Average Medicaid Upper Endoscopy (EGD) Payments in High Point, NC: $143.25
Avg. Paid
$143.25
Range
$61.60 – $198.70
Total Claims
5,423
Providers
9
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 High Point, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Peters Endoscopy Center, Llc
1580 Skeet Club Rd |
$198.70 | 2,250 | 1,758 |
|
Shabana Shahid
1580 Skeet Club Rd |
$76.77 | 1,066 | 892 |
|
High Point Endoscopy Center, Inc.
624 Quaker Ln |
$122.57 | 674 | 450 |
|
Bethany Medical Center
507 N Lindsay St |
$186.47 | 471 | 381 |
|
Radha Vankawala Menon
1580 Skeet Club Rd |
$79.36 | 398 | 327 |
|
Rami Jamil Badreddine
624 Quaker Ln |
$63.65 | 381 | 350 |
|
Lenin J Peters
507 N Lindsay St |
$69.35 | 89 | 73 |
|
Premier Surgery Center, Llc
4515 Premier Dr |
$180.07 | 82 | 57 |
|
Justina Yeehua Ju
624 Quaker Ln |
$61.60 | 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 High Point, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in High Point, NC is $143.25 per claim, based on 5,423 claims from 9 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 High Point, NC?
There are 9 Medicaid providers offering Upper Endoscopy (EGD) related services in High Point, NC according to public payment data.
What is the price range for Upper Endoscopy (EGD) in High Point, NC?
Medicaid reimbursement for Upper Endoscopy (EGD) in High Point, NC ranges from $61.60 to $198.70 per claim, with an average of $143.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Upper Endoscopy (EGD) in Other Cities
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New York, NY
Avg $375.46
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Flushing, NY
Avg $306.22
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Phoenix, AZ
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Bakersfield, CA
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Los Angeles, CA
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Tucson, AZ
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Avg $206.86
50,758 claims · 16 providers
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