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Medicare provider amounts for colonoscopy with biopsy (45380) in Albany, NY

Name: MedCostCompare analyzed snapshot of CMS Medicare Physician & Other Practitioners - by Provider and Service release published in 2026
Creator: MedCostCompare

In Albany, NY, provider-side Medicare amounts for colonoscopy with biopsy (billing code 45380) had a $115 median, with the middle half at $101-$130, across 29 providers and 2,267 qualifying 2024 billed services.

Source: 2026 CMS provider-and-service release (2024 services). Medicare-approved billed-service amounts, not complete bill estimates.

Data review by MedCostCompare data team on 2026-08-01 · No medical expert review claimed · Methodology version 2026-07-refresh-v1 · Correction note: Refreshed from the 2023 service year / 2025 release to the 2024 service year / 2026 release. · Methodology · Editorial policy

What this comparison includes

Exact service, setting, providers, and thresholds

Billed service: 45380; separately billed components are not combined.
Included care setting: Facility. Records from other settings are excluded from this table.
Included provider types: Gastroenterology.
Component-mode review: passed for the billed service shown; modifier-sensitive unresolved services are suppressed.
Provider-volume rule: at least 30 qualifying 2024 services per provider record.
Publication gates: at least 10 providers, 500 local services, and a p75/p25 amount ratio of at least 1.25.

Service coverage

Why each billed service is or is not compared

Local aggregates below use the same provider-volume and specialty filters as the comparison. A provider ranking appears only when component-mode review and all three numeric publication gates pass.

Billed service	Providers	Services	Median	Middle half	Publication result
Colonoscopy with biopsy 45380	29	2,267	$115	$101-$130	Provider comparison shown
Colonoscopy with ablation 45388	0	0	—	—	0 included providers; 10 required; 0 services; 500 required; not enough amounts to calculate the spread
Colonoscopy with hot-biopsy removal 45384	0	0	—	—	0 included providers; 10 required; 0 services; 500 required; not enough amounts to calculate the spread
Colonoscopy with injection 45381	0	0	—	—	0 included providers; 10 required; 0 services; 500 required; not enough amounts to calculate the spread
Colonoscopy with snare removal 45385	37	2,046	$232	$225-$235	p75/p25 ratio 1.04; 1.25 required
Diagnostic colonoscopy exam 45378	4	229	$163	$160-$165	4 included providers; 10 required; 229 services; 500 required; p75/p25 ratio 1.03; 1.25 required
Screening colonoscopy G0105 and G0121	8	381	$171	$167-$171	8 included providers; 10 required; 381 services; 500 required; p75/p25 ratio 1.02; 1.25 required

Procedure

Colonoscopy with biopsy

This section compares colonoscopy that includes a biopsy. It is kept separate from the base exam and other treatment techniques because the Medicare-approved amount represents a different billed service. The billing code is listed below.

Ambulatory surgery center (ASC) facility amounts

We label an organization-NPI record as a facility amount only when the CMS provider type is Ambulatory Surgical Center. CMS generally treats facility-setting records in this dataset as professional fees; ASCs are the documented exception where an ASC facility fee is also represented. These figures are not recommendations or complete estimates. Badges describe relative amount and Medicare volume only within the 2 ASC records listed here.

ASC facility amounts can look much higher than the provider amounts below because they represent a different part of the service. Depending on the procedure, a bill may also include separate professional, anesthesia, imaging, pathology, laboratory, or other charges.

This list only includes ASCs we can tie to both a local service signal and a CMS ASC organization record for this billed service. Other local facilities or practices remain outside this table unless the source supports the same exact classification and amount basis.

Ambulatory surgery center	Medicare ASC facility amount	Why it stands out
St. Peter's Ambulatory Surgery Center Llc ALBANY, NY	$419.24	Lowest among 2 listed ASC facility records Medicare volume: 653 services
Saratoga Schenectady Endoscopy Center, Llc BURNT HILLS, NY	$436.75	Highest Medicare volume among 2 listed ASC records Medicare volume: 1,190 services

Included providers

Median provider-side Medicare amount: $115

Middle half of included provider amounts: $101 to $130 (p75/p25 ratio 1.29).

Full observed provider range: $64 to $173; endpoints can reflect outliers.

The median is the middle included provider-level average Medicare-approved amount. It is not a personal savings estimate or a complete procedure bill.

Provider location

Provider	Average Medicare-approved amount	2024 Services
Jonathan Barsa Albany, NY	$63.53	37
Clyde Collins Albany, NY	$67.33	113
Justin Provost Burnt Hills, NY	$82.28	150
Prithvi Sreenivasan Burnt Hills, NY	$91.75	97
Joseph Polito Albany, NY	$94.28	39
Natalya Belova Burnt Hills, NY	$96.38	145
Chad Cornish Burnt Hills, NY	$99.34	74
Leon Averbukh Burnt Hills, NY	$100.70	54
Sean Sheehan Albany, NY	$100.86	42
Zachary Feinberg Burnt Hills, NY	$102.59	90
Mark Metwally Burnt Hills, NY	$108.41	84
Mark Adsit Burnt Hills, NY	$109.52	58
Barry Pronold Troy, NY	$113.64	79
William Robinson Troy, NY	$114.43	66
David Goetz Burnt Hills, NY	$114.54	123
Jeffrey Gerson Albany, NY	$116.90	66
Richard Clift Albany, NY	$116.97	53
Xinjun Zhu Albany, NY	$121.02	38
William Robinson Troy, NY	$121.26	124
Howard Malamood Burnt Hills, NY	$124.70	102
William Gusten Burnt Hills, NY	$127.27	120
Seth Richter Albany, NY	$129.59	36
George Boyar Burnt Hills, NY	$136.54	93
Matthew Josephson Burnt Hills, NY	$137.31	77
Vinay Sood Burnt Hills, NY	$144.10	65
John Defrancisco Burnt Hills, NY	$155.08	116
Yogesh Gupta Troy, NY	$156.02	53
Richard Eglow Troy, NY	$159.10	36
James Puleo Albany, NY	$172.78	37

Before you schedule

Turn this comparison into a complete estimate

The displayed Medicare amount covers one billed service, not every bill that may accompany colonoscopy. Use these guides to identify separate components and request an estimate for your own coverage.

Notes

How this works

Medicare amount information comes from the CMS Medicare Physician & Other Practitioners - by Provider and Service release published in 2026, covering services delivered in 2024. Figures reflect Medicare-approved amounts, not a personal bill estimate, hospital cash price, or private insurance rate.

This comparison uses the facility setting, the dominant setting among local clinician records for the included codes. Other settings are excluded from the provider table.

Only provider records with enough procedure volume are included. ASC facility amounts appear separately only for direct organization records whose CMS provider type is Ambulatory Surgical Center.

Figures reflect Medicare-approved amounts and may differ from what you personally pay.

Thresholds: at least 10 providers, at least 500 services, and a p75/p25 ratio of at least 1.25.

Screening colonoscopy includes:

G0105 - Colorectal cancer screening; colonoscopy on individual at high risk
G0121 - Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Diagnostic colonoscopy exam includes:

45378 - Diagnostic exam of large bowel using a flexible endoscope

Colonoscopy with biopsy includes:

45380 - Biopsy of large bowel using a flexible endoscope

Colonoscopy with injection includes:

45381 - Injection beneath lining of large bowel using a flexible endoscope

Colonoscopy with hot-biopsy removal includes:

45384 - Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery

Colonoscopy with snare removal includes:

45385 - Removal of polyps or growths of large bowel using an endoscope with mechanical snare

Colonoscopy with ablation includes:

45388 - Destruction of polyp or growth of large bowel using a flexible endoscope