Average Medicaid Colonoscopy Payments in Baltimore, MD: $133.59
Avg. Paid
$133.59
Range
$-6.17 – $666.88
Total Claims
7,343
Providers
31
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 — 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 Baltimore, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pikesville Md Endoscopy Asc Llc
1838 Greene Tree Rd |
$271.23 | 1,793 | 1,738 |
|
Johns Hopkins University
600 N Wolfe St |
$34.31 | 1,505 | 1,444 |
|
Medstar Medical Group Ii Llc
5601 Loch Raven Blvd |
$37.18 | 1,490 | 1,327 |
|
St Paul Place Specialists, Inc.
301 St. Paul Place |
$43.38 | 496 | 439 |
|
Babak Torabi Torabi Sagvand
22 S Greene St |
$159.43 | 390 | 360 |
|
Baltimore Endoscopy Asc Llc
700 Geipe Rd Ste 220 |
$258.86 | 313 | 282 |
|
Baltimore Ambulatory Center For Endoscopy
19 Fontana Ln |
$246.39 | 276 | 247 |
|
University Of Maryland Physicians Pa
22 S Greene St |
$37.78 | 177 | 174 |
|
John C Rabine
2411 W Belvedere Ave Ste 308 |
$154.29 | 96 | 93 |
|
Maryland General Hospital Inc
827 Linden Ave |
$666.88 | 84 | 66 |
|
Michael Siuta
1838 Greene Tree Rd |
$136.72 | 83 | 77 |
|
Mercy Medical Center Inc
301 Saint Paul Pl |
$39.82 | 80 | 78 |
|
Digestive Disease Associates, Llc
700 Geipe Road Ste 230 |
$13.99 | 72 | 70 |
|
George Kunnackal John
22 S Greene St |
$92.66 | 71 | 50 |
|
Jose Mari Parungao
9000 Franklin Square Dr |
$181.10 | 65 | 61 |
|
Thi Khuc
22 S Greene St # N3W156 |
$153.19 | 50 | 49 |
|
The Johns Hopkins Hospital
600 N Wolfe St |
$0.00 | 41 | 35 |
|
Elliot Schwarzenberger
1838 Greene Tree Rd |
$128.28 | 35 | 29 |
|
Abhijit S. Bhatia
3333 N Calvert St |
$147.56 | 30 | 28 |
|
Lester Bowser
1838 Greene Tree Rd |
$147.69 | 28 | 27 |
|
Sinai Hospital Of Baltimore Inc
2435 W Belvedere Ave |
$-6.17 | 28 | 27 |
|
Ernest Tsao
1838 Greene Tree Rd |
$222.81 | 25 | 25 |
|
Pankaj Kheterpal
120 Eastern Blvd |
$0.00 | 16 | 14 |
|
Carmelo Cuffari
601 N Caroline St |
$162.41 | 13 | 12 |
|
Arjun Vaid
1838 Greene Tree Rd |
$156.10 | 13 | 13 |
|
Robert D. Mathieson
3333 N Calvert St |
$143.61 | 13 | 13 |
|
Eric Blum
1838 Greene Tree Rd |
$222.00 | 12 | 12 |
|
Sinai Hospital Of Baltimore, Inc.
2401 W Belvedere Ave |
$211.99 | 12 | 12 |
|
Jahangir M. Khan
9114 Philadelphia Rd |
$186.45 | 12 | 12 |
|
Richard Desi
301 St Paul Place |
$167.03 | 12 | 12 |
|
Kenolisa C Onwueme
1838 Greene Tree Rd |
$157.19 | 12 | 12 |
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 | — | — | — |
| 45386 | Colonoscopy w/dilation | — | — | — |
| 45389 | Colonoscopy w/stent | — | — | — |
| 45391 | Colonoscopy w/endoscopic us | — | — | — |
| 45392 | Colonoscopy w/us guided inj | — | — | — |
| 45393 | Colonoscopy w/decompress volv | — | — | — |
| 45395 | Colonoscopy w/band ligation | — | — | — |
| 45397 | Colonoscopy w/transanal excis | — | — | — |
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 Baltimore, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Baltimore, MD is $133.59 per claim, based on 7,343 claims from 31 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 Baltimore, MD?
There are 31 Medicaid providers offering Colonoscopy related services in Baltimore, MD according to public payment data.
What is the price range for Colonoscopy in Baltimore, MD?
Medicaid reimbursement for Colonoscopy in Baltimore, MD ranges from $-6.17 to $666.88 per claim, with an average of $133.59. 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 · 79 providers
Brooklyn, NY
Avg $404.08
100,671 claims · 94 providers
Los Angeles, CA
Avg $204.62
69,220 claims · 63 providers
Bronx, NY
Avg $534.40
64,609 claims · 51 providers
Monterey Park, CA
Avg $190.53
57,916 claims · 15 providers
Flushing, NY
Avg $360.91
57,865 claims · 26 providers
Phoenix, AZ
Avg $268.06
49,941 claims · 40 providers
San Diego, CA
Avg $341.35
47,215 claims · 20 providers
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