Average Medicaid Colonoscopy Payments in Detroit, MI: $284.05
Avg. Paid
$284.05
Range
$89.70 – $502.28
Total Claims
42,577
Providers
14
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 Detroit, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kartheek B Nagappala
4201 Saint Antoine St |
$89.70 | 55 | 52 |
|
Tariq Abdelrahim Faris Hammad
2799 W Grand Blvd # K-7 |
$266.81 | 66 | 57 |
|
Ravish Manojkumar Parekh
2799 W Grand Blvd |
$244.89 | 75 | 58 |
|
Henry Ford Health System
2799 W Grand Blvd |
$102.96 | 110 | 110 |
|
Vhs Detroit Receiving Hospital Inc
4201 Saint Antoine St |
$502.28 | 146 | 145 |
|
Plexus Gastro Pllc
6501 Greenfield Rd |
$123.36 | 302 | 300 |
|
Hussein Al-Hamid
22201 Moross Rd |
$132.57 | 351 | 328 |
|
University Pediatricians
3901 Beaubien |
$113.06 | 369 | 368 |
|
Vhs Childrens Hospital Of Michigan Inc
3901 Beaubien St |
$479.83 | 703 | 700 |
|
Vhs Sinai-Grace Hospital Inc
6071 W Outer Dr |
$422.05 | 5,316 | 5,266 |
|
Vhs Harper-Hutzel Hospital Inc
3990 John R St |
$472.45 | 6,891 | 6,815 |
|
University Physician Group
4201 St. Antoine St. |
$113.15 | 8,132 | 8,006 |
|
Henry Ford Health System
2799 W Grand Blvd |
$430.41 | 9,036 | 8,940 |
|
Henry Ford Health System
2799 W Grand Blvd |
$108.59 | 11,025 | 10,885 |
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 Detroit, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Detroit, MI is $284.05 per claim, based on 42,577 claims from 14 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 Detroit, MI?
There are 14 Medicaid providers offering Colonoscopy related services in Detroit, MI according to public payment data.
What is the price range for Colonoscopy in Detroit, MI?
Medicaid reimbursement for Colonoscopy in Detroit, MI ranges from $89.70 to $502.28 per claim, with an average of $284.05. 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 Detroit, MI
Emergency Room Visit
Avg $110.55
4,694,783 claims
Office Visit
Avg $56.69
4,680,416 claims
Blood Work & Lab Tests
Avg $3.68
4,416,700 claims
Substance Abuse Treatment
Avg $28.79
3,445,158 claims
Home Health Visit
Avg $57.99
2,886,533 claims
X-Ray
Avg $10.17
1,790,332 claims
Psychiatric Evaluation
Avg $99.11
1,494,151 claims
Behavioral & Mental Health Therapy
Avg $129.03
1,324,733 claims