Average Medicaid Colonoscopy Payments in Albuquerque, NM: $335.73
Avg. Paid
$335.73
Range
$89.59 โ $451.09
Total Claims
26,212
Providers
26
Typical Payment Range
Typical Medicaid Colonoscopy payments fall between $122.78 and $319.24 per claim (median: $190.19). The top 10% of payments exceed $511.60.
Based on per-provider averages across all Medicaid claims in this category.
A colonoscopy examines the inside of the colon and rectum using a flexible tube with a camera. Used for cancer screening, polyp detection, and investigating digestive symptoms.
Understanding these costs
The amounts shown are Medicaid reimbursement rates โ 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 Colonoscopy in Albuquerque, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Presbyterian Healthcare Services
1100 Central Se |
$451.09 | 7,019 | 6,936 |
|
Unm Hospital
2211 Lomas Blvd., N.E. |
$380.33 | 6,118 | 5,965 |
|
Southwest Endoscopy Ltd
7788 Jefferson St Ne |
$257.66 | 3,226 | 3,168 |
|
Lovelace Health System, Llc
4701 Montgomery Blvd Ne |
$303.74 | 2,959 | 2,909 |
|
Julie Farrer
4705 Montgomery Blvd Ne |
$237.03 | 1,626 | 1,618 |
|
Vipin Mittal
1100 Lead Ave Se |
$291.49 | 980 | 973 |
|
James Martinez
4705 Montgomery Blvd Ne |
$206.46 | 688 | 670 |
|
Srinivas Guptha Gunturu
1100 Lead Ave Se |
$89.59 | 619 | 560 |
|
Archana Kaza
933 Bradbury Dr Se |
$191.13 | 614 | 589 |
|
Yahuza Siba
1100 Lead Ave Se |
$319.41 | 571 | 568 |
|
Fazia Ahmed Mir
2211 Lomas Blvd Ne |
$242.46 | 388 | 387 |
|
Lovelace Health System, Llc
10501 Golf Course Rd Nw |
$311.87 | 307 | 304 |
|
Swathi Paleti
1 University Of New Mexico Msc 11 6093 |
$200.27 | 198 | 191 |
|
Euriko Torrazza Perez
1001 Martin Luther King Ave Ne |
$181.00 | 167 | 164 |
|
Deepshikha Nag Chowdhury
1100 Lead Ave Se |
$162.22 | 140 | 139 |
|
Lindsay A Uribe
7788 Jefferson St Ne |
$238.00 | 121 | 119 |
|
Gulshan Parasher
5Th Ambulatory Care Ctr |
$217.39 | 109 | 100 |
|
George Holman
7788 Jefferson St Ne |
$228.43 | 75 | 75 |
|
Aleksandr Birg
Msc10 5550 |
$167.35 | 74 | 71 |
|
Luke M Gessel
1001 Martin Luther King Ave Ne |
$171.23 | 44 | 39 |
|
Neal E Rakov
933 Bradbury Dr Se Ste 2222 |
$169.66 | 36 | 35 |
|
Ahmed A Bolkhir
500 Walter St Ne Ste 401 |
$131.22 | 34 | 32 |
|
Optumcare Endoscopy Center New Mexico, Llc
5400 Gibson Blvd Se |
$337.65 | 28 | 28 |
|
Lance Trent Taylor
7788 Jefferson St Ne |
$359.75 | 27 | 27 |
|
Stuart Weisman
10511 Golf Course Rd Nw Ste 204 |
$178.56 | 27 | 27 |
|
Azadeh Fotouhie
7788 Jefferson St Ne |
$139.59 | 17 | 15 |
What to Expect: Colonoscopy
Preparation begins the day before with a clear liquid diet and bowel prep solution. The procedure takes 30-60 minutes under sedation. A thin flexible tube with a camera is inserted through the rectum to examine the colon. Polyps can be removed during the procedure. You'll need someone to drive you home. Most people return to normal activities the next day.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 45380 | Colonoscopy w/biopsy | $323.16 | 2,103,440 | 4,437 |
| 45385 | Colonoscopy w/snare removal | $355.05 | 1,176,164 | 3,169 |
| 45378 | Colonoscopy diagnostic | $334.64 | 1,008,174 | 2,650 |
| 45384 | Colonoscopy w/lesion removal | $269.48 | 41,902 | 124 |
| 45388 | Colonoscopy w/ablation | $204.19 | 8,754 | 32 |
| 45382 | Colonoscopy w/control bleed | $387.88 | 8,547 | 9 |
| 45381 | Colonoscopy w/submucosal inj | $184.31 | 5,092 | 46 |
| 45390 | Colonoscopy w/decompression | $318.08 | 2,951 | 23 |
| 45398 | Colonoscopy w/resection | $388.28 | 932 | 6 |
| 45379 | Colonoscopy w/foreign body | โ | โ | โ |
| 45386 | Colonoscopy w/dilation | โ | โ | โ |
| 45389 | Colonoscopy w/stent | โ | โ | โ |
| 45391 | Colonoscopy w/endoscopic us | โ | โ | โ |
| 45392 | Colonoscopy w/us guided inj | โ | โ | โ |
| 45393 | Colonoscopy w/decompress volv | โ | โ | โ |
| 45395 | Colonoscopy w/band ligation | โ | โ | โ |
| 45397 | Colonoscopy w/transanal excis | โ | โ | โ |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Colonoscopy cost in Albuquerque, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Albuquerque, NM is $335.73 per claim, based on 26,212 claims from 26 providers. Typical payments fall between $122.78 and $319.24. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Colonoscopy in Albuquerque, NM?
There are 26 Medicaid providers offering Colonoscopy related services in Albuquerque, NM according to public payment data.
What is the price range for Colonoscopy in Albuquerque, NM?
Medicaid reimbursement for Colonoscopy in Albuquerque, NM ranges from $89.59 to $451.09 per claim, with an average of $335.73. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Colonoscopy in Other Cities
New York, NY
Avg $480.84
109,933 claims ยท 79 providers
Brooklyn, NY
Avg $404.08
100,671 claims ยท 94 providers
Los Angeles, CA
Avg $204.62
69,220 claims ยท 63 providers
Bronx, NY
Avg $534.40
64,609 claims ยท 51 providers
Monterey Park, CA
Avg $190.53
57,916 claims ยท 15 providers
Flushing, NY
Avg $360.91
57,865 claims ยท 26 providers
Phoenix, AZ
Avg $268.06
49,941 claims ยท 40 providers
San Diego, CA
Avg $341.35
47,215 claims ยท 20 providers
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