Average Medicaid Colonoscopy Payments in San Francisco, CA: $199.84
Avg. Paid
$199.84
Range
$0.00 – $1,220
Total Claims
11,682
Providers
32
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 San Francisco, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tarun Rustagi
1100 Van Ness Ave |
$522.00 | 3,022 | 2,417 |
|
San Francisco Endoscopy Center Llc
3468 California Street |
$29.91 | 1,208 | 1,193 |
|
Timothy Chen
2100 Webster St Ste 115 |
$24.04 | 956 | 953 |
|
Sutter West Bay Hospitals
2333 Buchanan Street |
$0.00 | 910 | 907 |
|
City & County Of San Francisco
1001 Potrero Ave |
$6.65 | 882 | 878 |
|
James K. Yan
728 Pacific Ave Ste 305 |
$11.77 | 753 | 753 |
|
Dennis D Shen
909 Hyde St |
$227.58 | 748 | 744 |
|
Shreya Patel
1001 Potrero Ave Bldg 5 |
$121.09 | 644 | 639 |
|
Jeffrey M Baumgardner
1001 Potrero Ave |
$47.16 | 400 | 400 |
|
Lukejohn Welch Day
505 Parnassus Ave |
$49.56 | 316 | 312 |
|
Justin Louis Sewell
1001 Potrero Ave |
$49.52 | 284 | 283 |
|
Dhruv Verma
2425 Geary Blvd |
$420.65 | 211 | 164 |
|
Christina Chou
1100 Van Ness Ave Fl 3 |
$144.54 | 200 | 129 |
|
Ma Somsouk
1001 Potrero Ave # 3D-2 |
$76.63 | 131 | 131 |
|
Kaiser Foundation Hospitals
2425 Geary Blvd |
$1,220 | 129 | 127 |
|
Jesse Liu
2100 Webster St Ste 115 |
$1.53 | 123 | 122 |
|
Golden Gate Endoscopy Center, Llc
3370 Geary Blvd |
$141.80 | 117 | 116 |
|
University Of California San Francisco Medical Center
505 Parnassus Ave |
$87.53 | 114 | 112 |
|
Colin John Feuille
1001 Potrero Avenue |
$82.12 | 103 | 103 |
|
Andy Liu
2351 Clay St |
$123.94 | 98 | 95 |
|
Chinese Hospital Association
845 Jackson St |
$50.96 | 82 | 77 |
|
Dayana Othonie Carcamo-Molina
2351 Clay St Ste 380 |
$0.00 | 53 | 53 |
|
Michele May-Sien Tana
1001 Potrero Ave # 3D |
$73.97 | 32 | 32 |
|
Alexis Mae Bayudan
513 Parnassus Ave Rm S-357 |
$15.53 | 32 | 32 |
|
Benjamin G Hassid
513 Parnassus Ave |
$598.20 | 27 | 27 |
|
Yanek S.Y. Chiu
3838 California St |
$11.65 | 25 | 25 |
|
Nicole Shahdee Evans
2425 Geary Blvd # M115 |
$729.67 | 18 | 17 |
|
Aparajita Singh
533 Parnassus Ave |
$303.82 | 13 | 13 |
|
Kendall Rhea Beck
505 Parnassus Ave |
$238.42 | 13 | 13 |
|
Laura S. Chiu
521 Parnassus Ave Fl 2 |
$85.22 | 13 | 13 |
|
Maneesh Hakam Singh
University Of California San Francisco |
$0.00 | 13 | 13 |
|
Priya Kathpalia
1701 Divisadero St Ste 120 |
$766.38 | 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 | — | — | — |
| 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 San Francisco, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in San Francisco, CA is $199.84 per claim, based on 11,682 claims from 32 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 Francisco, CA?
There are 32 Medicaid providers offering Colonoscopy related services in San Francisco, CA according to public payment data.
What is the price range for Colonoscopy in San Francisco, CA?
Medicaid reimbursement for Colonoscopy in San Francisco, CA ranges from $0.00 to $1,220 per claim, with an average of $199.84. 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
Other Procedures in San Francisco, CA
Office Visit
Avg $27.38
4,381,925 claims
Substance Abuse Treatment
Avg $24.87
3,627,413 claims
Blood Work & Lab Tests
Avg $9.39
1,330,034 claims
Emergency Room Visit
Avg $99.86
864,304 claims
Case Management Services
Avg $219.34
857,389 claims
X-Ray
Avg $10.29
837,190 claims
Vaccines & Immunizations
Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims