Average Medicaid Colonoscopy Payments in San Jose, CA: $318.52
Avg. Paid
$318.52
Range
$0.00 – $528.42
Total Claims
26,451
Providers
18
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 Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Montpelier Surgery Center Llc
2340 Montpelier Dr |
$528.42 | 11,144 | 11,132 |
|
County Of Santa Clara
751 S. Bascom Avenue |
$2.08 | 4,643 | 4,560 |
|
Physicians Surgery Services Llc
235 Oconnor Dr |
$443.35 | 4,387 | 4,354 |
|
Hoan Van Tran
200 Jose Figueres Ave Ste 355 |
$36.43 | 840 | 838 |
|
Jason E Williams
751 S Bascom Ave |
$37.55 | 807 | 802 |
|
Jenny Daci Yang
2331 Montpelier Dr Ste B |
$17.55 | 757 | 757 |
|
Forest Ambulatory Surgical Associates Llc
2110 Forest Ave Fl 2 |
$528.27 | 753 | 750 |
|
Khanh Kim Nguyen
2331 Montpelier Dr Ste B |
$30.67 | 709 | 708 |
|
Hashem M Farr
2375 Forest Ave |
$58.23 | 472 | 470 |
|
Huy Anh Nguyen
2331 Montpelier Dr Ste B |
$37.31 | 346 | 346 |
|
Nimeesh K Shah
751 S. Bascom Avenue |
$35.72 | 317 | 315 |
|
Eugenie Shieh
2331 Montpelier Dr Ste B |
$19.60 | 309 | 308 |
|
Alvaro Daniel Davila
751 S Bascom Ave |
$31.45 | 266 | 266 |
|
David Lin
751 S Bascom Ave |
$43.90 | 262 | 260 |
|
Susan Amber Cummings
751 S Bascom Ave |
$26.24 | 252 | 250 |
|
Huy Ngoc Trinh
227 N Jackson Ave Ste 235 |
$24.56 | 92 | 92 |
|
Morgan Wong
2331 Montpelier Dr Ste B |
$20.73 | 82 | 82 |
|
Ahmad Kamal
751 S Bascom Ave |
$0.00 | 13 | 13 |
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 Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in San Jose, CA is $318.52 per claim, based on 26,451 claims from 18 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 Jose, CA?
There are 18 Medicaid providers offering Colonoscopy related services in San Jose, CA according to public payment data.
What is the price range for Colonoscopy in San Jose, CA?
Medicaid reimbursement for Colonoscopy in San Jose, CA ranges from $0.00 to $528.42 per claim, with an average of $318.52. 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 Jose, CA
Office Visit
Avg $17.76
4,087,517 claims
Blood Work & Lab Tests
Avg $2.57
2,345,819 claims
Dental Cleaning & Exam
Avg $52.74
1,100,494 claims
Case Management Services
Avg $220.56
998,173 claims
Behavioral & Mental Health Therapy
Avg $198.51
836,218 claims
Vaccines & Immunizations
Avg $3.93
755,787 claims
X-Ray
Avg $7.17
627,443 claims
Substance Abuse Treatment
Avg $69.65
603,596 claims