MultiPlan/PHCS Colonoscopy Rates in San Antonio

Published MultiPlan/PHCS negotiated rates for Colonoscopy at 13 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$1,462.5

CHRISTUS Santa Rosa Alamo Heights

all plan types

Highest Rate

$12,834

Methodist Hospital Landmark

all plan types

Rate Spread

across all plan types

Hospitals

with MultiPlan/PHCS data

MultiPlan/PHCS colonoscopy rates across 13 San Antonio hospitals range from $1,463 to $12,834—a ninefold difference. The lowest rate appears at CHRISTUS Santa Rosa Alamo Heights under their PPO plan, while Methodist Hospital Landmark posts the highest at $12,834. The median negotiated rate sits at $3,996.

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
CHRISTUS Santa Rosa Alamo Heights	$1,462.5	PPO	$3,996	15
CHRISTUS Santa Rosa New Braunfels	$1,462.5	PPO	$3,996	15
CHRISTUS Santa Rosa Westover Hills	$1,462.5	PPO	$3,996	15
CHRISTUS Children's	$6,573.7	PPO	$9,399.2	6
Methodist Hospital	$11,641	PrimaryPPO	$12,834	4
Methodist Specialty and Transplant	$11,641	PrimaryPPO	$12,834	4
Methodist Stone Oak Hospital	$11,641	PrimaryPPO	$12,834	4
Methodist Texsan Hospital	$11,641	PrimaryPPO	$12,834	4
Metropolitan Methodist Hospital	$11,641	PrimaryPPO	$12,834	4
Northeast Methodist Hospital	$11,641	PrimaryPPO	$12,834	4
Methodist Hospital Atascosa	$12,834	PRIMARYPPO	$12,834	2
Methodist Hospital Hill Country	$12,834	PRIMARYPPO	$12,834	2
Methodist Hospital Landmark	$12,834	PRIMARYPPO	$12,834	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 San Antonio

Aetna $328.5 - $2,936 16 hospitals Blue Cross Blue Shield of Texas $328.5 - $2,590.89 16 hospitals Cigna $910.05 - $5,774 16 hospitals Healthcare Highways $2,235.36 - $7,049.4 16 hospitals UnitedHealthcare $345.58 - $3,917 16 hospitals Community First Health Plans $270 - $365 16 hospitals

View all Colonoscopy prices in San Antonio (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost MultiPlan/PHCS Colonoscopy in San Antonio?

The lowest MultiPlan/PHCS negotiated rate for Colonoscopy in San Antonio is $1,462.5 at CHRISTUS Santa Rosa Alamo Heights, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $12,834 at Methodist Hospital Landmark, a 9x 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 San Antonio hospitals have published MultiPlan/PHCS rates?

13 hospitals in the San Antonio 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