Average Medicaid Colonoscopy Payments in Miami, FL: $167.80
Avg. Paid
$167.80
Range
$4.83 – $297.04
Total Claims
5,648
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 Miami, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frances E Robles Pena
9035 Sunset Dr Ste 201 |
$128.78 | 13 | 12 |
|
Miguel De Jesus Rodriguez
8525 Sw 92Nd St |
$103.96 | 13 | 12 |
|
Karan Chawla
11440 N Kendall Drive |
$101.33 | 13 | 13 |
|
Emory Matthew Manten
1400 Nw 12Th Ave |
$73.32 | 14 | 12 |
|
Andrew E Nullman
1190 Nw 95Th St Ste 412 |
$131.29 | 16 | 13 |
|
Baptist Surgery And Endoscopy Centers Llc
7500 Sw 87Th Ave Ste 101 |
$34.45 | 45 | 38 |
|
Jordan Goldstein
1295 Nw 14Th St |
$123.07 | 65 | 62 |
|
Gastro Health Llc
9408 Sw 87Th Ave Ste 200 |
$4.83 | 91 | 84 |
|
Carlos Rene Diaz
9380 Sw 150Th Street |
$25.48 | 151 | 64 |
|
Michael G Valladares
11440 N Kendall Drive |
$76.96 | 390 | 286 |
|
Javier Sobrado
8525 Sw 92Nd St |
$99.95 | 402 | 350 |
|
Miami Children'S Hospital Ambulatory Surgery Center, Llc
800 Sw 108Th Ave |
$213.57 | 614 | 608 |
|
Cristina Sobrado Marin
9195 Sw 72Nd Street |
$79.00 | 1,880 | 1,368 |
|
Coral View Surgery Center, Llc
8390 W Flagler St |
$297.04 | 1,941 | 1,816 |
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 Miami, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Miami, FL is $167.80 per claim, based on 5,648 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 Miami, FL?
There are 14 Medicaid providers offering Colonoscopy related services in Miami, FL according to public payment data.
What is the price range for Colonoscopy in Miami, FL?
Medicaid reimbursement for Colonoscopy in Miami, FL ranges from $4.83 to $297.04 per claim, with an average of $167.80. 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 Miami, FL
Home Health Visit
Avg $43.52
13,238,394 claims
Personal Care Services
Avg $33.56
10,537,763 claims
Non-Emergency Medical Transportation
Avg $17.85
8,361,700 claims
Behavioral & Mental Health Therapy
Avg $96.96
6,731,703 claims
Blood Work & Lab Tests
Avg $1.65
5,777,945 claims
Office Visit
Avg $49.15
4,998,845 claims
Case Management Services
Avg $82.94
3,929,993 claims
Physical Therapy
Avg $41.78
3,470,277 claims