Average Medicaid Colonoscopy Payments in San Antonio, TX: $253.71
Avg. Paid
$253.71
Range
$167.33 โ $337.18
Total Claims
639
Providers
6
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 San Antonio, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chad Best
540 Madison Oak Dr Ste 620 |
$170.22 | 12 | 12 |
|
Orlando Cortes
540 Madison Oak Dr Ste 620 |
$167.33 | 24 | 24 |
|
Nael Nabeel Haddad
4502 Medical Dr |
$247.85 | 28 | 28 |
|
Bexar County Hospital District
4502 Medical Dr |
$205.74 | 39 | 38 |
|
Meher Sindhoora Mavuram
621 Camden St Ste 202 |
$337.18 | 131 | 127 |
|
Maan Khatib
4410 Medical Dr Ste 540 |
$239.33 | 405 | 397 |
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 San Antonio, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in San Antonio, TX is $253.71 per claim, based on 639 claims from 6 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 San Antonio, TX?
There are 6 Medicaid providers offering Colonoscopy related services in San Antonio, TX according to public payment data.
What is the price range for Colonoscopy in San Antonio, TX?
Medicaid reimbursement for Colonoscopy in San Antonio, TX ranges from $167.33 to $337.18 per claim, with an average of $253.71. 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
Other Procedures in San Antonio, TX
Office Visit
Avg $47.25
4,471,070 claims
Personal Care Services
Avg $59.18
4,411,375 claims
Dental Cleaning & Exam
Avg $40.74
2,116,599 claims
Vaccines & Immunizations
Avg $6.82
1,972,578 claims
Emergency Room Visit
Avg $126.61
1,783,972 claims
Home Health Visit
Avg $36.92
1,523,622 claims
Blood Work & Lab Tests
Avg $7.55
1,133,231 claims
Physical Therapy
Avg $40.31
1,006,482 claims