Average Medicaid Colonoscopy Payments in Bayamon, PR: $284.14
Avg. Paid
$284.14
Range
$105.06 – $590.00
Total Claims
5,212
Providers
12
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 Bayamon, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roberto Enrique Osorio Manotas
Paseo San Pablo #100 Edif Arturo Cadilla Suite 501 |
$297.71 | 1,422 | 1,177 |
|
Santiago Coste-Sibilia
Metro Medical Center |
$329.24 | 655 | 424 |
|
Carlos A Latimer
Edif Cadilla |
$245.06 | 633 | 563 |
|
Ekie G Vazquez-Maldonado
Urb. Rexville |
$412.82 | 609 | 584 |
|
Irma M. Vargas-Ramos
Carr # 2 Km. 11.7 |
$105.06 | 584 | 441 |
|
Octavio Jordan Lopez
Edif Medico Santa Cruz |
$184.28 | 540 | 405 |
|
Jorge L Cortes-Ruiz
Instituto San Pablo |
$355.56 | 440 | 261 |
|
Ignacio Javier Jaca Montijo
Metro Medical Center Suite 903B |
$391.98 | 120 | 115 |
|
Rafael Solis-Mounier
Bayamon Medical Plz |
$348.83 | 110 | 90 |
|
Wilmer Rodriguez Silva
100 Paseo San Pablo |
$249.08 | 64 | 61 |
|
Ramon Rullan
#68 Calle Santa Cruz- Torre San Pablo |
$590.00 | 22 | 12 |
|
Wilma L Cotto Oyola
Calle Santa Cruz, Edif. Medico Santa Cruz #73 |
$291.10 | 13 | 13 |
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 Bayamon, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Bayamon, PR is $284.14 per claim, based on 5,212 claims from 12 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 Bayamon, PR?
There are 12 Medicaid providers offering Colonoscopy related services in Bayamon, PR according to public payment data.
What is the price range for Colonoscopy in Bayamon, PR?
Medicaid reimbursement for Colonoscopy in Bayamon, PR ranges from $105.06 to $590.00 per claim, with an average of $284.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Colonoscopy in Other Cities
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Avg $480.84
109,933 claims · 79 providers
Brooklyn, NY
Avg $404.08
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Avg $204.62
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Bronx, NY
Avg $534.40
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Flushing, NY
Avg $360.91
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Avg $268.06
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Avg $341.35
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