Humana Colonoscopy Rates in Orlando

Published Humana negotiated rates for Colonoscopy at 4 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

$636.88

UF Health Leesburg Hospital

all plan types

Highest Rate

$1,312.11

AdventHealth Orlando

all plan types

Rate Spread

2x

across all plan types

Hospitals

4

with Humana data

Humana's negotiated colonoscopy rates in Orlando range from $636.88 at UF Health Leesburg Hospital to $1,312.11 at AdventHealth Orlando, a roughly 2x spread across four hospitals. The median rate is $1,125.29. The lowest figure is tied to a managed Medicaid plan, so it may not reflect what commercial plan members are charged.

Why the range is so wide: Humana 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.

Humana Colonoscopy Rates by Hospital

Hospital Lowest Humana Rate
UF Health Leesburg Hospital $636.88
UF Health The Villages Hospital $636.88
AdventHealth Waterman $985.70
AdventHealth Orlando $1,019.69

Median of all 18 published Humana rates for Colonoscopy at these hospitals: $1,125.29

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.

Reading Humana Colonoscopy Rates in Orlando

Where Humana colonoscopy rates begin and end in Orlando. The lowest published figure is $636.88, shown at UF Health Leesburg Hospital and UF Health The Villages Hospital. AdventHealth Waterman follows at $985.70, then AdventHealth Orlando at $1,019.69. At the top, AdventHealth Orlando lists $1,312.11 as its highest rate, and AdventHealth Waterman lists $1,268.37.

How far the Orlando spread runs and what the plan labels suggest. Across the 4 hospitals, the page shows a 2x spread, and the median of all 18 published Humana rates is $1,125.29. The plan types beside the lowest rates at the two UF Health hospitals read as managed Medicaid, and those at the AdventHealth hospitals read as Medicare Advantage plans. The low end likely reflects those plans rather than commercial plans, so a rate on this page may not match what a commercial plan pays.

Questions for Humana and Orlando hospitals about a colonoscopy. These questions can help a member get a figure for their own plan:

  • Ask Humana for your plan's negotiated rate and estimated cost share at a named hospital, such as AdventHealth Orlando.
  • Ask whether that hospital is in network for your plan.
  • Ask the hospital for an estimate.

These are facility rates, and professional fees are billed separately.

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

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 Orlando

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

Frequently Asked Questions

Where is the lowest-cost Humana Colonoscopy in Orlando?

The lowest Humana negotiated rate for Colonoscopy in Orlando is $636.88 at UF Health Leesburg Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,312.11 at AdventHealth Orlando, a 2x 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 Orlando hospitals have published Humana rates?

4 hospitals in the Orlando 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