45380
Colonoscopy with biopsy
Colonoscopy with biopsy is the #224 most-billed Medicaid procedure code, with $679.7M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $200.68. Costs vary widely — the 90th percentile is $563.94 per claim, 2.8× the median.
Total Paid
$679.7M
0.06% of all spending
Total Claims
2.1M
Providers
4K
Avg Cost/Claim
$323
National Cost Distribution
How much do providers bill per claim for 45380? Based on 4K providers billing this code nationally.
Median
$200.68
Average
$274.81
Std Dev
$258.09
Max
$3,479.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $121.69 and $349.87 per claim for this code.
90% bill between $69.92 and $563.94.
Top 1% bill above $1,278.34.
About This Procedure
HCPCS code 45380 (Colonoscopy with biopsy) was billed by 4K providers across 2.1M claims, totaling $679.7M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$200.68
Providers Billing
4K
National Spending
$679.7M
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 45380
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $6.1M |
| 2 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $5.8M |
| 3 | 1063457380 | $5.4M |
| 4 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $5.1M |
| 5 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $4.7M |
| 6 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $4.2M |
| 7 | 1376774208 | $3.7M |
| 8 | 1558612762 | $3.6M |
| 9 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $3.5M |
| 10 | Tufts Medical Center, Inc. Boston, MA · General Acute Care Hospital | $3.3M |
| 11 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $3.2M |
| 12 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $3.2M |
| 13 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $3.1M |
| 14 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $3.1M |
| 15 | Danbury Hospital Danbury, CT · General Practice | $3.1M |
| 16 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $3.0M |
| 17 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $3.0M |
| 18 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $3.0M |
| 19 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $3.0M |
| 20 | 1093713091 | $2.9M |
Showing top 20 of 4K providers billing this code