Average Medicaid Colonoscopy Payments in Oakland, CA: $255.02
Avg. Paid
$255.02
Range
$4.30 – $896.42
Total Claims
24,560
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 Oakland, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Oakland Ca Endoscopy Asc Lp
300 Frank Ogawa Plaza |
$475.18 | 12,131 | 11,975 |
|
Thomas B Hargrave
300 Frank Ogawa Plaza |
$6.74 | 2,206 | 2,194 |
|
Ralph L Peterson
10520 Macarthur Blvd |
$140.17 | 2,126 | 1,383 |
|
Danny Wu
300 Frank H Ogawa Plz Ste 355 |
$10.34 | 2,086 | 2,050 |
|
Susie W Cohn
300 Frank H Ogawa Plz Ste 355 |
$12.14 | 1,805 | 1,783 |
|
Liana Vesga
300 Frank H Ogawa Plz Ste 355 |
$11.70 | 1,175 | 1,169 |
|
Paul Chard
300 Frank H Ogawa Plz Ste 355 |
$11.06 | 1,093 | 1,078 |
|
Silvia M Villagomez
300 Frank H Ogawa Plz Ste 355 |
$7.20 | 755 | 746 |
|
Earl Michael Darby
300 Frank H Ogawa Plz |
$13.79 | 529 | 528 |
|
Sanya Wadhwa
300 Frank H Ogawa Plz Ste 355 |
$4.30 | 268 | 267 |
|
Neil H Stollman
300 Frank H Ogawa Plz Ste 355 |
$10.81 | 141 | 140 |
|
Ayesha Zahiruddin
1411 E 31St St |
$119.16 | 114 | 61 |
|
Kaiser Foundation Hospitals
280 W Macarthur Blvd |
$896.42 | 83 | 81 |
|
Macarthur Gastroenterology Inc.
10520 Macarthur Blvd |
$276.19 | 48 | 25 |
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 Oakland, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Oakland, CA is $255.02 per claim, based on 24,560 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 Oakland, CA?
There are 14 Medicaid providers offering Colonoscopy related services in Oakland, CA according to public payment data.
What is the price range for Colonoscopy in Oakland, CA?
Medicaid reimbursement for Colonoscopy in Oakland, CA ranges from $4.30 to $896.42 per claim, with an average of $255.02. 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 Oakland, CA
Office Visit
Avg $19.22
2,992,452 claims
Substance Abuse Treatment
Avg $23.42
1,786,349 claims
Blood Work & Lab Tests
Avg $9.55
1,668,108 claims
Emergency Room Visit
Avg $83.54
1,142,476 claims
Behavioral & Mental Health Therapy
Avg $224.83
867,225 claims
Vaccines & Immunizations
Avg $3.16
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X-Ray
Avg $24.32
646,804 claims
Urinalysis & Urine Tests
Avg $3.70
415,978 claims