Molina Healthcare Colonoscopy Rates in San Antonio
Published Molina Healthcare negotiated rates for Colonoscopy at 13 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$328.5
Methodist Hospital Atascosa
all plan types
Highest Rate
$1,442.51
Northeast Methodist Hospital
all plan types
Rate Spread
4x
across all plan types
Hospitals
13
with Molina Healthcare data
Molina Healthcare colonoscopy rates in San Antonio vary dramatically, with a 4x spread from $328.50 at Methodist Hospital Atasco to $1,442.51 at Northeast Methodist Hospital. The lowest rates are typically for Medicaid/Medicare plans rather than commercial coverage. With a median rate of $1,121.03 across 13 hospitals, significant cost differences exist even within the same insurance network.
Molina Healthcare Colonoscopy Rates by Hospital
| Hospital | Lowest Molina Healthcare Rate |
|---|---|
| Methodist Hospital Atascosa | $328.5 |
| CHRISTUS Children's | $328.5 |
| CHRISTUS Santa Rosa Alamo Heights | $328.5 |
| CHRISTUS Santa Rosa Medical Center | $328.5 |
| CHRISTUS Santa Rosa Westover Hills | $328.5 |
| Methodist Hospital | $361.35 |
| Methodist Hospital Hill Country | $361.35 |
| Methodist Hospital Landmark | $361.35 |
| Methodist Specialty and Transplant | $361.35 |
| Methodist Stone Oak Hospital | $361.35 |
| Methodist Texsan Hospital | $361.35 |
| Metropolitan Methodist Hospital | $361.35 |
| Northeast Methodist Hospital | $361.35 |
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 San Antonio
Frequently Asked Questions
Where is the lowest-cost Molina Healthcare Colonoscopy in San Antonio?
The lowest Molina Healthcare negotiated rate for Colonoscopy in San Antonio is $328.5 at Methodist Hospital Atascosa, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,442.51 at Northeast Methodist 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 San Antonio hospitals have published Molina Healthcare rates?
13 hospitals in the San Antonio 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