Average Medicaid Upper Endoscopy (EGD) Payments in Lubbock, TX: $216.41
Avg. Paid
$216.41
Range
$6.67 – $476.94
Total Claims
3,031
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 Lubbock, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Syn
3805 22Nd Place |
$192.45 | 816 | 811 |
|
Lubbock Heart Hospital, Llc
4810 North Loop 289 |
$437.23 | 647 | 646 |
|
Rafiul Sameer Islam
4505 82Nd St Ste 5 |
$59.56 | 564 | 527 |
|
Supannee Rassameehiran
3601 4Th St |
$39.48 | 267 | 260 |
|
Covenant Medical Center
3615 19Th St |
$476.94 | 182 | 177 |
|
Vanessa Crystal Costilla
4309 102Nd St |
$200.22 | 126 | 123 |
|
Hamed Abdulsalam Shabaneh Al-Tamimi
2345 50Th St # 500 |
$110.38 | 104 | 103 |
|
Kanak Das
3502 9Th St Ste 240 |
$94.22 | 97 | 94 |
|
James Vern Higgins
4102 24Th St Ste 401 |
$269.59 | 67 | 65 |
|
Mark Allen Feist
4102 24Th St |
$185.47 | 54 | 53 |
|
Lubbock County Hospital District
602 Indiana Ave |
$212.96 | 28 | 28 |
|
Ching C. Wang
10208 Quaker Ave Ste 200 |
$77.27 | 27 | 27 |
|
Houssam Al Kharrat
5115 80Th St |
$6.67 | 27 | 26 |
|
Matthew Phllip Soape
10208 Quaker Ave Ste 200 |
$114.44 | 13 | 13 |
|
Michael Scott Foreman
4102 24Th St Ste 401 |
$119.82 | 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 Lubbock, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Lubbock, TX is $216.41 per claim, based on 3,031 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 Lubbock, TX?
There are 15 Medicaid providers offering Upper Endoscopy (EGD) related services in Lubbock, TX according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Lubbock, TX?
Medicaid reimbursement for Upper Endoscopy (EGD) in Lubbock, TX ranges from $6.67 to $476.94 per claim, with an average of $216.41. 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
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Tucson, AZ
Avg $288.42
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Detroit, MI
Avg $206.86
50,758 claims · 16 providers
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