45378
Colonoscopy, diagnostic
Colonoscopy, diagnostic is the #364 most-billed Medicaid procedure code, with $337.4M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $225.49. Costs vary widely — the 90th percentile is $622.13 per claim, 2.8× the median.
Total Paid
$337.4M
0.03% of all spending
Total Claims
1.0M
Providers
2K
Avg Cost/Claim
$335
National Cost Distribution
How much do providers bill per claim for 45378? Based on 2K providers billing this code nationally.
Median
$225.49
Average
$304.20
Std Dev
$275.59
Max
$2,521.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $131.88 and $377.47 per claim for this code.
90% bill between $80.92 and $622.13.
Top 1% bill above $1,477.18.
About This Procedure
HCPCS code 45378 (Colonoscopy, diagnostic) was billed by 2K providers across 1.0M claims, totaling $337.4M in Medicaid payments from 2018–2024. This code was used for 958K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$225.49
Providers Billing
2K
National Spending
$337.4M
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 45378
| # | Provider | Total Paid |
|---|---|---|
| 1 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $5.3M |
| 2 | 1205853041 | $3.5M |
| 3 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $3.4M |
| 4 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $3.1M |
| 5 | 1588938682 | $2.9M |
| 6 | 1043204316 | $2.8M |
| 7 | 1619166097 | $2.6M |
| 8 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $2.6M |
| 9 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $2.5M |
| 10 | 1073699971 | $2.3M |
| 11 | 1023551413 | $2.3M |
| 12 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $2.2M |
| 13 | 1932411493 | $2.1M |
| 14 | 1487740957 | $2.1M |
| 15 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $2.0M |
| 16 | 1609803204 | $2.0M |
| 17 | 1336252402 | $2.0M |
| 18 | 1013048461 | $1.9M |
| 19 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $1.9M |
| 20 | 1659657856 | $1.9M |
Showing top 20 of 2K providers billing this code