Average Medicaid Upper Endoscopy (EGD) Payments in Las Cruces, NM: $239.38
Avg. Paid
$239.38
Range
$98.22 – $369.70
Total Claims
21,844
Providers
15
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 Las Cruces, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lohman Endoscopy Center, Llc
4381 E Lohman Ave |
$239.10 | 8,478 | 8,352 |
|
Kairasp C. Noshirwani
4381 E Lohman Ave Ste B |
$201.03 | 2,332 | 2,254 |
|
Prasad V Podila
4381 E Lohman Ave Ste B |
$170.32 | 2,255 | 2,191 |
|
Thomas V Nattakom
4381 E Lohman Ave Ste B |
$203.08 | 2,085 | 2,014 |
|
Phc-Las Cruces Inc
2450 S Telshor Blvd |
$369.70 | 1,802 | 1,759 |
|
Las Cruces Medical Center Llc
4311 E Lohman Ave |
$339.35 | 1,501 | 1,449 |
|
Frank Terrell Felts
2100 S Triviz Dr |
$241.66 | 1,018 | 1,015 |
|
Jean-Pierre Reinhold
4381 E Lohman Ave Ste B |
$209.06 | 861 | 835 |
|
Fermin Miguel Fontan
2100 S Triviz Dr Ste G |
$233.20 | 836 | 833 |
|
Jobin Philipose
4401 E Lohman Ave Ste C |
$185.54 | 576 | 570 |
|
Leonard Angelo Metildi
4351 E Lohman Ave |
$211.41 | 37 | 37 |
|
Las Cruces Surgery Center Lp
4351 E Lohman Ave |
$348.12 | 25 | 25 |
|
Mark Cavaretta
4351 E Lohman Ave Ste 320 |
$98.22 | 13 | 13 |
|
Stephen Paul Stampp
141 N Roadrunner Pkwy Ste 121 |
$170.28 | 13 | 13 |
|
Jose Luis Ramirez
3005 Hillrise Dr |
$188.07 | 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 Las Cruces, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Las Cruces, NM is $239.38 per claim, based on 21,844 claims from 15 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 Las Cruces, NM?
There are 15 Medicaid providers offering Upper Endoscopy (EGD) related services in Las Cruces, NM according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Las Cruces, NM?
Medicaid reimbursement for Upper Endoscopy (EGD) in Las Cruces, NM ranges from $98.22 to $369.70 per claim, with an average of $239.38. 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
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Phoenix, AZ
Avg $302.49
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Bakersfield, CA
Avg $392.48
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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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