Average Medicaid Colonoscopy Payments in New York, NY: $480.84
Avg. Paid
$480.84
Range
$29.16 โ $793.21
Total Claims
109,933
Providers
79
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 New York, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gpddc, Llc
250 Park Ave S |
$436.10 | 14,734 | 14,627 |
|
Nyu Langone Hospitals
550 1St Ave |
$727.71 | 13,941 | 13,790 |
|
West Side Gi, Llc
619 W 54Th St |
$511.99 | 10,114 | 10,052 |
|
The New York And Presbyterian Hospital
525 E 68Th St |
$793.21 | 8,072 | 8,038 |
|
The New York And Presbyterian Hospital
622 W 168Th St |
$711.76 | 6,118 | 6,067 |
|
St Lukes Roosevelt Hospital Center
1000 10Th Ave |
$650.46 | 5,682 | 5,641 |
|
Chun Tung Wong
98 E Broadway Fl 6 |
$268.39 | 5,598 | 5,534 |
|
Ricardo E Pou
300 Fort Washington Ave Ofc 1 |
$188.14 | 3,575 | 3,522 |
|
Peter M Distler
3 E 83Rd St |
$245.26 | 3,345 | 3,337 |
|
Anthony J Ng
139 Centre St |
$276.87 | 2,980 | 2,939 |
|
Ray Dong
10 Union Sq E # 2G |
$342.31 | 2,700 | 2,696 |
|
Julio E Albarran
452 Fort Washington Ave |
$261.09 | 2,419 | 2,381 |
|
Timothy Wong
77 Bowery # 701 |
$411.89 | 2,243 | 2,237 |
|
East Side Endoscopy Llc
380 2Nd Ave |
$443.16 | 2,149 | 2,120 |
|
New York City Health And Hospitals Corporation
1901 1St Ave |
$612.26 | 1,837 | 1,797 |
|
Guy Alexander Renvoize
161 W 15Th St Apt 2G |
$210.44 | 1,647 | 1,614 |
|
Jonathan Max Rieber
5030 Broadway |
$153.25 | 1,575 | 1,574 |
|
Mount Sinai Hospital
1 Gustave L Levy Pl |
$610.21 | 1,558 | 1,553 |
|
Lincoln Hernandez
495 Fort Washington Ave Ste Pe1C |
$184.29 | 1,523 | 1,503 |
|
Wallace J. Wang
17 Elizabeth St |
$225.93 | 1,279 | 1,271 |
|
Yorkville Endoscopy, Llc
201 E 93Rd St |
$399.35 | 1,253 | 1,226 |
|
New York City Health And Hospitals Corporation
506 Lenox Ave |
$681.04 | 1,175 | 1,171 |
|
New York City Health And Hospitals Corporation
462 First Avenue |
$637.71 | 941 | 928 |
|
Indira R Kairam
50 W 97Th St |
$218.20 | 908 | 907 |
|
Icahn School Of Medicine At Mount Sinai
1 Gustave L Levy Pl |
$196.93 | 883 | 879 |
|
Mark Chu
13-17 Elizabeth Street |
$431.28 | 840 | 840 |
|
Lenox Hill Hospital
100 E 77Th St |
$630.78 | 811 | 805 |
|
Liberty Endoscopy, Llc
156 William St |
$466.84 | 811 | 807 |
|
Anthony P Chan
198 Canal Street |
$261.47 | 702 | 701 |
|
Danny Chu
17 Elizabeth Street |
$365.23 | 668 | 666 |
|
Rene Shek-Ming Eng
217 Grand St |
$247.88 | 521 | 515 |
|
Grigoriy E. Gurvits
530 1St Ave |
$100.84 | 517 | 502 |
|
Steven Finkelstein
215 E 95Th St |
$379.59 | 472 | 468 |
|
Michael Ivan Zelenetz
215 E 95Th St |
$342.60 | 466 | 454 |
|
Uws Asc Llc
230 W 74Th St |
$358.66 | 428 | 424 |
|
Anthony Foong
210 Canal St |
$423.68 | 409 | 409 |
|
Snow Trinh Thi Nguyen
86 Bowery Fl 7 |
$367.62 | 388 | 388 |
|
Jeevan Y Vinod
100 E 77Th St |
$102.73 | 365 | 331 |
|
Yi Jia
70 W 36Th St # 5C |
$462.55 | 341 | 340 |
|
Mihaela I. Vladutiu
60 Gramercy Park N |
$180.19 | 334 | 333 |
|
Hyman L Kirschenbaum
425 W 59Th St |
$376.82 | 332 | 321 |
|
Carnegie Hill Endoscopy Llc
1516 Lexington Ave |
$362.16 | 325 | 324 |
|
Robert Marc Meltzer
103 E 75Th St |
$234.34 | 300 | 297 |
|
Ahmed Elsayed Shady
1901 1St Ave |
$125.25 | 270 | 269 |
|
Ugonna Iroku
311 E 79Th St Ste 2A |
$62.74 | 267 | 172 |
|
Manhattan Endoscopy Center Llc
535 5Th Ave |
$437.98 | 208 | 204 |
|
Charles Oliner
60 Gramercy Park N |
$229.28 | 205 | 205 |
|
Lawrence J Ottaviano
60 Gramercy Park N |
$215.39 | 188 | 188 |
|
Kips Bay Endoscopy Center, Llc
535 2Nd Ave |
$427.07 | 176 | 176 |
|
Chien Chiang
109 Lafayette St |
$359.40 | 152 | 152 |
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 New York, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in New York, NY is $480.84 per claim, based on 109,933 claims from 79 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 New York, NY?
There are 79 Medicaid providers offering Colonoscopy related services in New York, NY according to public payment data.
What is the price range for Colonoscopy in New York, NY?
Medicaid reimbursement for Colonoscopy in New York, NY ranges from $29.16 to $793.21 per claim, with an average of $480.84. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Colonoscopy in Other Cities
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
Bakersfield, CA
Avg $512.81
43,403 claims ยท 17 providers
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims