HealthSmart Colonoscopy Rates in Houston

Published HealthSmart negotiated rates for Colonoscopy at 5 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$1,285

Baylor St Luke's Medical Center

all plan types

Highest Rate

$3,042.9

St Luke's Patients Medical Center

all plan types

Rate Spread

across all plan types

Hospitals

with HealthSmart data

HealthSmart colonoscopy rates in Houston vary dramatically, with a 2x spread between the lowest rate of $1,285 at Baylor St Luke's Medical and the highest at $3,043. The lowest rates shown are often for government plans rather than commercial insurance. Five major Houston hospitals report negotiated rates with a median price of $1,285.

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	Plan Type	Highest Rate	Plans
Baylor St Luke's Medical Center	$1,285	Commercial\|AP3	$1,285	2
St Luke's Springwoods Village	$1,285	Commercial\|AP3-PPO	$1,285	2
St Luke's Sugar Land	$1,285	Commercial\|AP3-PPO	$1,285	2
St Luke's The Vintage	$1,285	Commercial\|AP3-PPO	$1,285	2
St Luke's Patients Medical Center	$2,751.84	Commercial\|PPO	$3,042.9	2

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 Houston

Aetna $414.7 - $2,640 31 hospitals Community Health Choice $312.07 - $1,923.35 31 hospitals Blue Cross Blue Shield of Texas $344.93 - $2,741.52 20 hospitals Cigna $913.19 - $4,349 20 hospitals Humana $410.63 - $2,412.65 20 hospitals UnitedHealthcare $335.07 - $2,900 20 hospitals

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

Frequently Asked Questions

Where is the lowest-cost HealthSmart Colonoscopy in Houston?

The lowest HealthSmart negotiated rate for Colonoscopy in Houston is $1,285 at Baylor St Luke's Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,042.9 at St Luke's Patients Medical Center, 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 Houston hospitals have published HealthSmart rates?

5 hospitals in the Houston 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