Florida Blue Colonoscopy Rates in Orlando

Published Florida Blue negotiated rates for Colonoscopy at 9 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.

Limited coverage: Orlando Health's Orlando-area hospitals, including Orlando Regional Medical Center, are not included: Orlando Health's website blocked downloads of its price files when we collected this data. Prices for the Orlando area come only from the AdventHealth, HCA Florida, UF Health and Nemours hospitals listed here, so they may not reflect the whole Orlando market.

Lowest Rate

$971.14

AdventHealth Orlando

all plan types

Highest Rate

$6,205

UCF Lake Nona Hospital

all plan types

Rate Spread

6x

across all plan types

Hospitals

9

with Florida Blue data

Florida Blue colonoscopy rates in Orlando span a 6x gap, from $971.14 at AdventHealth Orlando to $6,205 at UCF Lake Nona Hospital. Across the 9 hospitals listed, the median negotiated rate is $3,085. The lowest figure falls under a Medicare managed care plan, so it may not reflect commercial pricing.

Why the range is so wide: Florida Blue 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.

Florida Blue Colonoscopy Rates by Hospital

Hospital Lowest Florida Blue Rate
AdventHealth Orlando $971.14
AdventHealth Waterman $1,000.27
UF Health The Villages Hospital $1,479.70
UF Health Leesburg Hospital $1,479.80
HCA Florida Lake Monroe Hospital $2,166
HCA Florida Oviedo Medical Center $2,166
HCA Florida Osceola Hospital $2,230
HCA Florida Poinciana Hospital $2,230
UCF Lake Nona Hospital $2,230

Median of all 92 published Florida Blue rates for Colonoscopy at these hospitals: $3,085

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.

Reading Florida Blue Colonoscopy Rates in Orlando

Where Florida Blue colonoscopy rates begin and end in Orlando. The lowest published rates are $971.14 at AdventHealth Orlando, $1,000.27 at AdventHealth Waterman and $1,479.70 at UF Health The Villages Hospital. At the other end, UCF Lake Nona Hospital shows $6,205 as its highest rate, and HCA Florida Lake Monroe Hospital and HCA Florida Oviedo Medical Center each list $6,560 as their highest.

Reading the Orlando spread with care. Rates here run across a 6x spread, and the median of all 92 published Florida Blue rates for this procedure at these hospitals is $3,085. The plan type behind a rate matters. The two lowest figures are tied to Medicare Managed Care plans, so the low end likely reflects those plans rather than commercial plans.

Questions to take to Florida Blue and your Orlando hospital. These are facility rates, and professional fees are billed separately. A member can ask:

  • Florida Blue for their own plan's negotiated rate and estimated cost share at a named hospital
  • Florida Blue whether that hospital is in network for their plan
  • The hospital for an estimate

Written from the rates in the table above. General information, not medical or insurance advice.

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 Orlando

View all Colonoscopy prices in Orlando (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Florida Blue Colonoscopy in Orlando?

The lowest Florida Blue negotiated rate for Colonoscopy in Orlando is $971.14 at AdventHealth Orlando, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $6,205 at UCF Lake Nona Hospital, a 6x 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 Orlando hospitals have published Florida Blue rates?

9 hospitals in the Orlando 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