Average Medicaid Upper Endoscopy (EGD) Payments in Coeur D Alene, ID: $118.34
Avg. Paid
$118.34
Range
$93.71 – $143.23
Total Claims
227
Providers
6
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 Coeur D Alene, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Michael Wood
1919 Lincoln Way Ste 415 |
$143.23 | 70 | 67 |
|
Trace Heavener
1919 Lincoln Way Ste 415 |
$106.10 | 51 | 50 |
|
Kootenai Health, Inc.
2003 Kootenai Health Way |
$93.71 | 45 | 40 |
|
David Henrik Johnson
1919 Lincoln Way Ste 415 |
$115.40 | 24 | 24 |
|
Caleb Kelly
1919 Lincoln Way Ste 415 |
$129.16 | 24 | 24 |
|
Matthew Lute
1919 Lincoln Way Ste 415 |
$102.92 | 13 | 13 |
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 Coeur D Alene, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Coeur D Alene, ID is $118.34 per claim, based on 227 claims from 6 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 Coeur D Alene, ID?
There are 6 Medicaid providers offering Upper Endoscopy (EGD) related services in Coeur D Alene, ID according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Coeur D Alene, ID?
Medicaid reimbursement for Upper Endoscopy (EGD) in Coeur D Alene, ID ranges from $93.71 to $143.23 per claim, with an average of $118.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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