MultiPlan/PHCS Colonoscopy Rates in Houston

Published MultiPlan/PHCS negotiated rates for Colonoscopy at 14 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$2,948.4

St Luke's Patients Medical Center

all plan types

Highest Rate

$5,545

Houston Methodist Hospital

all plan types

Rate Spread

across all plan types

Hospitals

with MultiPlan/PHCS data

Houston Methodist charges the highest MultiPlan/PHCS colonoscopy rate at $5,545, nearly double St. Luke's Patients Medical Center's $2,948 rate (though the lowest rate applies to commercial plans). Across 14 Houston hospitals, the median negotiated rate is $5,350, showing significant price variation for the same procedure.

Why the range is so wide: MultiPlan/PHCS 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.

MultiPlan/PHCS Colonoscopy Rates by Hospital

Hospital	Lowest MultiPlan/PHCS Rate	Plan Type	Highest Rate	Plans
St Luke's Patients Medical Center	$2,948.4	Commercial\|All Plans	$5,185	4
Baylor St Luke's Medical Center	$5,185	Commercial\|PPO	$5,185	4
St Luke's Lakeside	$5,185	Commercial\|PPO	$5,185	4
St Luke's Springwoods Village	$5,185	Commercial\|PPO	$5,185	4
St Luke's Sugar Land	$5,185	Commercial\|PPO	$5,185	4
St Luke's The Vintage	$5,185	Commercial\|PPO	$5,185	4
St Luke's The Woodlands	$5,185	Commercial\|PPO	$5,185	4
HCA Houston Healthcare Clear Lake	$5,350	SAVILITYNETWORK	$11,500	32
HCA Houston Healthcare Conroe	$5,350	SAVILITYNETWORK	$11,500	32
HCA Houston Healthcare Kingwood	$5,350	SAVILITYNETWORK	$11,500	32
HCA Houston Healthcare Mainland	$5,350	SAVILITYNETWORK	$11,500	32
HCA Houston Healthcare Southeast	$5,350	SAVILITYNETWORK	$11,500	32
HCA Houston Healthcare West	$5,350	SAVILITYNETWORK	$11,500	32
Houston Methodist Hospital	$5,545	Ppo	$5,545	2

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

A negotiated rate is the price MultiPlan/PHCS 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 MultiPlan/PHCS 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 MultiPlan/PHCS Colonoscopy in Houston?

The lowest MultiPlan/PHCS negotiated rate for Colonoscopy in Houston is $2,948.4 at St Luke's Patients Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $5,545 at Houston Methodist Hospital, a 2x difference. Commercial plan rates typically fall between these extremes.

Is the MultiPlan/PHCS negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what MultiPlan/PHCS 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 MultiPlan/PHCS for a pre-service cost estimate specific to your plan.

How many Houston hospitals have published MultiPlan/PHCS rates?

14 hospitals in the Houston area have published MultiPlan/PHCS 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 MultiPlan/PHCS directly.

Is a preventive colonoscopy covered differently by MultiPlan/PHCS?

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

We are not affiliated with MultiPlan/PHCS 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 MultiPlan/PHCS 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 MultiPlan/PHCS website: www.multiplan.com