hospital
111 Michigan Ave Nw |
$1,268 | 308 | 295 |
|
Not-For-Profit Hospital Corporation
1310 Southern Ave Se |
$586.12 | 298 | 274 |
|
Ghassan A. Alzayer
110 Irving St Nw Ste 205 |
$81.37 | 292 | 274 |
|
Providence Hospital
1150 Varnum St Ne |
$570.49 | 290 | 275 |
|
Nikiya O Asamoah-Clark
110 Irving St Nw |
$89.98 | 251 | 228 |
|
Marie Leslie Borum
2150 Penn Ave Nw |
$112.75 | 231 | 218 |
|
Steven Michael Zeddun
2150 Pennsylvania Ave Nw |
$70.04 | 217 | 199 |
|
Farshad Aduli
2041 Georgia Ave Nw Faculty Practice Plan Suite 5100 |
$61.98 | 211 | 178 |
|
Samuel A. Schueler
2150 Pennsylvania Ave Nw |
$102.59 | 159 | 157 |
|
Angesom Kibreab
2041 Georgia Nw Ave |
$55.20 | 136 | 111 |
|
Samuel Kallus
3800 Reservoir Rd Nw |
$69.99 | 136 | 128 |
|
Hemanth K Gavini
2150 Pennsylvania Ave Nw |
$105.37 | 127 | 126 |
|
Eiman H Nabi
106 Irving St Nw |
$67.38 | 106 | 104 |
|
Diana Alexandra Moya Orjuela
111 Michigan Ave Nw |
$110.59 | 100 | 98 |
|
Mitesh Patel
110 Irving St Nw |
$62.50 | 89 | 85 |
|
Tahmoures Dehesh
1160 Varnum St Ne |
$79.32 | 54 | 48 |
|
Adeyinka O Laiyemo
Howard University |
$71.08 | 54 | 45 |
|
Danny Shearer
1160 Varnum St Ne |
$83.18 | 53 | 50 |
|
Anil Darbari
111 Michigan Ave Nw |
$138.19 | 48 | 46 |
|
Raymond Janowski
2150 Pennsylvania Ave Nw |
$65.62 | 42 | 42 |
|
Vahe Badalyan
111 Michigan Ave Nw |
$120.63 | 39 | 37 |
|
Stuart Lawrence Horwitz
1160 Varnum St Ne |
$75.15 | 39 | 37 |
|
Medical Faculty Associates, Inc
2150 Pennsylvania Ave Nw |
$101.63 | 39 | 39 |
|
Ivanesa Laura Pardo Lameda
106 Irving St Nw |
$94.35 | 36 | 35 |
|
Elizabeth Rochelle Myles
1160 Varnum St Ne |
$194.07 | 28 | 24 |
|
Charles D Howell
2041 Georgai Ave Nw Tower 5001 |
$73.59 | 26 | 26 |
|
Bedoor Alabbas
2150 Pennsylvania Ave Nw |
$102.45 | 19 | 14 |
|
Leen Raddaoui
2150 Pennsylvania Ave Nw |
$131.50 | 18 | 17 |
|
Yewande Rukayat Alimi
3800 Reservoir Rd Nw |
$94.48 | 16 | 13 |
|
Walid Chalhoub
3800 Reservoir Rd Nw Ste 2210 |
$83.82 | 16 | 14 |
|
Timothy Richard Koch
106 Irving St Nw Ste 301 |
$94.88 | 14 | 14 |
|
Sumona Bhattacharya
2150 Pennsylvania Ave Nw |
$120.14 | 14 | 12 |
|
John Brebbia
106 Irving St Nw |
$201.66 | 13 | 12 |
|
Shervin Shafa
3800 Reservoir Rd Nw |
$80.36 | 12 | 12 |
|
Ali A Bader
111 Michigan Ave Nw |
$115.84 | 12 | 12 |
|
Lucy Webb Hayes National Training School For Deaconesses & Missionarie
5255 Loughboro Rd Nw |
$1,377 | 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 Washington, DC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Washington, DC is $491.43 per claim, based on 24,318 claims from 48 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 Washington, DC?
There are 48 Medicaid providers offering Upper Endoscopy (EGD) related services in Washington, DC according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Washington, DC?
Medicaid reimbursement for Upper Endoscopy (EGD) in Washington, DC ranges from $49.63 to $1,377 per claim, with an average of $491.43. 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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