HealthSmart Colonoscopy Rates in Beaumont-Port Arthur

Published HealthSmart negotiated rates for Colonoscopy at 4 hospitals in Beaumont-Port Arthur, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$1,095.9

CHRISTUS SE Texas Jasper

all plan types

Highest Rate

$2,504

CHRISTUS SE Texas St Elizabeth

all plan types

Rate Spread

2x

across all plan types

Hospitals

4

with HealthSmart data

HealthSmart colonoscopy rates in Beaumont vary dramatically, with a 2.3x spread from $1,096 to $2,504. The lowest rate of $1,096 is available at CHRISTUS SE Texas Jasper through their Accel PPO plan, while the highest reaches $2,504 at CHRISTUS SE Texas St Elizabeth. The median rate across four area hospitals is $2,035.

Why the range is so wide: HealthSmart 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.

HealthSmart Colonoscopy Rates by Hospital

Hospital Lowest HealthSmart Rate
CHRISTUS SE Texas Jasper $1,095.9
CHRISTUS Health West Beaumont $1,967.55
CHRISTUS Hospital Orange $1,967.55
CHRISTUS SE Texas St Elizabeth $1,967.55

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

A negotiated rate is the price HealthSmart 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 HealthSmart 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 Beaumont-Port Arthur

View all Colonoscopy prices in Beaumont-Port Arthur (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost HealthSmart Colonoscopy in Beaumont-Port Arthur?

The lowest HealthSmart negotiated rate for Colonoscopy in Beaumont-Port Arthur is $1,095.9 at CHRISTUS SE Texas Jasper, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,504 at CHRISTUS SE Texas St Elizabeth, a 2x difference. Commercial plan rates typically fall between these extremes.

Is the HealthSmart negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what HealthSmart 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 HealthSmart for a pre-service cost estimate specific to your plan.

How many Beaumont-Port Arthur hospitals have published HealthSmart rates?

4 hospitals in the Beaumont-Port Arthur area have published HealthSmart 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 HealthSmart directly.

Is a preventive colonoscopy covered differently by HealthSmart?

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

We are not affiliated with HealthSmart 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 HealthSmart 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 HealthSmart website: www.healthsmart.com