Average Medicaid Colonoscopy Payments in Grand Rapids, MI: $210.44
Avg. Paid
$210.44
Range
$102.29 – $424.83
Total Claims
27,403
Providers
7
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 Grand Rapids, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Spectrum Health Primary Care Partners
1840 Wealthy St Se |
$102.29 | 16,288 | 15,625 |
|
Spectrum Health Hospitals
100 Michigan St Ne |
$424.83 | 8,749 | 8,694 |
|
Grand River Gastroenterology Pc
310 Lafayette Ave Se |
$106.53 | 1,646 | 1,638 |
|
Grand River Endoscopy Center, L.L.C.
310 Lafayette Ave Se |
$284.94 | 568 | 558 |
|
Saint Mary'S Health Services
200 Jefferson Ave Se |
$376.41 | 109 | 108 |
|
Robert Thomas Bischoff
310 Lafayette Ave Se |
$130.28 | 30 | 26 |
|
Advantage Health Saint Mary'S Medical Group
200 Jefferson Se |
$129.79 | 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 Grand Rapids, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Grand Rapids, MI is $210.44 per claim, based on 27,403 claims from 7 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 Grand Rapids, MI?
There are 7 Medicaid providers offering Colonoscopy related services in Grand Rapids, MI according to public payment data.
What is the price range for Colonoscopy in Grand Rapids, MI?
Medicaid reimbursement for Colonoscopy in Grand Rapids, MI ranges from $102.29 to $424.83 per claim, with an average of $210.44. 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 Grand Rapids, MI
Office Visit
Avg $56.03
3,306,257 claims
Blood Work & Lab Tests
Avg $4.19
2,384,351 claims
Substance Abuse Treatment
Avg $24.17
2,223,309 claims
X-Ray
Avg $7.57
2,155,834 claims
Emergency Room Visit
Avg $106.82
1,903,454 claims
Psychiatric Evaluation
Avg $79.32
1,323,354 claims
Physical Therapy
Avg $24.71
1,298,324 claims
Vaccines & Immunizations
Avg $10.34
1,229,009 claims