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
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
Other Procedures in Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims