Aetna Colonoscopy Rates in Pensacola

Published Aetna negotiated rates for Colonoscopy at 4 hospitals in Pensacola, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$640.83

Baptist Hospital (Pensacola)

all plan types

Highest Rate

$13,658

Santa Rosa Medical Center

all plan types

Rate Spread

21x

across all plan types

Hospitals

4

with Aetna data

Aetna's negotiated rates for a colonoscopy in Pensacola range 21x, from $640.83 at Baptist Hospital to $13,658 at Santa Rosa Medical Center. The median across four hospitals is $5,792. The lowest rate is tied to a Better Healthy Kids plan, so it may not reflect commercial pricing.

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
Baptist Hospital (Pensacola) $640.83
Gulf Breeze Hospital $640.83
Ascension Sacred Heart Pensacola $942.61
Santa Rosa Medical Center $10,639.55

Median of all 22 published Aetna rates for Colonoscopy at these hospitals: $5,792

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 Pensacola

Who anchors each end of Pensacola. The lowest published Aetna rate, $640.83, appears at both Baptist Hospital (Pensacola) and Gulf Breeze Hospital. Ascension Sacred Heart Pensacola follows with a lowest rate of $942.61. At the top, Santa Rosa Medical Center lists a highest rate of $13,658, and Ascension Sacred Heart Pensacola lists $11,584.

Gap size and the plan behind it. The page shows a spread of 21x, and the median of all 22 published Aetna rates for this procedure at these hospitals is $5,792. The lowest rates sit beside plan types that look like a children's health program (BETTER HLTHY KIDS) and a Medicare Advantage plan, so the low end likely reflects those plans rather than commercial plans.

Phone calls before scheduling. A member can ask:

  • Aetna, for the negotiated rate and estimated cost share under their own plan at a named hospital.
  • Aetna, whether that hospital is in network for their plan.
  • The hospital, for an estimate.

These figures 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 Pensacola

View all Colonoscopy prices in Pensacola (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna Colonoscopy in Pensacola?

The lowest Aetna negotiated rate for Colonoscopy in Pensacola is $640.83 at Baptist Hospital (Pensacola), across all plan types including Medicaid-managed and Medicare Advantage. The highest is $13,658 at Santa Rosa Medical Center, a 21x 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 Pensacola hospitals have published Aetna rates?

4 hospitals in the Pensacola 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