Humana Colonoscopy Rates in Austin
Published Humana negotiated rates for Colonoscopy at 7 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$805.92
BSW Medical Center Marble Falls
all plan types
Highest Rate
$4,958
BSW Medical Center Taylor
all plan types
Rate Spread
6x
across all plan types
Hospitals
7
with Humana data
Colonoscopy rates for Humana members vary dramatically across Austin's 7 major hospitals, with a 6x spread from $805.92 to $4,958. The lowest rate at BSW Medical Center Marble Falls reflects Medicare pricing, while commercial rates cluster around the $4,958 median. This wide variation highlights the importance of understanding your specific plan coverage.
Humana Colonoscopy Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| BSW Medical Center Marble Falls | $805.92 |
| BSW Medical Center Austin | $817.52 |
| BSW Medical Center Buda | $817.52 |
| BSW Medical Center Lakeway | $817.52 |
| BSW Medical Center Pflugerville | $817.52 |
| BSW Medical Center Round Rock | $817.52 |
| BSW Medical Center Taylor | $4,958 |
Rates shown are Humana's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Humana 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 Humana Negotiated Rates
A negotiated rate is the price Humana 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 Humana 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 Austin
Frequently Asked Questions
Where is the lowest-cost Humana Colonoscopy in Austin?
The lowest Humana negotiated rate for Colonoscopy in Austin is $805.92 at BSW Medical Center Marble Falls, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,958 at BSW Medical Center Taylor, a 6x difference. Commercial plan rates typically fall between these extremes.
Is the Humana negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Humana 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 Humana for a pre-service cost estimate specific to your plan.
How many Austin hospitals have published Humana rates?
7 hospitals in the Austin area have published Humana 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 Humana directly.
Is a preventive colonoscopy covered differently by Humana?
Preventive and diagnostic colonoscopies are often billed differently under Humana plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Humana about your plan's specific policy before scheduling.
We are not affiliated with Humana 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 Humana 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 Humana website: www.humana.com