Molina Healthcare Colonoscopy Rates in Jacksonville

Published Molina Healthcare negotiated rates for Colonoscopy at 13 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$757.89

Baptist Medical Center Beaches

all plan types

Highest Rate

$3,242

HCA Florida Orange Park Hospital

all plan types

Rate Spread

across all plan types

Hospitals

with Molina Healthcare data

Molina Healthcare's negotiated colonoscopy rates in Jacksonville span a 4x range across 13 hospitals, from $757.89 at Baptist Medical Center Beaches to $3,242 at HCA Florida Orange Park Hospital. The median rate is $2,702. The lowest figure reflects a Managed Medicaid plan, and rates tied to Medicaid or Medicare plans often run lower than commercial ones.

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
Baptist Medical Center Beaches	$757.89	Managed Medicaid	$757.89	2
Baptist Medical Center Clay	$757.89	Managed Medicaid	$757.89	2
Baptist Medical Center Jacksonville	$757.89	Managed Medicaid	$757.89	2
Baptist Medical Center Nassau	$757.89	Managed Medicaid	$757.89	2
Baptist Medical Center South	$757.89	Managed Medicaid	$757.89	2
Wolfson Children's Hospital	$757.89	Managed Medicaid	$757.89	2
UF Health Jacksonville	$764.26	MEDICAID HMO	$1,538.60	4
Ascension St. Vincent's Clay County	$1,693.05	1579_MOLINA EXCHANGE OUTPATIENT 20250101	$1,693.05	2
Ascension St. Vincent's Riverside	$1,693.05	1520_MOLINA EXCHANGE OUTPATIENT 20250101	$1,693.05	2
Ascension St. Vincent's Southside	$1,693.05	1393_MOLINA EXCHANGE OUTPATIENT 20250101	$1,693.05	2
Ascension St. Vincent's St. Johns County	$1,693.05	1579_MOLINA EXCHANGE OUTPATIENT 20250101	$1,693.05	2
HCA Florida Memorial Hospital	$2,702	HIX	$2,702	30
HCA Florida Orange Park Hospital	$3,242	HIX	$3,242	30

Median of all 84 published Molina Healthcare rates for Colonoscopy at these hospitals: $2,702

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.

Reading Molina Healthcare Colonoscopy Rates in Jacksonville

Where Molina Healthcare colonoscopy rates start in Jacksonville. The lowest published rate is $757.89, shown at Baptist Medical Center Beaches, Baptist Medical Center Clay and Baptist Medical Center Jacksonville, among others. At the other end, HCA Florida Orange Park Hospital lists $3,242 and HCA Florida Memorial Hospital lists $2,702.

How far Jacksonville colonoscopy rates spread for Molina Healthcare. Across 13 hospitals the spread is 4x, and the median of all 84 published rates is $2,702. The plan types beside the lowest rates are Managed Medicaid and Medicaid HMO, so the low end likely reflects those plans rather than commercial plans. Marketplace plans sit higher in the table.

What Molina Healthcare members can ask about a Jacksonville colonoscopy. These are facility rates, and professional fees are billed separately. A member can ask:

Molina Healthcare for their own plan's negotiated rate and estimated cost share at a named hospital
Molina Healthcare whether that hospital is in network for their plan
The hospital for an estimate

This page is not medical or legal advice and is not affiliated with Molina Healthcare or any hospital.

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

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 Jacksonville

UnitedHealthcare $700.57 - $4,750 13 hospitals Aetna $704.91 - $11,236 11 hospitals Superior Health Plan $1,519.16 - $2,840.49 11 hospitals Humana $636.88 - $924.31 10 hospitals Simply Healthcare $668.72 - $2,735 9 hospitals Florida Blue $915.16 - $5,700 7 hospitals

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

Frequently Asked Questions

Where is the lowest-cost Molina Healthcare Colonoscopy in Jacksonville?

The lowest Molina Healthcare negotiated rate for Colonoscopy in Jacksonville is $757.89 at Baptist Medical Center Beaches, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,242 at HCA Florida Orange Park Hospital, a 4x 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 Jacksonville hospitals have published Molina Healthcare rates?

13 hospitals in the Jacksonville 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