What Florida insurers pay for 6 common gastroenterology procedures

The Florida Agency for Health Care Administration on Nov. 4 revamped its price transparency tool to provide citizens access to facility-specific cost information.

The agency has pricing information for 44 of the most common nonemergency hospital and ASC-based procedures. It also has cost averages for more than 200 office- or clinic-based services. The agency determined its pricing information by averaging 67.6 million insurance claims. The estimates presented below were based on paid claims data from Jan. 1, 2016, to Dec. 31, 2017.

Here is the average pricing information for six gastroenterology procedures:

Colonoscopy, preventive:
National average: $2,467
Florida state average: $1,766

Colonoscopy with polyp removal:
National average: $2,661
Florida state average: $1,863

Clinical visit with gastroenterologist:
National average: $225
Florida state average: $229

Upper endoscopy:
National average: $2,098
Florida state average: $1,928

Upper endoscopy with biopsy:
National average: $2,667
Florida state average: $1,869

Upper endoscopy with dilation:
National average: $2,042
Florida state average: $2,781

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