BCBS Texas Colonoscopy Rates in San Antonio

Published Blue Cross Blue Shield of Texas negotiated rates for Colonoscopy at 16 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$328.5

CHRISTUS Santa Rosa Alamo Heights

all plan types

Highest Rate

$2,590.89

Northeast Methodist Hospital

all plan types

Rate Spread

8x

across all plan types

Hospitals

16

with Blue Cross Blue Shield of Texas data

Blue Cross Blue Shield of Texas colonoscopy rates in San Antonio vary dramatically, with an 8x spread from $328.50 at CHRISTUS Santa Rosa Alamo to $2,590.89 at Northeast Methodist Hospital. The median rate across 16 hospitals is $1,680.54, though lowest rates often reflect Medicaid or Medicare plans rather than commercial coverage.

Why the range is so wide: Blue Cross Blue Shield of Texas 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.

Blue Cross Blue Shield of Texas Colonoscopy Rates by Hospital

Hospital Lowest Blue Cross Blue Shield of Texas Rate
CHRISTUS Santa Rosa Alamo Heights $328.5
CHRISTUS Santa Rosa Medical Center $328.5
CHRISTUS Santa Rosa Westover Hills $328.5
CHRISTUS Santa Rosa New Braunfels $335.07
CHRISTUS Santa Rosa San Marcos $335.07
CHRISTUS Children's $344.93
Methodist Hospital $1,176.38
Methodist Hospital Hill Country $1,176.38
Methodist Hospital Landmark $1,176.38
Methodist Hospital Westover Hills $1,176.38
Methodist Specialty and Transplant $1,176.38
Methodist Texsan Hospital $1,176.38
Metropolitan Methodist Hospital $1,176.38
Methodist Stone Oak Hospital $1,206.93
Methodist Hospital Atascosa $1,237.49
Northeast Methodist Hospital $1,237.49

Rates shown are Blue Cross Blue Shield of Texas's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas Negotiated Rates

A negotiated rate is the price Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas Colonoscopy in San Antonio?

The lowest Blue Cross Blue Shield of Texas negotiated rate for Colonoscopy in San Antonio is $328.5 at CHRISTUS Santa Rosa Alamo Heights, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,590.89 at Northeast Methodist Hospital, an 8x difference. Commercial plan rates typically fall between these extremes.

Is the Blue Cross Blue Shield of Texas negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas for a pre-service cost estimate specific to your plan.

How many San Antonio hospitals have published Blue Cross Blue Shield of Texas rates?

16 hospitals in the San Antonio area have published Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas directly.

Is a preventive colonoscopy covered differently by Blue Cross Blue Shield of Texas?

Preventive and diagnostic colonoscopies are often billed differently under Blue Cross Blue Shield of Texas plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Blue Cross Blue Shield of Texas about your plan's specific policy before scheduling.

We are not affiliated with Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas website: www.bcbstx.com