Amerigroup Colonoscopy Rates in Houston
Published Amerigroup negotiated rates for Colonoscopy at 14 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$328.5
St Luke's Patients Medical Center
all plan types
Highest Rate
$1,771.48
St Luke's The Woodlands
all plan types
Rate Spread
5x
across all plan types
Hospitals
14
with Amerigroup data
Amerigroup colonoscopy rates in Houston vary dramatically, with a 5x spread from $328.50 at St Luke's Patients Medica to $1,771.48 at St Luke's The Woodlands. The lowest rate applies to Medicaid plans, while commercial rates typically run higher. The median rate across 14 Houston hospitals is $450.72.
Amerigroup Colonoscopy Rates by Hospital
| Hospital | Lowest Amerigroup Rate |
|---|---|
| St Luke's Patients Medical Center | $328.5 |
| St Luke's Lakeside | $328.5 |
| St Luke's Sugar Land | $328.5 |
| St Luke's The Vintage | $328.5 |
| HCA Houston Healthcare Clear Lake | $344.93 |
| HCA Houston Healthcare Conroe | $344.93 |
| HCA Houston Healthcare Kingwood | $344.93 |
| HCA Houston Healthcare Mainland | $344.93 |
| HCA Houston Healthcare Southeast | $344.93 |
| HCA Houston Healthcare West | $344.93 |
| Baylor St Luke's Medical Center | $345.58 |
| St Luke's Brazosport | $345.58 |
| St Luke's Springwoods Village | $345.58 |
| St Luke's The Woodlands | $345.58 |
Rates shown are Amerigroup's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Amerigroup 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 Amerigroup Negotiated Rates
A negotiated rate is the price Amerigroup 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 Amerigroup 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 Amerigroup Colonoscopy in Houston?
The lowest Amerigroup negotiated rate for Colonoscopy in Houston is $328.5 at St Luke's Patients Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,771.48 at St Luke's The Woodlands, a 5x difference. Commercial plan rates typically fall between these extremes.
Is the Amerigroup negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Amerigroup 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 Amerigroup for a pre-service cost estimate specific to your plan.
How many Houston hospitals have published Amerigroup rates?
14 hospitals in the Houston area have published Amerigroup 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 Amerigroup directly.
Is a preventive colonoscopy covered differently by Amerigroup?
Preventive and diagnostic colonoscopies are often billed differently under Amerigroup plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Amerigroup about your plan's specific policy before scheduling.
We are not affiliated with Amerigroup 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 Amerigroup 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 Amerigroup website: www.amerigroup.com