Average Medicaid Colonoscopy Payments in San Juan, PR: $268.82
Avg. Paid
$268.82
Range
$22.95 – $399.78
Total Claims
11,080
Providers
22
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 Juan, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eladio Perez Cruz
1449 Calle Americo Salas |
$292.21 | 3,681 | 3,547 |
|
Jose M Vega-Martinez
University District Hospital |
$313.32 | 2,024 | 1,865 |
|
Carlos Laboy-Olivieri
8050 Cond San Juan Chalets |
$229.17 | 1,004 | 945 |
|
Luis Vargas Bird
275 Calle Jilguero |
$106.76 | 647 | 476 |
|
Rafael Cordero-Arill
University Of Puerto Rico Medical Sciences Campus |
$241.02 | 545 | 502 |
|
Reinaldo Ramirez Amill
Centro Medico |
$283.09 | 540 | 514 |
|
Instituto De Gastroenterologia De P.R.
400 Ave F.D. Roosevelt Ave. |
$279.30 | 425 | 414 |
|
Hamid Galib
1801 Ave Ponce De Leon |
$22.95 | 397 | 396 |
|
Walisbeth Class-Vazquez
239 Arterial Hostos Ave |
$399.78 | 389 | 368 |
|
Rodolfo Estremera-Marcial
1801 Santurce Medical Mall |
$322.54 | 317 | 297 |
|
Carlos J Fernandez-Cruz
1801 Ave Ponce De Leon Ste 409-410 |
$327.00 | 317 | 288 |
|
Allan Santiago
29 Calle Washington Ste 705 |
$240.52 | 182 | 166 |
|
Myriam Villafana-Suarez
400 Ave Fd Roosevelt |
$247.46 | 170 | 157 |
|
Fernando Ramos-Mercado
400 Ave Fd Roosevelt |
$259.93 | 136 | 130 |
|
Ian Carlos Padial Doble
University District Hospital |
$312.65 | 116 | 65 |
|
Fernando J Bonilla-Valentin
10 Calle Casia |
$240.13 | 67 | 64 |
|
Veroushka Ballester Vargas
1431 Ave Ponce De Leon Ste 402 |
$286.92 | 38 | 37 |
|
Lymari Vargas-Rivera
550 Calle Sergio Cuevas |
$80.84 | 32 | 17 |
|
Benjamin Muniz Roldos
150 Ave De Diego |
$100.00 | 16 | 16 |
|
Javier Antonio Cerra-Franco
Centro Comprensivo De Cancer De Puerto Rico |
$208.94 | 13 | 12 |
|
Pablo J Costas
1056 Ave Munoz Rivera |
$238.33 | 12 | 12 |
|
Recinto De Ciencias Medicas
Centro Medico De Pr Edif Principal |
$160.33 | 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 Juan, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in San Juan, PR is $268.82 per claim, based on 11,080 claims from 22 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 Juan, PR?
There are 22 Medicaid providers offering Colonoscopy related services in San Juan, PR according to public payment data.
What is the price range for Colonoscopy in San Juan, PR?
Medicaid reimbursement for Colonoscopy in San Juan, PR ranges from $22.95 to $399.78 per claim, with an average of $268.82. 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 $18.99
3,140,039 claims
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Avg $9.31
1,652,042 claims
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Avg $77.12
603,331 claims
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Avg $20.92
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Avg $9.69
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Avg $66.54
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Avg $3.33
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Avg $38.11
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