Aetna Colonoscopy Rates in Houston
Published Aetna negotiated rates for Colonoscopy at 31 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$414.7
HCA Houston Healthcare Clear Lake
all plan types
Highest Rate
$2,640
St Luke's Brazosport
all plan types
Rate Spread
6x
across all plan types
Hospitals
31
with Aetna data
Aetna colonoscopy rates in Houston vary dramatically across 31 hospitals, with a 6x spread between the lowest rate of $415 at HCA Clear Lake and highest of $2,640 at St. Luke's Brazosport. The median rate sits at $2,444, though lowest rates often reflect Medicaid/Medicare plans rather than commercial coverage.
Aetna Colonoscopy Rates by Hospital
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 Houston
Frequently Asked Questions
Where is the lowest-cost Aetna Colonoscopy in Houston?
The lowest Aetna negotiated rate for Colonoscopy in Houston is $414.7 at HCA Houston Healthcare Clear Lake, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,640 at St Luke's Brazosport, a 6x 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 Houston hospitals have published Aetna rates?
31 hospitals in the Houston 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