Average Medicaid Colonoscopy Payments in Lexington, KY: $357.24
Avg. Paid
$357.24
Range
$134.55 – $630.01
Total Claims
20,239
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baptist-Physicians Surgery Center
1720 Nicholasville Rd |
$296.43 | 5,734 | 5,054 |
|
University Of Kentucky
800 Rose St |
$630.01 | 4,975 | 4,454 |
|
Colorectal Surgical & Gastroenterology Associates Psc
2620 Wilhite Dr |
$288.05 | 2,941 | 2,489 |
|
Gregory Aaron Reynolds
341 Jane Briggs Ave |
$134.55 | 1,835 | 1,378 |
|
Victor Alex Howard
1720 Nicholasville Rd Ste 302 |
$163.59 | 1,130 | 995 |
|
Saint Joseph Health System, Inc
1 Saint Joseph Dr |
$471.25 | 958 | 723 |
|
Lexington Surgery Center Ltd
2115 Harrodsburg Rd |
$300.51 | 742 | 653 |
|
Adalberto Roman Castellanos
1780 Nicholasville Rd Ste 202 |
$200.31 | 450 | 410 |
|
June Y Yong
1401 Harrodsburg Rd |
$167.06 | 411 | 358 |
|
Gregory M Woolfolk
1720 Nicholasville Rd Ste 302 |
$194.91 | 309 | 291 |
|
Saint Joseph Health System, Inc
150 N Eagle Creek Dr |
$426.89 | 305 | 225 |
|
James Stormer Pezzi
1780 Nicholasville Rd Ste 202 |
$193.25 | 87 | 74 |
|
Baptist Health Surgery Center Llc
3000 Baptist Health Blvd Ste 110 |
$346.42 | 74 | 65 |
|
Bilal Aslam
1401 Harrodsburg Rd Ste C305 |
$175.24 | 59 | 55 |
|
New Lexington Clinic, Psc
1225 S Broadway |
$225.31 | 57 | 51 |
|
Kathleen Martin
160 N Eagle Creek Dr |
$143.37 | 48 | 39 |
|
Deborah R Flomenhoft
740 S Limestone St |
$177.01 | 46 | 42 |
|
Terrence Barrett
Uk Division Of Digestive Diseases |
$178.71 | 39 | 38 |
|
Donald Richberg Campbell
800 Rose St |
$136.84 | 14 | 12 |
|
Amy Coo Tiu
1401 Harrodsburg Rd |
$156.22 | 13 | 13 |
|
Sylvia Yirenkyi Ofei
800 Rose St |
$173.72 | 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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Lexington, KY is $357.24 per claim, based on 20,239 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 Lexington, KY?
There are 21 Medicaid providers offering Colonoscopy related services in Lexington, KY according to public payment data.
What is the price range for Colonoscopy in Lexington, KY?
Medicaid reimbursement for Colonoscopy in Lexington, KY ranges from $134.55 to $630.01 per claim, with an average of $357.24. 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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