Florida Blue Colonoscopy Rates in Ocala
Published Florida Blue negotiated rates for Colonoscopy at 3 hospitals in Ocala, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$1,000.27
AdventHealth Ocala
all plan types
Highest Rate
$4,315
HCA Florida West Marion Hospital
all plan types
Rate Spread
4x
across all plan types
Hospitals
3
with Florida Blue data
Florida Blue colonoscopy rates in Ocala vary 4x across three hospitals, from $1,000.27 at AdventHealth Ocala to $4,315 at HCA Florida West Marion Hospital. The median negotiated rate is $3,074. The lowest figure applies to a Medicare Managed Care HMO plan, and lower rates often reflect Medicaid or Medicare products rather than commercial coverage.
Florida Blue Colonoscopy Rates by Hospital
| Hospital | Lowest Florida Blue Rate |
|---|---|
| AdventHealth Ocala | $1,000.27 |
| HCA Florida Ocala Hospital | $2,347 |
| HCA Florida West Marion Hospital | $2,347 |
Median of all 30 published Florida Blue rates for Colonoscopy at these hospitals: $3,074
Rates shown are Florida Blue's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Florida Blue 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 Florida Blue Negotiated Rates
A negotiated rate is the price Florida Blue 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 Florida Blue 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 Ocala
View all Colonoscopy prices in Ocala (cash + insured) →Frequently Asked Questions
Where is the lowest-cost Florida Blue Colonoscopy in Ocala?
The lowest Florida Blue negotiated rate for Colonoscopy in Ocala is $1,000.27 at AdventHealth Ocala, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,315 at HCA Florida West Marion Hospital, a 4x difference. Commercial plan rates typically fall between these extremes.
Is the Florida Blue negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Florida Blue 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 Florida Blue for a pre-service cost estimate specific to your plan.
How many Ocala hospitals have published Florida Blue rates?
3 hospitals in the Ocala area have published Florida Blue 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 Florida Blue directly.
Is a preventive colonoscopy covered differently by Florida Blue?
Preventive and diagnostic colonoscopies are often billed differently under Florida Blue plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Florida Blue about your plan's specific policy before scheduling.
We are not affiliated with Florida Blue 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 Florida Blue 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 Florida Blue website: www.floridablue.com