Aetna Colonoscopy Rates in San Antonio

Published Aetna negotiated rates for Colonoscopy at 16 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$328.5

CHRISTUS Children's

all plan types

Highest Rate

$2,936

Methodist Hospital Westover Hills

all plan types

Rate Spread

9x

across all plan types

Hospitals

16

with Aetna data

Aetna colonoscopy rates in San Antonio vary dramatically, with a 9x spread from $328.50 at CHRISTUS Children's to $2,936 at Methodist Hospital Westover. The median rate across 16 hospitals is $2,335, though lowest rates often reflect Medicaid or Medicare rather than commercial plans.

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
CHRISTUS Children's $328.5
CHRISTUS Santa Rosa Alamo Heights $328.5
CHRISTUS Santa Rosa Medical Center $328.5
CHRISTUS Santa Rosa Westover Hills $328.5
Methodist Hospital $414.7
Methodist Hospital Atascosa $414.7
Methodist Hospital Hill Country $414.7
Methodist Specialty and Transplant $414.7
Methodist Stone Oak Hospital $414.7
Methodist Texsan Hospital $414.7
Metropolitan Methodist Hospital $414.7
Northeast Methodist Hospital $414.7
CHRISTUS Santa Rosa New Braunfels $901.21
CHRISTUS Santa Rosa San Marcos $901.21
Methodist Hospital Landmark $1,548
Methodist Hospital Westover Hills $1,548

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 San Antonio

View all Colonoscopy prices in San Antonio (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna Colonoscopy in San Antonio?

The lowest Aetna negotiated rate for Colonoscopy in San Antonio is $328.5 at CHRISTUS Children's, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,936 at Methodist Hospital Westover Hills, a 9x 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 San Antonio hospitals have published Aetna rates?

16 hospitals in the San Antonio 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