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Based on public Medicaid payment data.

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

Other Procedures in Milwaukee, WI