Average Medicaid Colonoscopy Payments in Irvine, CA: $319.84
Avg. Paid
$319.84
Range
$0.00 – $394.78
Total Claims
25,059
Providers
11
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 Irvine, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Orange County Digestive Center, Inc
1400 Reynolds Ave Ste 125 |
$394.78 | 10,873 | 10,709 |
|
Fang Frank Yu
15825 Laguna Canyon Rd., |
$380.28 | 6,027 | 5,969 |
|
Surgicare Of La Veta Ltd.
3500 Barranca Pkwy Suite 130 |
$82.46 | 3,675 | 3,607 |
|
Specialty Surgical Center Of Irvine Lp
15825 Laguna Canyon Rd |
$236.03 | 3,427 | 3,390 |
|
Kong Peng Yap
33 Creek Rd |
$376.96 | 667 | 654 |
|
Irvine Gastroenterology
15825 Laguna Canyon Rd |
$263.06 | 228 | 227 |
|
Irvine Surgical Medical Group Corp
15825 Laguna Canyon Rd |
$0.43 | 63 | 63 |
|
Maryam Rahnemun
14150 Culver Dr Ste 105 |
$0.00 | 33 | 33 |
|
Rashmi Kumar
16405 Sand Canyon Ave Ste 280 |
$113.75 | 29 | 26 |
|
Digestive Disease Consultants Of Orange County Inc
113 Waterworks Way |
$69.65 | 25 | 25 |
|
Carlos Amir Esparza Monzavi
1000 Fivepoint Bldg B |
$170.34 | 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 Irvine, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Irvine, CA is $319.84 per claim, based on 25,059 claims from 11 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 Irvine, CA?
There are 11 Medicaid providers offering Colonoscopy related services in Irvine, CA according to public payment data.
What is the price range for Colonoscopy in Irvine, CA?
Medicaid reimbursement for Colonoscopy in Irvine, CA ranges from $0.00 to $394.78 per claim, with an average of $319.84. 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 $41.92
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Avg $58.51
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Avg $140.19
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Avg $15.60
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Avg $75.89
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