Average Medicaid Colonoscopy Payments in Springfield, MA: $671.49
Avg. Paid
$671.49
Range
$74.63 – $1,002
Total Claims
11,532
Providers
12
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 Springfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Mercy Hospital Inc
271 Carew St |
$1,002 | 4,816 | 4,791 |
|
Baystate Medical Center Inc
759 Chestnut St |
$631.80 | 4,249 | 4,039 |
|
Tuyyab A Hassan
3300 Main Street |
$78.11 | 1,163 | 924 |
|
Jacob Alexander
3300 Main St |
$82.51 | 341 | 331 |
|
Rony M Ghaoui
3300 Main Street |
$90.80 | 280 | 275 |
|
Nicolas Cal
140 High Street |
$112.33 | 271 | 270 |
|
Marc A Goldman
175 Carew St Ste 200 |
$116.35 | 262 | 261 |
|
Pioneer Valley Surgicenter Llc
3550 Main St |
$280.77 | 85 | 83 |
|
Yesenia Greeff
3300 Main St Ste 3A |
$74.63 | 27 | 27 |
|
Peter J Weinstein
299 Carew St |
$126.48 | 14 | 14 |
|
Barry E Slitzky
299 Carew St |
$121.01 | 12 | 12 |
|
Mohammed Absar Ullah
3300 Main Street |
$101.01 | 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 Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Springfield, MA is $671.49 per claim, based on 11,532 claims from 12 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 Springfield, MA?
There are 12 Medicaid providers offering Colonoscopy related services in Springfield, MA according to public payment data.
What is the price range for Colonoscopy in Springfield, MA?
Medicaid reimbursement for Colonoscopy in Springfield, MA ranges from $74.63 to $1,002 per claim, with an average of $671.49. 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 Springfield, MA
Substance Abuse Treatment
Avg $20.44
8,386,620 claims
Office Visit
Avg $71.94
2,654,243 claims
Blood Work & Lab Tests
Avg $7.91
2,608,014 claims
Psychiatric Evaluation
Avg $77.04
2,573,099 claims
Behavioral & Mental Health Therapy
Avg $146.55
1,190,715 claims
Emergency Room Visit
Avg $119.65
960,403 claims
Non-Emergency Medical Transportation
Avg $22.82
911,143 claims
Personal Care Services
Avg $86.61
764,746 claims