Average Medicaid Upper Endoscopy (EGD) Payments in Winston Salem, NC: $223.81
Avg. Paid
$223.81
Range
$51.15 – $274.90
Total Claims
5,044
Providers
14
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 Winston Salem, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Jue
195 Kimel Park Dr Ste 200 |
$68.04 | 14 | 12 |
|
Jeremy Thomas Gillespie
195 Kimel Park Dr Ste 200 |
$73.14 | 16 | 13 |
|
Marc Cambridge Hines
1 Medical Center Blvd |
$70.29 | 16 | 15 |
|
Erealda Prendaj
Medical Center Blvd |
$98.02 | 17 | 13 |
|
Tilak Raj Baba
195 Kimel Park Dr Ste 200 |
$121.22 | 26 | 25 |
|
Dhyan Rajan
195 Kimel Park Dr Ste 200 |
$63.82 | 58 | 45 |
|
Ramya Muralimohan Vestal
195 Kimel Park Dr Ste 200 |
$51.15 | 58 | 42 |
|
Lynsey Rebecca Zuar
Medical Center Blvd |
$274.27 | 209 | 190 |
|
Prerana Aghamkar Williamson
Medical Center Blvd |
$262.19 | 270 | 221 |
|
Peter Anthony Costa
Medical Center Blvd |
$184.73 | 293 | 248 |
|
Tiffany Danielle Kratzer
Medical Center Blvd |
$274.90 | 690 | 625 |
|
Digestive Health Specialists, Pa
2025 Frontis Plaza Blvd |
$202.44 | 717 | 563 |
|
Anca Mihaela Safta
Medical Center Blvd |
$274.28 | 945 | 915 |
|
Gastroenterology Associates Of The Piedmont, P.A.
875 Bethesda Rd |
$197.03 | 1,715 | 1,518 |
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 Winston Salem, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Winston Salem, NC is $223.81 per claim, based on 5,044 claims from 14 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 Winston Salem, NC?
There are 14 Medicaid providers offering Upper Endoscopy (EGD) related services in Winston Salem, NC according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Winston Salem, NC?
Medicaid reimbursement for Upper Endoscopy (EGD) in Winston Salem, NC ranges from $51.15 to $274.90 per claim, with an average of $223.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Upper Endoscopy (EGD) in Other Cities
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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
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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
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Detroit, MI
Avg $206.86
50,758 claims · 16 providers
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