Average Medicaid Colonoscopy Payments in Clifton, NJ: $393.16
Avg. Paid
$393.16
Range
$101.18 – $854.46
Total Claims
17,534
Providers
10
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 Clifton, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Affiliated Endoscopy Services Of Clifton Llc
925 Clifton Ave |
$854.46 | 4,665 | 4,479 |
|
Bassam Hajjar
1300 Main Ave |
$168.98 | 4,504 | 4,118 |
|
Advanced Surgery Center Of Clifton, Llc
1200 Route 46 |
$379.33 | 3,120 | 2,945 |
|
Anil Agarwal
905 Allwood Rd |
$126.55 | 2,501 | 2,371 |
|
Parthiv V Raval
1100 Clifton Ave |
$169.11 | 1,984 | 1,908 |
|
Premier Endoscopy, Llc
164 Brighton Rd |
$524.42 | 488 | 480 |
|
North Jersey Asc Associates
1060 Clifton Ave |
$234.22 | 129 | 104 |
|
Frank Ruiz
925 Clifton Ave |
$188.41 | 118 | 114 |
|
Steven David Gronowitz
1011 Clifton Ave |
$101.18 | 13 | 12 |
|
Natan Krohn
1011 Clifton Ave |
$116.62 | 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 Clifton, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Clifton, NJ is $393.16 per claim, based on 17,534 claims from 10 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 Clifton, NJ?
There are 10 Medicaid providers offering Colonoscopy related services in Clifton, NJ according to public payment data.
What is the price range for Colonoscopy in Clifton, NJ?
Medicaid reimbursement for Colonoscopy in Clifton, NJ ranges from $101.18 to $854.46 per claim, with an average of $393.16. 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 Clifton, NJ
Blood Work & Lab Tests
Avg $7.52
18,895,123 claims
Urinalysis & Urine Tests
Avg $2.72
3,698,558 claims
Culture & Microbiology Tests
Avg $4.40
1,860,300 claims
Office Visit
Avg $56.80
1,620,787 claims
Home Health Visit
Avg $90.84
947,056 claims
Non-Emergency Medical Transportation
Avg $30.29
670,907 claims
Pathology & Lab Services
Avg $27.68
586,839 claims
Physical Therapy
Avg $7.27
322,069 claims