ProCare Advantage Colonoscopy Rates in San Antonio
Published ProCare Advantage negotiated rates for Colonoscopy at 3 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$886.51
CHRISTUS Santa Rosa Medical Center
all plan types
Highest Rate
$1,217.84
CHRISTUS Santa Rosa Westover Hills
all plan types
Rate Spread
1x
across all plan types
Hospitals
3
with ProCare Advantage data
ProCare Advantage colonoscopy rates in San Antonio span from $886.51 to $1,217.84 across three hospitals, though lowest rates often reflect Medicaid/Medicare pricing rather than commercial plans. CHRISTUS Santa Rosa Medical Center (MM) offers the most affordable option at $886.51, while CHRISTUS Santa Rosa Westover Hills commands the highest rate at $1,217.84.
ProCare Advantage Colonoscopy Rates by Hospital
| Hospital | Lowest ProCare Advantage Rate |
|---|---|
| CHRISTUS Santa Rosa Medical Center | $886.51 |
| CHRISTUS Santa Rosa Alamo Heights | $941.69 |
| CHRISTUS Santa Rosa Westover Hills | $941.69 |
Rates shown are ProCare Advantage's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all ProCare Advantage 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 ProCare Advantage Negotiated Rates
A negotiated rate is the price ProCare Advantage 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 ProCare Advantage 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
Frequently Asked Questions
Where is the lowest-cost ProCare Advantage Colonoscopy in San Antonio?
The lowest ProCare Advantage negotiated rate for Colonoscopy in San Antonio is $886.51 at CHRISTUS Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,217.84 at CHRISTUS Santa Rosa Westover Hills. Commercial plan rates typically fall between these extremes.
Is the ProCare Advantage negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what ProCare Advantage 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 ProCare Advantage for a pre-service cost estimate specific to your plan.
How many San Antonio hospitals have published ProCare Advantage rates?
3 hospitals in the San Antonio area have published ProCare Advantage 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 ProCare Advantage directly.
Is a preventive colonoscopy covered differently by ProCare Advantage?
Preventive and diagnostic colonoscopies are often billed differently under ProCare Advantage plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask ProCare Advantage about your plan's specific policy before scheduling.
We are not affiliated with ProCare Advantage 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 ProCare Advantage 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 ProCare Advantage website: www.procareadv.com