Aetna Colonoscopy Rates in Austin
Published Aetna negotiated rates for Colonoscopy at 7 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$858.4
BSW Medical Center Lakeway
all plan types
Highest Rate
$3,734
BSW Medical Center Taylor
all plan types
Rate Spread
4x
across all plan types
Hospitals
7
with Aetna data
Aetna colonoscopy rates in Austin vary dramatically, with a 4x spread from $858 at BSW Medical Center Lakeway to $3,734 at BSW Medical Center Taylor. The lowest rate is for Medicare Advantage coverage, while commercial rates typically run higher. Among 7 hospitals surveyed, the median rate is $3,734.
Aetna Colonoscopy Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| BSW Medical Center Lakeway | $858.4 |
| BSW Medical Center Austin | $3,734 |
| BSW Medical Center Buda | $3,734 |
| BSW Medical Center Marble Falls | $3,734 |
| BSW Medical Center Pflugerville | $3,734 |
| BSW Medical Center Round Rock | $3,734 |
| BSW Medical Center Taylor | $3,734 |
Rates shown are Aetna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Aetna plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.
Understanding Aetna Negotiated Rates
A negotiated rate is the price Aetna has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.
The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Aetna plan types at each facility.
Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.
Compare Other Insurers for Colonoscopy in Austin
Frequently Asked Questions
Where is the lowest-cost Aetna Colonoscopy in Austin?
The lowest Aetna negotiated rate for Colonoscopy in Austin is $858.4 at BSW Medical Center Lakeway, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,734 at BSW Medical Center Taylor, a 4x difference. Commercial plan rates typically fall between these extremes.
Is the Aetna negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Aetna has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Aetna for a pre-service cost estimate specific to your plan.
How many Austin hospitals have published Aetna rates?
7 hospitals in the Austin area have published Aetna negotiated rates for Colonoscopy in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.
Is a preventive colonoscopy covered differently by Aetna?
Preventive and diagnostic colonoscopies are often billed differently under Aetna plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Aetna about your plan's specific policy before scheduling.
We are not affiliated with Aetna or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Aetna or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.
Visit the official Aetna website: www.aetna.com