Average Medicaid Colonoscopy Payments in Phoenix, AZ: $268.06
Avg. Paid
$268.06
Range
$48.75 โ $623.68
Total Claims
49,941
Providers
40
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 Phoenix, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Az West Endoscopy Center Llc
1850 N 95Th Ave |
$229.64 | 9,347 | 8,462 |
|
St. Joseph'S Outpatient Surgery Center, Llc
240 W Thomas Rd |
$257.67 | 8,400 | 7,992 |
|
Banner - University Medical Center Phoenix
1111 E Mcdowell Rd |
$306.67 | 5,433 | 5,234 |
|
Honorhealth
19829 N 27Th Ave |
$304.62 | 4,525 | 4,276 |
|
Maricopa County Special Health Care District
2601 E Roosevelt St |
$623.68 | 4,491 | 4,373 |
|
Nadim T Zyadeh
5815 N Black Canyon Hwy Ste 101 |
$159.56 | 2,806 | 2,728 |
|
Phoenix Children'S Hospital
1919 E Thomas Rd |
$48.75 | 2,174 | 2,148 |
|
Biltmore Surgical Partners, Llc
19646 N 27Th Ave Ste 101 |
$282.45 | 2,125 | 2,042 |
|
Elizabeth Cruz
500 W Thomas Rd Ste 100 |
$124.50 | 1,658 | 1,522 |
|
Rushda Mumtaz
1310 N 24Th St Ste 100 |
$147.98 | 1,168 | 1,126 |
|
Jonathan Spencer Mellen
9305 W Thomas Rd |
$120.65 | 1,058 | 975 |
|
Vhs Of Phoenix Inc
2000 W Bethany Home Rd |
$289.12 | 832 | 781 |
|
St Lukes Medical Center Lp
1800 E Van Buren St |
$391.33 | 798 | 759 |
|
Joseph B Fares
18404 N Tatum Blvd |
$121.98 | 636 | 594 |
|
Kandarp R Patel
9305 W Thomas Rd |
$118.34 | 537 | 471 |
|
Indu Srinivasan
2525 E Roosevelt St |
$166.00 | 458 | 425 |
|
Dignity Health
350 W Thomas Rd |
$421.30 | 361 | 338 |
|
Banner Estrella Medical Center
9201 W Thomas Rd |
$340.91 | 360 | 326 |
|
Alberto Xavier Ramos
1400 N. 12Th Street |
$176.05 | 352 | 342 |
|
Krishdeep Chadha
9305 W Thomas Rd |
$138.23 | 305 | 282 |
|
Jen-Jung Pan
1441 N 12Th St Fl 2 |
$149.55 | 302 | 288 |
|
Dalbir Singh Sandhu
500 W Thomas Rd Ste 100 |
$216.97 | 220 | 192 |
|
Banner Estrella Surgery Center Llc
9301 W Thomas Rd |
$249.74 | 214 | 202 |
|
Mansur A. Khan
9305 W Thomas Rd |
$120.75 | 167 | 150 |
|
Honorhealth
250 E Dunlap Ave |
$428.50 | 145 | 141 |
|
Omar Nadhem
2901 North Central Avenue |
$181.12 | 142 | 139 |
|
Banner Phoenix Surgery Center Llc
1111 E Mcdowell Rd Ste B |
$254.19 | 135 | 128 |
|
Andrew Weinberg
4375 E Irma Ln |
$140.83 | 116 | 109 |
|
Arizona Endoscopy Center, Llc
1410 E Mcdowell Rd |
$250.48 | 113 | 110 |
|
Bassel Al-Lahham
19636 N 27Th Ave Ste 408 |
$134.02 | 113 | 109 |
|
Amy Soloman
9305 W Thomas Rd Ste 500 |
$144.87 | 99 | 99 |
|
Shahab Aftahi
500 W Thomas Rd Ste 100 |
$136.63 | 85 | 78 |
|
Neil Shernoff
4110 N 108Th Ave Ste 105 |
$143.61 | 63 | 63 |
|
Florin Gaidici
1310 N 24Th St Ste 100 |
$167.94 | 56 | 54 |
|
Desert Ridge Outpatient Surgery Llc
20940 N Tatum Blvd |
$248.91 | 54 | 48 |
|
Abdul Nadir
2601 E Roosevelt St |
$156.10 | 28 | 28 |
|
Danlu Wang
2601 E Roosevelt St |
$205.88 | 24 | 24 |
|
Richard Patrick Shaughnessy
1300 N 12Th St |
$140.59 | 15 | 14 |
|
Eric Duquella
6707 N 19Th Ave |
$112.97 | 14 | 13 |
|
Layth Al-Jashaami
500 W Thomas Rd Ste 100 |
$121.88 | 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 Phoenix, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Phoenix, AZ is $268.06 per claim, based on 49,941 claims from 40 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 Phoenix, AZ?
There are 40 Medicaid providers offering Colonoscopy related services in Phoenix, AZ according to public payment data.
What is the price range for Colonoscopy in Phoenix, AZ?
Medicaid reimbursement for Colonoscopy in Phoenix, AZ ranges from $48.75 to $623.68 per claim, with an average of $268.06. 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
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 Phoenix, AZ
Blood Work & Lab Tests
Avg $4.07
28,642,228 claims
Case Management Services
Avg $37.73
14,607,817 claims
Office Visit
Avg $47.53
13,269,420 claims
Substance Abuse Treatment
Avg $94.34
10,076,493 claims
Personal Care Services
Avg $130.72
9,443,796 claims
Non-Emergency Medical Transportation
Avg $10.65
6,526,097 claims
Urinalysis & Urine Tests
Avg $1.58
4,901,181 claims
Behavioral & Mental Health Therapy
Avg $123.66
4,416,857 claims