TriWest Healthcare Alliance Colonoscopy Rates in Austin

Published TriWest Healthcare Alliance negotiated rates for Colonoscopy at 6 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$805.92

BSW Medical Center Marble Falls

all plan types

Highest Rate

$1,055.55

BSW Medical Center Round Rock

all plan types

Rate Spread

across all plan types

Hospitals

with TriWest Healthcare Alliance data

TriWest Healthcare Alliance colonoscopy rates in Austin range from $805.92 to $1,055.55 across 6 hospitals, though lowest rates often reflect Medicaid/Medicare rather than commercial plans. BSW Medical Center Marble Falls offers the lowest negotiated rate while BSW Medical Center Round Rock commands the highest. The median rate sits at $817.52.

Why the range is so wide: TriWest Healthcare Alliance 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.

TriWest Healthcare Alliance Colonoscopy Rates by Hospital

Hospital	Lowest TriWest Healthcare Alliance Rate	Plan Type	Highest Rate	Plans
BSW Medical Center Marble Falls	$805.92	Community Care Network	$1,040.57	2
BSW Medical Center Austin	$817.52	Community Care Network	$1,055.55	3
BSW Medical Center Buda	$817.52	Community Care Network	$1,055.55	2
BSW Medical Center Lakeway	$817.52	Community Care Network	$1,055.55	3
BSW Medical Center Pflugerville	$817.52	Community Care Network	$1,055.55	2
BSW Medical Center Round Rock	$817.52	Community Care Network	$1,055.55	3

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

A negotiated rate is the price TriWest Healthcare Alliance 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 TriWest Healthcare Alliance 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 Austin

Aetna $858.4 - $3,734 7 hospitals Blue Cross Blue Shield of Texas $846.22 - $1,807.6 7 hospitals Cigna $3,421 - $4,025 7 hospitals Humana $805.92 - $4,958 7 hospitals UnitedHealthcare $926.81 - $2,169 7 hospitals Baylor Scott & White Health Plan $765.62 - $1,741.66 6 hospitals

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

Frequently Asked Questions

Where is the lowest-cost TriWest Healthcare Alliance Colonoscopy in Austin?

The lowest TriWest Healthcare Alliance negotiated rate for Colonoscopy in Austin is $805.92 at BSW Medical Center Marble Falls, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,055.55 at BSW Medical Center Round Rock. Commercial plan rates typically fall between these extremes.

Is the TriWest Healthcare Alliance negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what TriWest Healthcare Alliance 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 TriWest Healthcare Alliance for a pre-service cost estimate specific to your plan.

How many Austin hospitals have published TriWest Healthcare Alliance rates?

6 hospitals in the Austin area have published TriWest Healthcare Alliance 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 TriWest Healthcare Alliance directly.

Is a preventive colonoscopy covered differently by TriWest Healthcare Alliance?

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

We are not affiliated with TriWest Healthcare Alliance 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 TriWest Healthcare Alliance 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 TriWest Healthcare Alliance website: www.triwest.com