HealthSun Health Plans Colonoscopy Rates in Miami-Fort Lauderdale-West Palm Beach
Published HealthSun Health Plans negotiated rates for Colonoscopy at 16 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$90.71
Holy Cross Hospital
all plan types
Highest Rate
$2,050
HCA Florida Woodmont Hospital
all plan types
Rate Spread
23x
across all plan types
Hospitals
16
with HealthSun Health Plans data
HealthSun Health Plans colonoscopy rates across 16 Miami-Fort Lauderdale-West Palm Beach hospitals range from $90.71 at Holy Cross Hospital to $2,050 at HCA Florida Woodmont Hospital, a 23x spread. The median negotiated rate is $2,050. The lowest figure reflects a Medicare Advantage plan, and rates under government-funded plans are often lower than commercial ones.
HealthSun Health Plans Colonoscopy Rates by Hospital
| Hospital | Lowest HealthSun Health Plans Rate |
|---|---|
| Holy Cross Hospital | $90.71 |
| Mount Sinai Medical Center | $874.03 |
| Memorial Hospital Miramar | $1,107.10 |
| Memorial Hospital Pembroke | $1,107.10 |
| Memorial Hospital West | $1,107.10 |
| Memorial Regional Hospital | $1,107.10 |
| HCA Florida Aventura Hospital | $2,050 |
| HCA Florida JFK Hospital | $2,050 |
| HCA Florida JFK North Hospital | $2,050 |
| HCA Florida Kendall Hospital | $2,050 |
| HCA Florida Mercy Hospital | $2,050 |
| HCA Florida Northwest Hospital | $2,050 |
| HCA Florida Palms West Hospital | $2,050 |
| HCA Florida University Hospital | $2,050 |
| HCA Florida Westside Hospital | $2,050 |
| HCA Florida Woodmont Hospital | $2,050 |
Median of all 109 published HealthSun Health Plans rates for Colonoscopy at these hospitals: $2,050
Rates shown are HealthSun Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all HealthSun Health Plans 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 HealthSun Health Plans Colonoscopy Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami colonoscopy rates start and end. Among the 16 hospitals with HealthSun Health Plans rates, the lowest published figure is $90.71 at Holy Cross Hospital, followed by $874.03 at Mount Sinai Medical Center and $1,107.10 at Memorial Hospital Miramar. At the top, HCA Florida Woodmont Hospital, HCA Florida Westside Hospital and HCA Florida University Hospital each list $2,050.
How wide HealthSun's colonoscopy spread runs. The page shows a 23x spread between the lowest and highest rates, and the median of all 109 published rates is $2,050. The lowest rate at Holy Cross Hospital is tied to a HealthSun Medicare Advantage plan, and the lowest figures at the Memorial hospitals are labeled Medicare. The low end likely reflects those plans rather than commercial plans, so a listed rate may not match what another plan type pays.
Questions for HealthSun and the hospital. These are facility rates, and professional fees are billed separately. A member can ask:
- HealthSun: what is my own plan's negotiated rate and estimated cost share for a colonoscopy at Holy Cross Hospital or another named hospital?
- HealthSun and the hospital: is that hospital in network for my plan?
- The hospital: can you give me a written estimate for my situation?
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding HealthSun Health Plans Negotiated Rates
A negotiated rate is the price HealthSun Health Plans 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 HealthSun Health Plans 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 Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost HealthSun Health Plans Colonoscopy in Miami-Fort Lauderdale-West Palm Beach?
The lowest HealthSun Health Plans negotiated rate for Colonoscopy in Miami-Fort Lauderdale-West Palm Beach is $90.71 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,050 at HCA Florida Woodmont Hospital, a 23x difference. Commercial plan rates typically fall between these extremes.
Is the HealthSun Health Plans negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what HealthSun Health Plans 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 HealthSun Health Plans for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published HealthSun Health Plans rates?
16 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published HealthSun Health Plans 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 HealthSun Health Plans directly.
Is a preventive colonoscopy covered differently by HealthSun Health Plans?
Preventive and diagnostic colonoscopies are often billed differently under HealthSun Health Plans plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask HealthSun Health Plans about your plan's specific policy before scheduling.
We are not affiliated with HealthSun Health Plans 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 HealthSun Health Plans or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.