Optimum HealthCare Colonoscopy Rates in Tampa-St. Petersburg

Published Optimum HealthCare negotiated rates for Colonoscopy at 12 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$1,950

HCA Florida Bayonet Point Hospital

all plan types

Highest Rate

$1,950

HCA Florida West Tampa Hospital

all plan types

Rate Spread

1x

across all plan types

Hospitals

12

with Optimum HealthCare data

All 12 Tampa-St. Petersburg hospitals report the same Optimum HealthCare negotiated rate for a colonoscopy: $1,950. With no spread between the lowest rate (HCA Florida Bayonet Point Hospital) and the highest (HCA Florida West Tampa Hospital), the median is also $1,950. Rates reflect plan type, and the lowest listed rates are often Medicaid or Medicare rather than commercial.

Why the range is so wide: Optimum 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.

Optimum HealthCare Colonoscopy Rates by Hospital

Hospital Lowest Optimum HealthCare Rate
HCA Florida Bayonet Point Hospital $1,950
HCA Florida Brandon Hospital $1,950
HCA Florida Largo Hospital $1,950
HCA Florida Largo West Hospital $1,950
HCA Florida Northside Hospital $1,950
HCA Florida Oak Hill Hospital $1,950
HCA Florida Pasadena Hospital $1,950
HCA Florida South Shore Hospital $1,950
HCA Florida South Tampa Hospital $1,950
HCA Florida St. Petersburg Hospital $1,950
HCA Florida Trinity Hospital $1,950
HCA Florida West Tampa Hospital $1,950

Median of all 288 published Optimum HealthCare rates for Colonoscopy at these hospitals: $1,950

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

A negotiated rate is the price Optimum 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 Optimum 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 Tampa-St. Petersburg

View all Colonoscopy prices in Tampa-St. Petersburg (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Optimum HealthCare Colonoscopy in Tampa-St. Petersburg?

The lowest Optimum HealthCare negotiated rate for Colonoscopy in Tampa-St. Petersburg is $1,950 at HCA Florida Bayonet Point Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,950 at HCA Florida West Tampa Hospital. Commercial plan rates typically fall between these extremes.

Is the Optimum HealthCare negotiated rate what I'll pay?

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

How many Tampa-St. Petersburg hospitals have published Optimum HealthCare rates?

12 hospitals in the Tampa-St. Petersburg area have published Optimum 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 Optimum HealthCare directly.

Is a preventive colonoscopy covered differently by Optimum HealthCare?

Preventive and diagnostic colonoscopies are often billed differently under Optimum 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 Optimum HealthCare about your plan's specific policy before scheduling.

We are not affiliated with Optimum 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 Optimum 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.