Average Medicaid Colonoscopy Payments in Cincinnati, OH: $402.24
Avg. Paid
$402.24
Range
$129.40 – $529.61
Total Claims
10,798
Providers
28
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 Cincinnati, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hsc Surgical Associates Of Cincinnati, Llc
2925 Vernon Pl |
$333.14 | 2,052 | 1,874 |
|
University Of Cincinnati Medical Center, Llc
3188 Bellevue Avenue |
$518.84 | 1,931 | 1,480 |
|
The Good Samaritan Hospital Of Cincinnati, Ohio
375 Dixmyth Ave |
$525.23 | 1,273 | 1,021 |
|
Children'S Hospital Medical Center
3333 Burnet Ave |
$513.01 | 907 | 773 |
|
Anderson Endoscopy Center Llc
7661 Beechmont Ave |
$308.92 | 841 | 766 |
|
Bethesda Hospital Inc
10500 Montgomery Rd |
$499.99 | 717 | 569 |
|
Kara Mari De Felice
222 Piedmont Ave |
$178.68 | 548 | 448 |
|
Samuel Del Mauro
11111 Montgomery Rd |
$238.17 | 537 | 476 |
|
Mubarak Waheed Sayyar
222 Piedmont Ave |
$275.07 | 446 | 445 |
|
Mercy Health - West Hospital Llc
3300 Mercy Health Blvd |
$529.61 | 337 | 256 |
|
Jewish Hospital Llc
4777 E Galbraith Rd |
$398.20 | 318 | 251 |
|
Christ Hospital
2139 Auburn Ave |
$528.47 | 166 | 144 |
|
Loren Phillip Brook
234 Goodman St |
$314.05 | 139 | 134 |
|
Said Ibrahim Nabhan
7661 Beechmont Ave Ste 120 |
$174.21 | 119 | 106 |
|
Abhishek Datta Polavarapu
3188 Bellevue Ave |
$129.40 | 76 | 75 |
|
David D Hess
6949 Good Samaritan Dr |
$180.03 | 72 | 66 |
|
Soohwan Chun
6949 Good Samaritan Dr Ste 230 |
$222.60 | 65 | 55 |
|
Steven Richard Gay
3130 Highland Ave |
$198.84 | 40 | 38 |
|
Gregory Mathias Lam
7661 Beechmont Ave Ste 120 |
$198.11 | 40 | 37 |
|
Mercy Health - Anderson Hospital Llc
7500 State Rd |
$474.50 | 34 | 26 |
|
Nadav Sahar
3219 Clifton Ave |
$227.88 | 32 | 25 |
|
Juan L Peschiera
375 Dixmyth Ave |
$187.22 | 24 | 24 |
|
Vinayak S Kulkarni
9200 Montgomery Rd |
$334.18 | 19 | 17 |
|
Matthew Atkinson
2925 Vernon Pl |
$227.52 | 14 | 13 |
|
Aditi Mulgund Stanton
3301 Mercy Health Blvd Ste 445 |
$220.84 | 13 | 12 |
|
Piush Gupta
6949 Good Samaritan Dr |
$165.68 | 13 | 12 |
|
Terry R Kaylor
2925 Vernon Pl |
$163.23 | 13 | 12 |
|
Mark A Manegold
3219 Clifton Ave Ste 330 |
$189.20 | 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 Cincinnati, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Cincinnati, OH is $402.24 per claim, based on 10,798 claims from 28 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 Cincinnati, OH?
There are 28 Medicaid providers offering Colonoscopy related services in Cincinnati, OH according to public payment data.
What is the price range for Colonoscopy in Cincinnati, OH?
Medicaid reimbursement for Colonoscopy in Cincinnati, OH ranges from $129.40 to $529.61 per claim, with an average of $402.24. 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
Other Procedures in Cincinnati, OH
Blood Work & Lab Tests
Avg $7.16
12,933,390 claims
Office Visit
Avg $57.26
6,244,164 claims
Emergency Room Visit
Avg $94.36
2,312,527 claims
Home Health Visit
Avg $67.23
2,297,701 claims
Behavioral & Mental Health Therapy
Avg $87.07
2,275,452 claims
Substance Abuse Treatment
Avg $55.29
2,244,339 claims
Psychiatric Evaluation
Avg $79.56
1,780,978 claims
Urinalysis & Urine Tests
Avg $2.81
1,707,210 claims