Average Medicaid Colonoscopy Payments in Washington, DC: $649.85
Avg. Paid
$649.85
Range
$4.85 โ $829.29
Total Claims
31,943
Providers
28
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 Washington, DC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medstar Washington Hospital Center
110 Irving St Nw |
$755.25 | 8,294 | 7,862 |
|
Howard University Hospital Corp
2041 Georgia Ave Nw |
$799.50 | 8,231 | 7,900 |
|
District Hospital Partners L P
900 23Rd St Nw |
$748.64 | 7,160 | 6,637 |
|
Momodu A Jack
2139 Georgia Ave Nw |
$128.53 | 2,286 | 2,130 |
|
Medstar - Georgetown Medical Center, Inc.
3800 Reservoir Rd., Nw |
$829.29 | 1,610 | 1,481 |
|
Getachew Mekasha
2139 Georgia Ave Nw |
$126.28 | 880 | 824 |
|
Nikiya O Asamoah-Clark
110 Irving St Nw |
$111.35 | 624 | 573 |
|
Not-For-Profit Hospital Corporation
1310 Southern Ave Se |
$485.03 | 573 | 541 |
|
Providence Hospital
1150 Varnum St Ne |
$404.00 | 486 | 459 |
|
Farshad Aduli
2041 Georgia Ave Nw Faculty Practice Plan Suite 5100 |
$115.92 | 240 | 204 |
|
Mohamed Sultan
2300 Eye Street Nw |
$236.63 | 190 | 167 |
|
Ghassan A. Alzayer
110 Irving St Nw Ste 205 |
$108.09 | 175 | 158 |
|
Hemanth K Gavini
2150 Pennsylvania Ave Nw |
$188.77 | 169 | 167 |
|
Marc Justin Landsman
3800 Reservoir Rd Nw |
$297.87 | 150 | 144 |
|
Mitesh Patel
110 Irving St Nw |
$93.83 | 144 | 141 |
|
Marie Leslie Borum
2150 Penn Ave Nw |
$157.29 | 131 | 125 |
|
Angesom Kibreab
2041 Georgia Nw Ave |
$102.16 | 114 | 95 |
|
Eiman H Nabi
106 Irving St Nw |
$86.83 | 99 | 98 |
|
Samuel Kallus
3800 Reservoir Rd Nw |
$124.40 | 95 | 88 |
|
Medical Faculty Associates, Inc
2150 Pennsylvania Ave Nw |
$154.48 | 66 | 66 |
|
Samuel A. Schueler
2150 Pennsylvania Ave Nw |
$136.33 | 52 | 50 |
|
Tahmoures Dehesh
1160 Varnum St Ne |
$80.93 | 48 | 41 |
|
Steven Michael Zeddun
2150 Pennsylvania Ave Nw |
$110.71 | 46 | 46 |
|
Stanley James Pietrak
3800 Reservoir Rd Nw |
$106.78 | 29 | 27 |
|
Christine Elizabeth Nembhard
2041 Georgia Ave Nw |
$151.86 | 14 | 12 |
|
Danny Shearer
1160 Varnum St Ne |
$146.63 | 13 | 13 |
|
Raymond Janowski
2150 Pennsylvania Ave Nw |
$111.69 | 12 | 12 |
|
Angela Hsu
3800 Reservoir Rd Nw |
$4.85 | 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 | 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 Washington, DC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Washington, DC is $649.85 per claim, based on 31,943 claims from 28 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 Washington, DC?
There are 28 Medicaid providers offering Colonoscopy related services in Washington, DC according to public payment data.
What is the price range for Colonoscopy in Washington, DC?
Medicaid reimbursement for Colonoscopy in Washington, DC ranges from $4.85 to $829.29 per claim, with an average of $649.85. 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 Washington, DC
Home Health Visit
Avg $134.65
9,995,071 claims
Behavioral & Mental Health Therapy
Avg $86.63
8,402,752 claims
Office Visit
Avg $76.54
4,461,887 claims
Substance Abuse Treatment
Avg $44.95
3,041,260 claims
Emergency Room Visit
Avg $153.94
2,354,612 claims
Blood Work & Lab Tests
Avg $3.91
2,038,554 claims
Dental Cleaning & Exam
Avg $40.35
1,310,251 claims
Physical Therapy
Avg $77.12
1,280,107 claims