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Based on public Medicaid payment data.

Average Medicaid Colonoscopy Payments in Boston, MA: $818.20

Avg. Paid

$818.20

Range

$54.28 โ€“ $1,647

Total Claims

33,453

Providers

42

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 Boston, MA

Provider Avg. Paid Claims Patients
Boston Medical Center Corporation

1 Boston Medical Ctr Pl

$935.23 10,542 10,389
Beth Israel Deaconess Medical Center, Inc.

330 Brookline Ave

$894.95 10,506 10,378
Tufts Medical Center, Inc.

800 Washington St

$921.14 5,460 5,341
Children'S Hospital Corporation

300 Longwood Ave

$1,647 954 931
The General Hospital Corporation

55 Fruit St

$370.59 920 912
Charles M. Bliss

830 Harrison Avenue

$115.76 684 679
Rong J Guan

885 Washington Street

$250.07 679 667
Brigham & Womens Hospital, Inc.

75 Francis St

$326.25 528 521
David P. Nunes

725 Albany St

$120.96 442 441
Thomas C Moore

830 Harrison Ave

$120.96 383 379
Brigham And Women'S Faulkner Hospital, Inc

1153 Centre St

$1,211 333 333
Uri Avissar

725 Albany St # 6B

$94.27 305 302
Albena D. Halpert

830 Harrison Ave

$92.83 285 280
Tufts Medical Center Inc.

Revenue And Cash Control

$191.88 234 233
Christopher S Huang

725 Albany St, Fl 6

$114.38 200 191
Brendan Chen

330 Brookline Ave

$125.41 111 111
Abhijeet Waghray

800 Washington St

$148.28 109 97
Anisha Varma-Wilson

830 Harrison Ave

$109.82 95 93
Sunil G Sheth

330 Brookline Ave # Rabb423

$108.15 74 74
Caroline Renee Jouhourian

330 Brookline Ave # Rabb101

$109.14 72 71
Alan Colm Moss

725 Albany St Ste 6B

$110.49 52 52
Arpan Mohanty

55 Fruit St

$100.19 51 50
Michael Ju-Peng Huang

725 Albany St

$98.59 51 51
Alphonso Brown

330 Brookline Ave

$129.52 41 41
Allen Lun Hwang

800 Washington St

$100.60 41 41
Muthoka L Mutinga

1153 Centre St

$55.26 41 41
Aaron Dickstein

800 Washington St

$127.32 30 30
Woojin Kim

45 E Newton St

$445.67 26 26
Ansu Mammen Noronha

725 Albany St, Fl 6

$114.75 24 24
Daria Rachelle Homenko

750 Washington St

$116.17 24 24
Hiroyuki Aihara

75 Francis St

$70.70 16 16
Ryan R Gerry

1153 Centre St

$126.26 15 12
Joseph Feuerstein

110 Francis St

$156.70 14 14
Xiaocen Zhang

800 Washington St

$157.57 13 13
Sushrut Jangi

800 Washington St

$103.36 13 13
Kathleen Viveiros

800 Washington St

$66.02 13 13
Ashraf Saleemuddin

72 E Concord St

$125.18 12 12
Harmony V Allison

800 Washington St

$113.67 12 12
Nayna Amratlal Lodhia

75 Francis St

$99.52 12 12
Robert C Lowe

725 Albany St # 6B

$96.81 12 12
Gary M Lopes

133 Brookline Ave

$75.69 12 12
Patrick Avila

75 Francis St

$54.28 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 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 Boston, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Boston, MA is $818.20 per claim, based on 33,453 claims from 42 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 Boston, MA?

There are 42 Medicaid providers offering Colonoscopy related services in Boston, MA according to public payment data.

What is the price range for Colonoscopy in Boston, MA?

Medicaid reimbursement for Colonoscopy in Boston, MA ranges from $54.28 to $1,647 per claim, with an average of $818.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Colonoscopy in Other Cities

Other Procedures in Boston, MA