Based on public Medicaid payment data.

Average Medicaid Colonoscopy Payments in Philadelphia, PA: $563.00

Avg. Paid

$563.00

Range

$94.98 – $1,575

Total Claims

8,834

Providers

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 Philadelphia, PA

Provider	Avg. Paid	Claims	Patients
Daniela M Proca 3401 N Broad St	$550.02	12	12
Francisco Leonel Toledo 617 E Allegheny Ave	$1,442	13	13
Holly Samantha Greenwald 3401 N Broad St	$1,356	13	13
Akinbowale Olatokunbo Oyalowo 3400 Civic Center Blvd	$1,165	13	13
David M. Zisa 1403 Rhawn St	$328.73	13	13
Nancy L. Graboyes-Leopold 525 Jamestown St	$206.96	13	12
Richard Paul Denicola 1101 Chestnut St	$201.56	13	13
Akil Hassam 3401 N Broad St	$188.42	13	13
Mayada Ismail 3401 N Broad St	$176.62	13	13
Abhinav Sankineni 3401 N Broad St	$125.74	13	12
Mehri Mollaee 3401 N Broad St	$966.64	14	14
Stephen J. Heller 3401 N Broad St	$601.44	27	26
Gi Asc Llc 3998 Red Lion Rd	$567.93	27	27
Andrew Herman Zabolotsky 833 Chestnut St	$119.73	30	30
Shivali Berera 3400 Civic Center Blvd	$738.31	31	30
Benjamin Krevsky 3401 N Broad St	$204.80	31	30
Neena Mohan 3401 N Broad St	$418.26	37	37
Mark Stephen Codella 1403 Rhawn Street	$251.42	39	39
Steven Stanek 3401 N Broad St	$784.66	44	42
Shiban K Raina 700 Cottman Ave	$175.41	53	49
Richard H. Greenberg 9880 Bustleton Ave	$1,013	55	55
Alexandra Weiss 301 N Broad St	$587.18	65	65
William Shi 3400 Spruce St	$995.86	92	92
Charles Bongiorno 3401 N Broad St	$534.01	106	100
Corey Stefan Brotz 700 Cottman Ave	$191.64	107	103
Zachary Wilmer Reichenbach 3401 N Broad St	$417.12	134	128
Oleg Volchonok 11400 Bustleton Ave	$129.34	137	134
Mark S Malamood 3401 N Broad St	$468.54	148	145
Grant Surgicenter Llc 2000 Grant Ave	$304.59	168	157
David Roth Lichtenstein 3401 N Broad St	$118.12	169	167
Maya Spodik 2000 Grant Ave	$305.27	189	187
Jessica Ann Briscoe 3401 N Broad St	$800.98	214	210
Praneet Kaur Wander 333 Cottman Ave	$94.98	214	194
Temple University Hospital, Inc 3401 N Broad St	$1,575	229	227
Daniel J. Sher 700 Cottman Ave	$198.04	231	217
Rajiv Vijay Bhuta 3401 N Broad St	$609.31	421	404
Richard Salvatore Depalma 5501 Old York Rd	$886.03	521	508
James William Walter 833 Chestnut St	$791.07	650	618
Michael Lee Davis 1200 W Tabor Rd Bldg Suite275	$872.56	659	636
Pgc Endoscopy Center For Excellence, Llc 700 Cottman Ave	$388.64	706	693
Chau Che 2301 E Allegheny Ave	$778.21	1,287	1,246
Xiaoli Ma 121 N 9Th St	$286.92	1,870	1,852

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 Philadelphia, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Philadelphia, PA is $563.00 per claim, based on 8,834 claims from 42 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 Philadelphia, PA?

There are 42 Medicaid providers offering Colonoscopy related services in Philadelphia, PA according to public payment data.

What is the price range for Colonoscopy in Philadelphia, PA?

Medicaid reimbursement for Colonoscopy in Philadelphia, PA ranges from $94.98 to $1,575 per claim, with an average of $563.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Colonoscopy Payments in Philadelphia, PA: $563.00

Providers Offering Colonoscopy in Philadelphia, PA

What to Expect: Colonoscopy

Cost Components

Frequently Asked Questions

Colonoscopy in Other Cities

New York, NY

Brooklyn, NY

Los Angeles, CA

Bronx, NY

Monterey Park, CA

Flushing, NY

Phoenix, AZ

San Diego, CA

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