Average Medicaid Colonoscopy Payments in Milwaukee, WI: $202.50
Avg. Paid
$202.50
Range
$168.76 โ $364.36
Total Claims
35,950
Providers
33
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 โ 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 Milwaukee, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aurora Health Care Metro, Inc.
2900 W Oklahoma Ave |
$197.65 | 9,897 | 9,114 |
|
Ascension Se Wisconsin Hospital, Inc
5000 W Chambers St |
$195.05 | 5,894 | 5,428 |
|
Columbia St. Mary'S Hospital Milwaukee, Inc.
2323 N Lake Dr |
$175.72 | 4,988 | 4,276 |
|
Froedtert Memorial Lutheran Hospital, Inc.
9200 W Wisconsin Ave |
$185.41 | 4,206 | 3,623 |
|
Aboud Affi
1218 W Kilbourn Ave |
$230.60 | 2,007 | 1,804 |
|
Rajeev Nayar
2801 W Kk River Pkwy |
$168.76 | 1,620 | 1,555 |
|
Ascension St Francis Hospital, Inc
3237 S 16Th St |
$170.14 | 1,274 | 1,186 |
|
Center For Digestive Health Ltd
2801 W Kinnickinnic River Pkwy Ste 1060 |
$311.61 | 1,076 | 946 |
|
Children'S Hospital Of Wisconsin, Inc.
9000 W Wisconsin Ave |
$292.09 | 989 | 922 |
|
Nilay Kumar
2901 W Kk River Pkwy |
$184.18 | 601 | 512 |
|
Ricardo A Li
2801 W Kinnickinnic River Pkwy Ste 1080 |
$211.45 | 595 | 537 |
|
Thomas Slota
3070 N 51St St |
$235.89 | 523 | 459 |
|
Hassaan A Zia
9200 W Wisconsin Ave |
$303.13 | 466 | 425 |
|
Jamal A Qureshi
2801 W Kinnickinnic River Pkwy Ste 1080 |
$242.42 | 378 | 336 |
|
Chad J Stepke
2350 N Lake Dr Ste 500 |
$266.13 | 196 | 173 |
|
Joseph Peter Kim
2801 W Kinnickinnic River Pkwy Ste 1080 |
$222.87 | 190 | 178 |
|
Anas Raed
2801 W Kinnickinnic River Pkwy Ste 1080 |
$268.97 | 180 | 169 |
|
Tarun Sharma
2901 W Kk River Pkwy |
$195.76 | 178 | 154 |
|
Tarun Kaura
2901 W Kk River Pkwy |
$180.98 | 127 | 112 |
|
Chetan Mittal
2801 W Kinnickinnic River Pkwy Ste 1080 |
$315.30 | 110 | 100 |
|
Sunil Kapur
3003 W Good Hope Rd |
$205.93 | 98 | 92 |
|
Aaron C Baltz
2801 W Kinnickinnic River Pkwy Ste 1080 |
$204.32 | 70 | 63 |
|
Gokulakrishnan Balasubramanian
9200 W Wisconsin Avenue |
$277.02 | 64 | 62 |
|
Froedtert Surgery Center, Llc
840 N 87Th St |
$303.77 | 63 | 58 |
|
Lyndon V Hernandez
2801 W Kinnickinnic River Pkwy Ste 1080 |
$245.42 | 45 | 38 |
|
Ryan Berg
3070 N 51St St Ste 207 |
$214.48 | 20 | 12 |
|
Dilpesh S Agrawal
9200 W Wisconsin Ave |
$247.29 | 18 | 15 |
|
Maurice Wendell Chung
2311 N Prospect Ave |
$204.11 | 14 | 13 |
|
Jacob Laine
2801 W Kinnickinnic River Pkwy Ste 1080 |
$326.99 | 13 | 12 |
|
Asad Jehangir
2801 W Kinnickinnic River Pkwy Ste 1080 |
$279.43 | 13 | 12 |
|
North Shore Surgical Center A Wi
7007 N Range Line Rd |
$238.75 | 13 | 12 |
|
Syed Murtuza Hussain
2801 W Kinnickinnic River Pkwy Ste 1080 |
$364.36 | 12 | 12 |
|
Vincents J. Dindzans
788 N Jefferson St |
$248.18 | 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 | โ | โ | โ |
| 45386 | Colonoscopy w/dilation | โ | โ | โ |
| 45389 | Colonoscopy w/stent | โ | โ | โ |
| 45391 | Colonoscopy w/endoscopic us | โ | โ | โ |
| 45392 | Colonoscopy w/us guided inj | โ | โ | โ |
| 45393 | Colonoscopy w/decompress volv | โ | โ | โ |
| 45395 | Colonoscopy w/band ligation | โ | โ | โ |
| 45397 | Colonoscopy w/transanal excis | โ | โ | โ |
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 Milwaukee, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Milwaukee, WI is $202.50 per claim, based on 35,950 claims from 33 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 Milwaukee, WI?
There are 33 Medicaid providers offering Colonoscopy related services in Milwaukee, WI according to public payment data.
What is the price range for Colonoscopy in Milwaukee, WI?
Medicaid reimbursement for Colonoscopy in Milwaukee, WI ranges from $168.76 to $364.36 per claim, with an average of $202.50. 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 ยท 79 providers
Brooklyn, NY
Avg $404.08
100,671 claims ยท 94 providers
Los Angeles, CA
Avg $204.62
69,220 claims ยท 63 providers
Bronx, NY
Avg $534.40
64,609 claims ยท 51 providers
Monterey Park, CA
Avg $190.53
57,916 claims ยท 15 providers
Flushing, NY
Avg $360.91
57,865 claims ยท 26 providers
Phoenix, AZ
Avg $268.06
49,941 claims ยท 40 providers
San Diego, CA
Avg $341.35
47,215 claims ยท 20 providers
Other Procedures in Milwaukee, WI
Blood Work & Lab Tests
Avg $12.08
6,063,751 claims
Office Visit
Avg $50.47
5,280,772 claims
Emergency Room Visit
Avg $64.11
3,433,334 claims
Behavioral & Mental Health Therapy
Avg $97.09
2,167,359 claims
Case Management Services
Avg $88.79
1,899,271 claims
X-Ray
Avg $5.82
1,618,246 claims
Physical Therapy
Avg $31.00
1,562,867 claims
Urinalysis & Urine Tests
Avg $7.57
1,368,239 claims