Sunshine Health Colonoscopy Rates in Miami-Fort Lauderdale-West Palm Beach
Published Sunshine Health negotiated rates for Colonoscopy at 8 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$72.06
Holy Cross Hospital
all plan types
Highest Rate
$2,632.98
Memorial Regional Hospital
all plan types
Rate Spread
37x
across all plan types
Hospitals
8
with Sunshine Health data
Sunshine Health's negotiated colonoscopy rates across eight South Florida hospitals span a 37x range, from $72.06 at Holy Cross Hospital to $2,632.98 at Memorial Regional Hospital. The median rate is $1,687. The lowest figure is tied to a Medicaid plan type, so it may not reflect commercial rates.
Sunshine Health Colonoscopy Rates by Hospital
| Hospital | Lowest Sunshine Health Rate |
|---|---|
| Holy Cross Hospital | $72.06 |
| Cleveland Clinic Weston Hospital | $636.88 |
| Mount Sinai Medical Center | $636.88 |
| Lakeside Medical Center | $960.91 |
| Memorial Hospital Miramar | $1,311.04 |
| Memorial Hospital Pembroke | $1,311.04 |
| Memorial Hospital West | $1,311.04 |
| Memorial Regional Hospital | $1,311.04 |
Median of all 47 published Sunshine Health rates for Colonoscopy at these hospitals: $1,687
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.
Reading Sunshine Health Colonoscopy Rates in Miami-Fort Lauderdale-West Palm Beach
Where Sunshine Health colonoscopy rates start and top out in Miami. The lowest published rate is $72.06 at Holy Cross Hospital, followed by $636.88 at both Cleveland Clinic Weston Hospital and Mount Sinai Medical Center. At the other end, Memorial Hospital Miramar, Memorial Hospital Pembroke and Memorial Hospital West each show a high of $2,632.98, the same figure listed at Memorial Regional Hospital.
How wide the Miami spread runs, and what sits behind it. The spread across the 8 hospitals is 37x, and the median of all 47 published Sunshine Health rates for this procedure is $1,687. The lowest rates are tied to plan types that look like Medicaid, such as SUNSHINE STATE HEALTH MEDICAID at Holy Cross Hospital and Managed Medicaid at Cleveland Clinic Weston Hospital, so the low end likely reflects those plans rather than commercial plans. Higher rates at the Memorial hospitals are listed under Ambetter Exchange.
Questions for Sunshine Health and the hospital before a colonoscopy. These are facility rates, and professional fees are billed separately. Members can ask:
- Sunshine Health: what is the negotiated rate and estimated cost share for my plan at a named hospital, such as Lakeside Medical Center?
- Sunshine Health: is that hospital in network for my plan?
- The hospital: can I get an estimate for my visit?
Written from the rates in the table above. General information, not medical or insurance advice.
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 Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost Sunshine Health Colonoscopy in Miami-Fort Lauderdale-West Palm Beach?
The lowest Sunshine Health negotiated rate for Colonoscopy in Miami-Fort Lauderdale-West Palm Beach is $72.06 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,632.98 at Memorial Regional Hospital, a 37x difference. 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 Miami-Fort Lauderdale-West Palm Beach hospitals have published Sunshine Health rates?
8 hospitals in the Miami-Fort Lauderdale-West Palm Beach 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.