45385
Colonoscopy with polyp removal, snare technique
Colonoscopy with polyp removal, snare technique is the #326 most-billed Medicaid procedure code, with $417.6M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $255.17. Costs vary widely — the 90th percentile is $581.23 per claim, 2.3× the median.
Total Paid
$417.6M
0.04% of all spending
Total Claims
1.2M
Providers
3K
Avg Cost/Claim
$355
National Cost Distribution
How much do providers bill per claim for 45385? Based on 3K providers billing this code nationally.
Median
$255.17
Average
$314.85
Std Dev
$236.34
Max
$2,545.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $159.01 and $426.82 per claim for this code.
90% bill between $95.03 and $581.23.
Top 1% bill above $1,219.76.
About This Procedure
HCPCS code 45385 (Colonoscopy with polyp removal, snare technique) was billed by 3K providers across 1.2M claims, totaling $417.6M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$255.17
Providers Billing
3K
National Spending
$417.6M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 45385
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Health And Hospital Corporation Of Marion County Indianapolis, IN · Psychiatric Unit | $6.2M |
| 2 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $5.5M |
| 3 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $4.6M |
| 4 | 1255309803 | $4.1M |
| 5 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $3.6M |
| 6 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $3.1M |
| 7 | 1053496240 | $3.0M |
| 8 | 1932411493 | $2.9M |
| 9 | 1205853041 | $2.8M |
| 10 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $2.7M |
| 11 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $2.7M |
| 12 | 1093713091 | $2.6M |
| 13 | The Lowell General Hospital Lowell, MA · Pharmacy, Institutional Pharmacy | $2.6M |
| 14 | 1235155730 | $2.5M |
| 15 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $2.5M |
| 16 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $2.4M |
| 17 | 1114483492 | $2.4M |
| 18 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $2.2M |
| 19 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $2.1M |
| 20 | Riverside Hospital Inc Newport News, VA · Psychiatric Hospital | $2.1M |
Showing top 20 of 3K providers billing this code