Average Medicaid Colonoscopy Payments in Rochester, NY: $663.63
Avg. Paid
$663.63
Range
$133.33 – $908.67
Total Claims
8,920
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 Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Manish Kumar Madan
2440 Ridgeway Ave |
$404.63 | 13 | 13 |
|
Andrej Strapko
2440 Ridgeway Ave |
$326.85 | 13 | 13 |
|
Asim Mushtaq
1425 Portland Ave; Wilson Building |
$148.93 | 14 | 14 |
|
Maisa Ismail Abdalla
601 Elmwood Ave |
$133.33 | 24 | 24 |
|
Ari Chodos
1561 Long Pond Rd |
$298.65 | 25 | 25 |
|
Marvin Singh
20 Hagen Dr Ste 330 |
$175.32 | 26 | 26 |
|
Lee Fu Peng
1425 Portland Ave |
$538.42 | 55 | 52 |
|
U Of R Neurology Department
601 Elmwood Ave |
$908.67 | 70 | 68 |
|
Unity Linden Oaks Surgery Center
1065 Senator Keating Blvd |
$423.20 | 353 | 350 |
|
The Unity Hospital Of Rochester
1555 Long Pond Rd |
$678.44 | 734 | 732 |
|
Highland Hospital Of Rochester
1000 South Ave |
$680.48 | 1,064 | 1,061 |
|
University Of Rochester
601 Elmwood Ave |
$657.20 | 3,106 | 3,103 |
|
Rochester General Hospital
1425 Portland Ave |
$697.32 | 3,423 | 3,345 |
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 Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Rochester, NY is $663.63 per claim, based on 8,920 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 Rochester, NY?
There are 13 Medicaid providers offering Colonoscopy related services in Rochester, NY according to public payment data.
What is the price range for Colonoscopy in Rochester, NY?
Medicaid reimbursement for Colonoscopy in Rochester, NY ranges from $133.33 to $908.67 per claim, with an average of $663.63. 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 $155.96
4,468,559 claims
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Avg $13.58
3,406,771 claims
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Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
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Avg $416.23
1,188,020 claims
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Avg $142.49
1,087,559 claims
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Avg $66.55
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Avg $59.14
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