Average Medicaid Colonoscopy Payments in Cleveland, OH: $533.53
Avg. Paid
$533.53
Range
$109.07 – $667.00
Total Claims
19,196
Providers
30
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 Cleveland, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Cleveland Clinic Foundation
9500 Euclid Ave |
$667.00 | 9,143 | 7,030 |
|
The Metrohealth System
2500 Metrohealth Dr |
$650.54 | 3,042 | 2,479 |
|
Milan Dodig
9500 Euclid Ave |
$189.30 | 2,077 | 2,005 |
|
University Hospitals Cleveland Medical Center
11100 Euclid Ave |
$513.62 | 1,335 | 872 |
|
Southwest General Health Center
18697 Bagley Rd |
$448.88 | 735 | 610 |
|
Nisheet Waghray
2500 Metrohealth Dr |
$205.51 | 729 | 678 |
|
Michael Kurin
2500 Metrohealth Dr |
$332.03 | 434 | 419 |
|
University Hospitals Cleveland Medical Center
11100 Euclid Ave |
$617.22 | 260 | 177 |
|
Annette M Kyprianou
2500 Metrohealth Dr |
$192.35 | 227 | 200 |
|
Richard Wong
2500 Metrohealth Dr |
$208.00 | 137 | 131 |
|
Bhavesh Shah
2500 Metrohealth Dr |
$138.21 | 114 | 112 |
|
Roy D Ferguson
2500 Metrohealth Dr |
$181.61 | 113 | 104 |
|
Pamela Leone
9500 Euclid Ave |
$248.42 | 103 | 64 |
|
Edward S Feldman
2500 Metrohealth Dr |
$222.93 | 98 | 91 |
|
Gerard A Isenberg
11100 Euclid Ave |
$224.02 | 82 | 82 |
|
Daniel Karb
11100 Euclid Ave |
$308.89 | 78 | 76 |
|
Ronnie Fass
2500 Metrohealth Dr |
$217.94 | 77 | 67 |
|
Gengqing Song
2500 Metrohealth Dr |
$211.01 | 71 | 70 |
|
Bo Shen
9500 Euclid Ave |
$241.35 | 62 | 62 |
|
Aijaz Ahmed Sofi
2500 Metrohealth Dr |
$196.75 | 54 | 52 |
|
Catherine Louise Ly
9500 Euclid Ave |
$203.50 | 51 | 37 |
|
Jason Elie Abdallah
2500 Metrohealth Dr |
$139.88 | 40 | 40 |
|
Mohamad Awf Mouchli
2500 Metrohealth Dr |
$289.20 | 36 | 26 |
|
Rahoma Saad Mohamed
9500 Euclid Ave |
$181.63 | 18 | 12 |
|
Bolin Niu
2500 Metrohealth Dr |
$109.07 | 17 | 14 |
|
Praveen Kumar Conjeevaram Selvakumar
9500 Euclid Ave |
$220.90 | 14 | 13 |
|
Mazen Issa
18780 Bagley Rd Ste 200 |
$207.74 | 13 | 12 |
|
Imad Asaad
2500 Metrohealth Dr |
$275.54 | 12 | 12 |
|
Alok Jain
2500 Metrohealth Dr |
$221.42 | 12 | 12 |
|
Mohammed Khorshed Alam Mazumder
2475 E 22Nd St Ste 120 |
$185.16 | 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 Cleveland, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Cleveland, OH is $533.53 per claim, based on 19,196 claims from 30 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 Cleveland, OH?
There are 30 Medicaid providers offering Colonoscopy related services in Cleveland, OH according to public payment data.
What is the price range for Colonoscopy in Cleveland, OH?
Medicaid reimbursement for Colonoscopy in Cleveland, OH ranges from $109.07 to $667.00 per claim, with an average of $533.53. 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 Cleveland, OH
Blood Work & Lab Tests
Avg $5.86
7,265,730 claims
Office Visit
Avg $41.74
4,839,931 claims
Home Health Visit
Avg $54.94
3,518,961 claims
Emergency Room Visit
Avg $98.94
3,436,346 claims
Behavioral & Mental Health Therapy
Avg $95.38
2,548,278 claims
X-Ray
Avg $8.95
2,124,741 claims
Substance Abuse Treatment
Avg $65.51
1,764,305 claims
Vaccines & Immunizations
Avg $8.45
1,524,000 claims