Sunshine Health Colonoscopy Rates in Jacksonville

Published Sunshine Health negotiated rates for Colonoscopy at 6 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$700.57

Baptist Medical Center Beaches

all plan types

Highest Rate

$700.57

Wolfson Children's Hospital

all plan types

Rate Spread

across all plan types

Hospitals

with Sunshine Health data

Sunshine Health pays all six Jacksonville hospitals in this data the same colonoscopy rate: $700.57, with no spread between the lowest (Baptist Medical Center Beaches) and the highest (Wolfson Children's Hospital). Every rate shown is a Managed Medicaid rate, so commercial plans may be negotiated differently. The median is also $700.57.

Why the range is so wide: Sunshine 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.

Sunshine Health Colonoscopy Rates by Hospital

Hospital	Lowest Sunshine Health Rate	Plan Type	Highest Rate	Plans
Baptist Medical Center Beaches	$700.57	Managed Medicaid	$700.57	2
Baptist Medical Center Clay	$700.57	Managed Medicaid	$700.57	2
Baptist Medical Center Jacksonville	$700.57	Managed Medicaid	$700.57	2
Baptist Medical Center Nassau	$700.57	Managed Medicaid	$700.57	2
Baptist Medical Center South	$700.57	Managed Medicaid	$700.57	2
Wolfson Children's Hospital	$700.57	Managed Medicaid	$700.57	2

Median of all 12 published Sunshine Health rates for Colonoscopy at these hospitals: $700.57

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

A negotiated rate is the price Sunshine 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 Sunshine 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 Jacksonville

UnitedHealthcare $700.57 - $4,750 13 hospitals Molina Healthcare $757.89 - $3,242 13 hospitals Aetna $704.91 - $11,236 11 hospitals Superior Health Plan $1,519.16 - $2,840.49 11 hospitals Humana $636.88 - $924.31 10 hospitals Simply Healthcare $668.72 - $2,735 9 hospitals

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

Frequently Asked Questions

Where is the lowest-cost Sunshine Health Colonoscopy in Jacksonville?

The lowest Sunshine Health negotiated rate for Colonoscopy in Jacksonville is $700.57 at Baptist Medical Center Beaches, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $700.57 at Wolfson Children's Hospital. Commercial plan rates typically fall between these extremes.

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

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

How many Jacksonville hospitals have published Sunshine Health rates?

6 hospitals in the Jacksonville area have published Sunshine 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 Sunshine Health directly.

Is a preventive colonoscopy covered differently by Sunshine Health?

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

We are not affiliated with Sunshine 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 Sunshine 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.