Aetna Colonoscopy Rates in Miami-Fort Lauderdale-West Palm Beach

Published Aetna negotiated rates for Colonoscopy at 9 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$69.96

Holy Cross Hospital

all plan types

Highest Rate

$3,969

Nicklaus Children's Hospital

all plan types

Rate Spread

57x

across all plan types

Hospitals

9

with Aetna data

Aetna's negotiated rates for a colonoscopy across nine Miami-Fort Lauderdale-West Palm Beach hospitals span a 57x gap, from $69.96 at Holy Cross Hospital to $3,969 at Nicklaus Children's Hospital. The median rate is $915.16, though the lowest figure is a Medicaid rate rather than a commercial one.

Why the range is so wide: Aetna negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Aetna Colonoscopy Rates by Hospital

Hospital Lowest Aetna Rate
Holy Cross Hospital $69.96
Lakeside Medical Center $89.90
Cleveland Clinic Weston Hospital $97.46
Mount Sinai Medical Center $636.88
Memorial Hospital Miramar $820.96
Memorial Hospital West $820.96
Memorial Regional Hospital $820.96
Memorial Hospital Pembroke $872.27
Nicklaus Children's Hospital $3,969

Median of all 132 published Aetna rates for Colonoscopy at these hospitals: $915.16

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.

Reading Aetna Colonoscopy Rates in Miami-Fort Lauderdale-West Palm Beach

Who posts the lowest and highest figures. The lowest published rates come from Holy Cross Hospital at $69.96, Lakeside Medical Center at $89.90 and Cleveland Clinic Weston Hospital at $97.46. At the top, Nicklaus Children's Hospital lists $3,969, while Cleveland Clinic Weston Hospital shows $4,481.58 as its own highest plan rate. Nine hospitals have Aetna rates in this table.

How far apart the figures land. The page shows a 57x spread, and the median of all 132 published Aetna rates for this procedure at these hospitals is $915.16. The plan type beside the lowest rate at Holy Cross Hospital is MEDICAID, and several other low entries list plans such as Aetna Better Health and Healthy Kids. The low end likely reflects those plans rather than commercial plans, so a low figure may not apply to a commercial member.

Calls a member can make.

  • Ask Aetna for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask Aetna whether that hospital is in network for your plan.
  • Ask the hospital for an estimate.

These are facility rates, and professional fees are billed separately.

Written from the rates in the table above. General information, not medical or insurance advice.

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 Miami-Fort Lauderdale-West Palm Beach

View all Colonoscopy prices in Miami-Fort Lauderdale-West Palm Beach (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna Colonoscopy in Miami-Fort Lauderdale-West Palm Beach?

The lowest Aetna negotiated rate for Colonoscopy in Miami-Fort Lauderdale-West Palm Beach is $69.96 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,969 at Nicklaus Children's Hospital, a 57x 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 Miami-Fort Lauderdale-West Palm Beach hospitals have published Aetna rates?

9 hospitals in the Miami-Fort Lauderdale-West Palm Beach 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