Average Medicaid Colonoscopy Payments in Richmond, VA: $645.62
Avg. Paid
$645.62
Range
$119.88 – $785.73
Total Claims
21,114
Providers
13
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 Richmond, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Virginia Commonwealth University Health System Authority
1250 E Marshall St |
$785.73 | 8,832 | 7,284 |
|
Bon Secours St. Mary'S Hospital Of Richmond Llc
5801 Bremo Rd |
$581.13 | 5,988 | 5,276 |
|
Chippenham & Johnston-Willis Hospitals Inc
7101 Jahnke Rd |
$612.14 | 3,788 | 3,488 |
|
Hca Health Services Of Virginia Inc
1602 Skipwith Rd |
$704.53 | 832 | 798 |
|
Puneet Basi
1600 Wilkes Ridge Dr Ste 200 |
$182.04 | 448 | 430 |
|
Doumit S. Bouhaidar
1250 E Marshall St |
$144.73 | 399 | 352 |
|
Gregg A Valenzuela
7702 E Parham Rd |
$287.15 | 356 | 354 |
|
Ravi K Vachhani
1250 E Marshall St |
$138.77 | 284 | 237 |
|
Stephen J. Bickston
1250 E Marshall St |
$145.66 | 58 | 54 |
|
Sasha Kareshma Mangray
8700 Stony Point Pkwy |
$126.56 | 43 | 38 |
|
Carl B Rountree
5875 Bremo Rd |
$176.37 | 33 | 31 |
|
Sanjeev K. Jairath
9105 Stony Point Dr |
$126.14 | 27 | 24 |
|
Andy Thanjan
5855 Bremo Rd Ste 706 |
$119.88 | 26 | 14 |
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 Richmond, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Richmond, VA is $645.62 per claim, based on 21,114 claims from 13 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 Richmond, VA?
There are 13 Medicaid providers offering Colonoscopy related services in Richmond, VA according to public payment data.
What is the price range for Colonoscopy in Richmond, VA?
Medicaid reimbursement for Colonoscopy in Richmond, VA ranges from $119.88 to $785.73 per claim, with an average of $645.62. 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
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Avg $4.30
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Avg $26.22
2,907,745 claims
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Avg $68.82
2,636,996 claims
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Avg $53.32
2,490,009 claims
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Avg $179.96
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Avg $137.78
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X-Ray
Avg $7.41
1,597,204 claims
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Avg $84.50
1,259,338 claims