Molina Healthcare Colonoscopy Rates in Houston

Published Molina Healthcare negotiated rates for Colonoscopy at 11 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$361.35

HCA Houston Healthcare Clear Lake

all plan types

Highest Rate

$2,596.52

Houston Methodist Hospital

all plan types

Rate Spread

across all plan types

Hospitals

with Molina Healthcare data

Molina Healthcare colonoscopy rates in Houston vary dramatically, with a 7x spread from $361.35 to $2,596.52 across 11 hospitals. The lowest rate appears at HCA Clear Lake under CHIP coverage, while Houston Methodist commands the highest price. The median rate sits at $472.19, though actual costs depend heavily on your specific plan type.

Why the range is so wide: Molina Healthcare 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.

Molina Healthcare Colonoscopy Rates by Hospital

Hospital	Lowest Molina Healthcare Rate	Plan Type	Highest Rate	Plans
HCA Houston Healthcare Clear Lake	$361.35	CHIP	$472.19	8
HCA Houston Healthcare Conroe	$361.35	CHIP	$472.19	8
HCA Houston Healthcare Kingwood	$361.35	CHIP	$472.19	8
HCA Houston Healthcare Mainland	$361.35	CHIP	$472.19	8
HCA Houston Healthcare Medical Center	$361.35	CHIP	$472.19	8
HCA Houston Healthcare Northwest	$361.35	CHIP	$472.19	8
HCA Houston Healthcare Pearland	$361.35	CHIP	$472.19	8
HCA Houston Healthcare Southeast	$361.35	CHIP	$472.19	8
HCA Houston Healthcare Tomball	$361.35	CHIP	$472.19	8
HCA Houston Healthcare West	$361.35	CHIP	$472.19	8
Houston Methodist Hospital	$980.91	Advantage Medicare Managed Care Plan	$2,596.52	4

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

A negotiated rate is the price Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare Colonoscopy in Houston?

The lowest Molina Healthcare negotiated rate for Colonoscopy in Houston is $361.35 at HCA Houston Healthcare Clear Lake, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,596.52 at Houston Methodist Hospital, a 7x difference. Commercial plan rates typically fall between these extremes.

Is the Molina Healthcare negotiated rate what I'll pay?

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

How many Houston hospitals have published Molina Healthcare rates?

11 hospitals in the Houston area have published Molina Healthcare 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 Molina Healthcare directly.

Is a preventive colonoscopy covered differently by Molina Healthcare?

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

We are not affiliated with Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare website: www.molinahealthcare.com