Average Medicaid Upper Endoscopy (EGD) Payments in Albuquerque, NM: $276.91
Avg. Paid
$276.91
Range
$50.56 – $406.63
Total Claims
38,906
Providers
42
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 Albuquerque, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Presbyterian Healthcare Services
1100 Central Se |
$390.76 | 8,771 | 8,639 |
|
Unm Hospital
2211 Lomas Blvd., N.E. |
$406.63 | 6,257 | 6,073 |
|
Southwest Endoscopy Ltd
7788 Jefferson St Ne |
$237.04 | 3,340 | 3,281 |
|
Lovelace Health System, Llc
4701 Montgomery Blvd Ne |
$299.80 | 3,177 | 3,114 |
|
Yahuza Siba
1100 Lead Ave Se |
$210.98 | 2,260 | 2,243 |
|
Vipin Mittal
1100 Lead Ave Se |
$196.31 | 2,124 | 2,099 |
|
Julie Farrer
4705 Montgomery Blvd Ne |
$154.42 | 2,104 | 2,075 |
|
Lovelace Health System, Llc
10501 Golf Course Rd Nw |
$293.78 | 1,381 | 1,360 |
|
Srinivas Guptha Gunturu
1100 Lead Ave Se |
$50.56 | 1,322 | 1,254 |
|
James Martinez
4705 Montgomery Blvd Ne |
$145.92 | 1,293 | 1,273 |
|
Fazia Ahmed Mir
2211 Lomas Blvd Ne |
$191.51 | 1,197 | 1,186 |
|
Archana Kaza
933 Bradbury Dr Se |
$142.62 | 989 | 956 |
|
Deepshikha Nag Chowdhury
1100 Lead Ave Se |
$211.09 | 830 | 812 |
|
Swathi Paleti
1 University Of New Mexico Msc 11 6093 |
$148.71 | 643 | 622 |
|
Euriko Torrazza Perez
1001 Martin Luther King Ave Ne |
$148.07 | 639 | 626 |
|
Lindsay A Uribe
7788 Jefferson St Ne |
$177.70 | 463 | 456 |
|
George Holman
7788 Jefferson St Ne |
$159.10 | 331 | 321 |
|
Lovelace Health System Llc
601 Dr Martin Luther King Jr Ave Ne |
$294.69 | 235 | 229 |
|
Aleksandr Birg
Msc10 5550 |
$135.30 | 228 | 223 |
|
Neal E Rakov
933 Bradbury Dr Se Ste 2222 |
$132.80 | 195 | 191 |
|
Gulshan Parasher
5Th Ambulatory Care Ctr |
$133.55 | 183 | 178 |
|
Lance Trent Taylor
7788 Jefferson St Ne |
$181.58 | 175 | 172 |
|
Razan Hani Alkhouri
201 Cedar St Se Ste 4660 |
$164.49 | 159 | 157 |
|
Ajay Gohil
201 Cedar St Se Ste 4660 |
$369.34 | 76 | 75 |
|
Athanasios Desalermos
4705 Montgomery Blvd Ne Ste 201 |
$51.45 | 58 | 55 |
|
Duc C Vuong
4801 Mcmahon Blvd Nw |
$142.88 | 54 | 51 |
|
Luke M Gessel
1001 Martin Luther King Ave Ne |
$180.48 | 48 | 46 |
|
Azadeh Fotouhie
7788 Jefferson St Ne |
$128.36 | 47 | 45 |
|
Stuart Weisman
10511 Golf Course Rd Nw Ste 204 |
$75.38 | 46 | 43 |
|
Ahmed A Bolkhir
500 Walter St Ne Ste 401 |
$87.46 | 41 | 39 |
|
Shazia A Rafiq
1501 San Pedro Dr Se |
$72.34 | 39 | 27 |
|
Nathaly Cortez Bazan
1100 Lead Ave Se |
$162.85 | 32 | 32 |
|
Vinod Kumar Singh
5400 Gibson Blvd Se Fl 2 |
$82.36 | 26 | 26 |
|
Howard Gogel
7788 Jefferson St Ne |
$207.45 | 26 | 26 |
|
Mitchal Aric Schreiner
7788 Jefferson St Ne |
$157.80 | 24 | 24 |
|
Andrew Mason
7788 Jefferson St Ne |
$136.15 | 15 | 15 |
|
Ping Pan
303 Roma Ave Nw |
$404.71 | 15 | 13 |
|
Jawairia Memon
Msc10 5550 1 University Of New Mexico |
$169.13 | 14 | 14 |
|
Mandip Joshi
201 Cedar St Se Ste 306 |
$123.71 | 13 | 13 |
|
Antoine Jakiche
7788 Jefferson St Ne |
$169.59 | 12 | 12 |
|
Daniel Shover
Pmg Cedar Pediatric Gi |
$188.73 | 12 | 12 |
|
Angelina Adelida Villas-Adams
7788 Jefferson Ne |
$196.09 | 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 Albuquerque, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Albuquerque, NM is $276.91 per claim, based on 38,906 claims from 42 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 Albuquerque, NM?
There are 42 Medicaid providers offering Upper Endoscopy (EGD) related services in Albuquerque, NM according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Albuquerque, NM?
Medicaid reimbursement for Upper Endoscopy (EGD) in Albuquerque, NM ranges from $50.56 to $406.63 per claim, with an average of $276.91. 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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