Average Medicaid Upper Endoscopy (EGD) Payments in Spokane, WA: $206.33
Avg. Paid
$206.33
Range
$38.93 – $403.70
Total Claims
30,888
Providers
28
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 Spokane, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Providence Health & Services - Wa
101 W 8Th Ave |
$403.70 | 6,265 | 6,159 |
|
Multicare Health System
800 W 5Th Ave |
$285.15 | 5,199 | 5,009 |
|
Providence Health & Services - Washington
5633 N Lidgerwood St |
$284.15 | 4,571 | 4,446 |
|
Miguel Enrique Ordonez Castellanos
910 W 5Th Ave Ste 501 |
$59.88 | 2,249 | 2,206 |
|
Nicolas Alfonso Villa Guillen
910 W 5Th Ave Ste 501 |
$60.62 | 1,757 | 1,726 |
|
Jamil Abou-Harb
105 W 8Th Ave |
$82.42 | 1,318 | 1,312 |
|
Ashish Sharma
212 E Central Ave Ste 440 |
$50.20 | 1,298 | 1,284 |
|
Eashen M Liu
212 E Central Ave |
$54.18 | 1,223 | 1,212 |
|
Philip C Delich
105 W 8Th Ave |
$73.68 | 1,131 | 1,096 |
|
Spokane Digestive Disease Center, P.S.
105 W 8Th Ave |
$176.92 | 989 | 899 |
|
Robert Daniel Lawson
910 W 5Th Ave |
$62.91 | 912 | 907 |
|
Ajay Pabby
910 W 5Th Ave Ste 501570 |
$69.08 | 862 | 852 |
|
Philip Coff
212 E Central Ave |
$53.61 | 758 | 748 |
|
Wichit Srikureja
105 W 8Th Ave Ste 7050 |
$77.20 | 638 | 634 |
|
Ann Alexander Abraham
105 W 8Th Ave Ste 7060 |
$71.23 | 482 | 479 |
|
Sumant Arora
212 E Central Ave Ste 245 |
$59.43 | 187 | 186 |
|
Aradhna Seth
105 W 8Th Ave |
$57.47 | 159 | 158 |
|
Nathan Campbell
105 W 8Th Ave Ste 6010 |
$47.93 | 152 | 151 |
|
Monica Michelle Zherebtsov
101 W 8Th Ave Ste 150E |
$75.94 | 122 | 119 |
|
Mashette Syrkin-Nikolau
105 W 8Th Ave Ste 7060 |
$73.07 | 118 | 117 |
|
Nishant Puri
105 W 8Th Ave Ste 7050 |
$38.93 | 104 | 103 |
|
Divyanshoo Rai Kohli
105 W 8Th Ave Ste 7050 |
$41.93 | 100 | 99 |
|
John J Brandabur
105 W 8Th Ave Ste 7050 |
$40.26 | 85 | 83 |
|
Linda Varrella Muir
105 W 8Th Ave |
$186.73 | 75 | 73 |
|
Matthew Berger
212 E Central Ave Ste 245 |
$53.12 | 68 | 68 |
|
Andrew Woolf
910 W 5Th Ave Ste 501 |
$152.92 | 39 | 39 |
|
Providence Health & Services Washington
101 W 8Th Ave |
$42.05 | 14 | 14 |
|
Scott Jacob Mcshane
105 W 8Th Ave Ste 6010 |
$43.35 | 13 | 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 Spokane, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Spokane, WA is $206.33 per claim, based on 30,888 claims from 28 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 Spokane, WA?
There are 28 Medicaid providers offering Upper Endoscopy (EGD) related services in Spokane, WA according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Spokane, WA?
Medicaid reimbursement for Upper Endoscopy (EGD) in Spokane, WA ranges from $38.93 to $403.70 per claim, with an average of $206.33. 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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