First Health/Coventry Colonoscopy Rates in San Antonio

Published First Health/Coventry negotiated rates for Colonoscopy at 14 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$805.92

CHRISTUS Santa Rosa Medical Center

all plan types

Highest Rate

$7,636.85

CHRISTUS Children's

all plan types

Rate Spread

9x

across all plan types

Hospitals

14

with First Health/Coventry data

First Health/Coventry colonoscopy rates in San Antonio vary dramatically, with a 9x spread from $806 at CHRISTUS Santa Rosa Medical to $7,636 at CHRISTUS Children's. The median rate across 14 hospitals is $1,836, though lowest rates often reflect Medicaid or Medicare pricing rather than commercial plans.

Why the range is so wide: First Health/Coventry 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.

First Health/Coventry Colonoscopy Rates by Hospital

Hospital Lowest First Health/Coventry Rate
CHRISTUS Santa Rosa Medical Center $805.92
CHRISTUS Santa Rosa Alamo Heights $856.08
CHRISTUS Santa Rosa Westover Hills $856.08
CHRISTUS Santa Rosa New Braunfels $1,462.5
Methodist Hospital $1,836
Methodist Hospital Atascosa $1,836
Methodist Hospital Hill Country $1,836
Methodist Hospital Landmark $1,836
Methodist Specialty and Transplant $1,836
Methodist Stone Oak Hospital $1,836
Methodist Texsan Hospital $1,836
Metropolitan Methodist Hospital $1,836
Northeast Methodist Hospital $1,836
CHRISTUS Children's $6,104.15

Rates shown are First Health/Coventry's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all First Health/Coventry 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 First Health/Coventry Negotiated Rates

A negotiated rate is the price First Health/Coventry 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 First Health/Coventry 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 First Health/Coventry Colonoscopy in San Antonio?

The lowest First Health/Coventry negotiated rate for Colonoscopy in San Antonio is $805.92 at CHRISTUS Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $7,636.85 at CHRISTUS Children's, a 9x difference. Commercial plan rates typically fall between these extremes.

Is the First Health/Coventry negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what First Health/Coventry 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 First Health/Coventry for a pre-service cost estimate specific to your plan.

How many San Antonio hospitals have published First Health/Coventry rates?

14 hospitals in the San Antonio area have published First Health/Coventry 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 First Health/Coventry directly.

Is a preventive colonoscopy covered differently by First Health/Coventry?

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

We are not affiliated with First Health/Coventry 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 First Health/Coventry 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 First Health/Coventry website: www.firsthealth.com