Oscar Health Colonoscopy Rates in Houston

Published Oscar Health negotiated rates for Colonoscopy at 11 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$2,979

HCA Houston Healthcare Clear Lake

all plan types

Highest Rate

$2,979

HCA Houston Healthcare West

all plan types

Rate Spread

1x

across all plan types

Hospitals

11

with Oscar Health data

Oscar Health's negotiated rates for colonoscopy procedures show no variation across 11 Houston hospitals, with all facilities charging exactly $2,979. This unusual 1x spread indicates standardized pricing throughout the network, though lowest rates may reflect Medicaid or Medicare plans rather than commercial coverage.

Why the range is so wide: Oscar Health 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.

Oscar Health Colonoscopy Rates by Hospital

Hospital Lowest Oscar Health Rate
HCA Houston Healthcare Clear Lake $2,979
HCA Houston Healthcare Conroe $2,979
HCA Houston Healthcare Kingwood $2,979
HCA Houston Healthcare Mainland $2,979
HCA Houston Healthcare Medical Center $2,979
HCA Houston Healthcare North Cypress $2,979
HCA Houston Healthcare Northwest $2,979
HCA Houston Healthcare Pearland $2,979
HCA Houston Healthcare Southeast $2,979
HCA Houston Healthcare Tomball $2,979
HCA Houston Healthcare West $2,979

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

A negotiated rate is the price Oscar Health 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 Oscar Health 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

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

Frequently Asked Questions

Where is the lowest-cost Oscar Health Colonoscopy in Houston?

The lowest Oscar Health negotiated rate for Colonoscopy in Houston is $2,979 at HCA Houston Healthcare Clear Lake, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,979 at HCA Houston Healthcare West. Commercial plan rates typically fall between these extremes.

Is the Oscar Health negotiated rate what I'll pay?

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

How many Houston hospitals have published Oscar Health rates?

11 hospitals in the Houston area have published Oscar Health 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 Oscar Health directly.

Is a preventive colonoscopy covered differently by Oscar Health?

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

We are not affiliated with Oscar Health 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 Oscar Health 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 Oscar Health website: www.hioscar.com