Oscar Health Colonoscopy Rates in Orlando

Published Oscar Health negotiated rates for Colonoscopy at 7 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.

Limited coverage: Orlando Health's Orlando-area hospitals, including Orlando Regional Medical Center, are not included: Orlando Health's website blocked downloads of its price files when we collected this data. Prices for the Orlando area come only from the AdventHealth, HCA Florida, UF Health and Nemours hospitals listed here, so they may not reflect the whole Orlando market.

Lowest Rate

$1,630.34

AdventHealth Orlando

all plan types

Highest Rate

$3,445

UCF Lake Nona Hospital

all plan types

Rate Spread

2x

across all plan types

Hospitals

7

with Oscar Health data

Oscar Health's negotiated colonoscopy rates in Orlando span 2x across 7 hospitals, from $1,630.34 at AdventHealth Orlando to $3,445 at UCF Lake Nona Hospital. The median rate matches the high end at $3,445. Rates vary by plan type, so the lowest figure here reflects an Individual Plan Exchange rate.

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
AdventHealth Orlando $1,630.34
AdventHealth Waterman $1,959.56
HCA Florida Lake Monroe Hospital $3,445
HCA Florida Osceola Hospital $3,445
HCA Florida Oviedo Medical Center $3,445
HCA Florida Poinciana Hospital $3,445
UCF Lake Nona Hospital $3,445

Median of all 104 published Oscar Health rates for Colonoscopy at these hospitals: $3,445

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.

Reading Oscar Health Colonoscopy Rates in Orlando

Where Oscar Health colonoscopy rates start in Orlando. The lowest published rates are at AdventHealth Orlando, from $1,630.34 to $2,097.87, and AdventHealth Waterman, from $1,959.56 to $2,521.50. At the high end, HCA Florida Lake Monroe Hospital, HCA Florida Osceola Hospital and HCA Florida Oviedo Medical Center each show $3,445, matching UCF Lake Nona Hospital.

How far Orlando Oscar Health rates spread. The page shows a 2x spread between the lowest and highest rates, and the median of all 104 published rates is $3,445. The plan types beside the lowest rates are Individual Plan Exchange and Individual Epo, which are not Medicaid, CHIP or Medicare Advantage labels, but the plan behind a given rate is not always stated, so a listed rate may not match your plan.

What to ask about an Orlando colonoscopy. These are facility rates, and professional fees are billed separately. You can ask:

  • Oscar Health for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Oscar Health whether that hospital is in network for your plan.
  • The hospital for an estimate before your visit.

Written from the rates in the table above. General information, not medical or insurance advice.

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 Orlando

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

Frequently Asked Questions

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

The lowest Oscar Health negotiated rate for Colonoscopy in Orlando is $1,630.34 at AdventHealth Orlando, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,445 at UCF Lake Nona Hospital, a 2x difference. 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 Orlando hospitals have published Oscar Health rates?

7 hospitals in the Orlando 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