Average Medicaid Colonoscopy Payments in Dayton, OH: $326.09
Avg. Paid
$326.09
Range
$105.18 – $761.68
Total Claims
5,239
Providers
21
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 Dayton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Benjamin Evans Wheeler
75 Sylvania Dr |
$204.37 | 19 | 16 |
|
David M Zapf
2400 W Stroop Rd |
$147.70 | 25 | 24 |
|
Teressa J Patrick
1530 Needmore Rd Ste 101 |
$146.75 | 25 | 25 |
|
Roberta Elizabeth Galford
1997 Miamisburg Centerville Rd |
$328.60 | 28 | 25 |
|
Urmee Siraj
4340 Clyo Rd Ste 200 |
$150.05 | 40 | 37 |
|
Rizwan E Kibria
75 Sylvania Dr |
$107.75 | 55 | 53 |
|
Michael Richard Sherman
Wright Patterson Medical Center |
$146.12 | 58 | 57 |
|
Jonathan Paige Kushner
4340 Clyo Rd Ste 200 |
$169.79 | 77 | 70 |
|
Bikram Verma Ansil
4340 Clyo Rd Ste 200 |
$141.78 | 100 | 93 |
|
Shashank Sarvepalli
425 W Grand Ave Ste 2002 |
$105.18 | 104 | 104 |
|
Miami Valley Hospital
1 Wyoming St |
$227.61 | 110 | 70 |
|
Kanan Sharma
1530 Needmore Rd Ste 101 |
$152.99 | 128 | 119 |
|
Dayton Children'S Hospital
1 Childrens Plz |
$761.68 | 181 | 160 |
|
Charles William Oberer
425 W Grand Ave Ste 2002 |
$240.87 | 201 | 195 |
|
Colonoscopy And Endoscopy Center Llc
7211 N Main St |
$331.44 | 208 | 186 |
|
Digestive Endoscopy Center Llc
1530 Needmore Rd |
$254.64 | 243 | 218 |
|
Salma Akram
4340 Clyo Rd Ste 200 |
$174.13 | 282 | 278 |
|
Ramesh K Gandhi
7211 N Main St Ste 2 |
$213.72 | 473 | 463 |
|
Dayton Osteopathic Hospital
405 W Grand Ave |
$543.49 | 793 | 710 |
|
Digestive Endoscopy Center Llc
4340 Clyo Rd Ste 100 |
$265.73 | 1,007 | 905 |
|
Endoscopy Center Of Dayton North Llc
9000 N Main St |
$387.10 | 1,082 | 922 |
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 Dayton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Dayton, OH is $326.09 per claim, based on 5,239 claims from 21 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 Dayton, OH?
There are 21 Medicaid providers offering Colonoscopy related services in Dayton, OH according to public payment data.
What is the price range for Colonoscopy in Dayton, OH?
Medicaid reimbursement for Colonoscopy in Dayton, OH ranges from $105.18 to $761.68 per claim, with an average of $326.09. 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
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Avg $59.90
3,092,172 claims
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Avg $64.03
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Avg $99.66
2,178,156 claims
Emergency Room Visit
Avg $97.08
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Avg $6.58
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Avg $69.30
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Avg $74.24
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Avg $8.52
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