Average Medicaid Colonoscopy Payments in Dover, DE: $170.97
Avg. Paid
$170.97
Range
$29.78 – $223.72
Total Claims
1,529
Providers
5
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 Dover, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bayhealth Medical Center, Inc
640 S State St |
$214.54 | 701 | 563 |
|
Gi Associates Of Delaware Pa
742 S Governors Ave |
$152.94 | 379 | 317 |
|
Advance Endoscopy Center Llc
742 S Governors Ave |
$192.77 | 228 | 194 |
|
Natwarlal V Ramani
742 S Governors Ave |
$29.78 | 208 | 148 |
|
First State Gastroenterology Association
644 S Queen St |
$223.72 | 13 | 13 |
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 Dover, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Dover, DE is $170.97 per claim, based on 1,529 claims from 5 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 Dover, DE?
There are 5 Medicaid providers offering Colonoscopy related services in Dover, DE according to public payment data.
What is the price range for Colonoscopy in Dover, DE?
Medicaid reimbursement for Colonoscopy in Dover, DE ranges from $29.78 to $223.72 per claim, with an average of $170.97. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Colonoscopy in Other Cities
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Avg $480.84
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Brooklyn, NY
Avg $404.08
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Los Angeles, CA
Avg $204.62
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Bronx, NY
Avg $534.40
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Monterey Park, CA
Avg $190.53
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Flushing, NY
Avg $360.91
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Phoenix, AZ
Avg $268.06
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San Diego, CA
Avg $341.35
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Other Procedures in Dover, DE
Office Visit
Avg $55.49
541,196 claims
Personal Care Services
Avg $107.16
437,262 claims
Blood Work & Lab Tests
Avg $14.59
230,179 claims
Emergency Room Visit
Avg $142.47
220,056 claims
X-Ray
Avg $11.25
131,691 claims
Psychiatric Evaluation
Avg $55.09
118,201 claims
Dental Cleaning & Exam
Avg $50.03
102,368 claims
Vaccines & Immunizations
Avg $7.81
91,997 claims