Average Medicaid Colonoscopy Payments in Paducah, KY: $283.13
Avg. Paid
$283.13
Range
$120.00 โ $427.12
Total Claims
4,524
Providers
8
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 Paducah, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baptist Healthcare System, Inc
2501 Kentucky Ave |
$392.31 | 2,500 | 2,014 |
|
Lingaiah Chandrashekar
225 Medical Center Dr Ste 308 |
$126.19 | 837 | 677 |
|
Shane Eric Hendon
1532 Lone Oak Rd |
$120.00 | 354 | 273 |
|
Lourdes Ambulatory Surgery Center Llc
225 Medical Center Dr Ste 105 |
$192.48 | 235 | 186 |
|
Ross Edward Jones
1532 Lone Oak Rd |
$130.69 | 234 | 200 |
|
Russell W Carter
2605 Kentucky Ave |
$146.95 | 211 | 189 |
|
Pamela A Reed
2605 Kentucky Ave Ste 202 |
$195.34 | 87 | 81 |
|
Mercy Health-Lourdes Hospital Llc
1530 Lone Oak Rd |
$427.12 | 66 | 56 |
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 Paducah, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Paducah, KY is $283.13 per claim, based on 4,524 claims from 8 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 Paducah, KY?
There are 8 Medicaid providers offering Colonoscopy related services in Paducah, KY according to public payment data.
What is the price range for Colonoscopy in Paducah, KY?
Medicaid reimbursement for Colonoscopy in Paducah, KY ranges from $120.00 to $427.12 per claim, with an average of $283.13. 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
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