WellCare Colonoscopy Rates in Miami-Fort Lauderdale-West Palm Beach
Published WellCare negotiated rates for Colonoscopy at 8 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$69.96
Holy Cross Hospital
all plan types
Highest Rate
$2,137.75
Mount Sinai Medical Center
all plan types
Rate Spread
31x
across all plan types
Hospitals
8
with WellCare data
WellCare colonoscopy rates across Miami-Fort Lauderdale-West Palm Beach span a 31x gap, from $69.96 at Holy Cross Hospital to $2,137.75 at Mount Sinai Medical Center. The median across 8 hospitals is $971.14. The lowest rates are often tied to Medicaid or Medicare plans rather than commercial coverage.
WellCare Colonoscopy Rates by Hospital
| Hospital | Lowest WellCare Rate |
|---|---|
| Holy Cross Hospital | $69.96 |
| Cleveland Clinic Weston Hospital | $88.90 |
| Lakeside Medical Center | $960.91 |
| Memorial Hospital Miramar | $1,029.41 |
| Memorial Hospital Pembroke | $1,029.41 |
| Memorial Hospital West | $1,029.41 |
| Memorial Regional Hospital | $1,029.41 |
| Mount Sinai Medical Center | $2,137.75 |
Median of all 64 published WellCare rates for Colonoscopy at these hospitals: $971.14
Rates shown are WellCare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all WellCare 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 WellCare Colonoscopy Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami WellCare colonoscopy rates start and top out. The lowest published rates are $69.96 at Holy Cross Hospital and $88.90 at Cleveland Clinic Weston Hospital, followed by $960.91 at Lakeside Medical Center. At the high end, Mount Sinai Medical Center shows $2,137.75, while Memorial Hospital Miramar, Memorial Hospital Pembroke and Memorial Hospital West each list a lowest rate of $1,029.41.
The spread behind WellCare colonoscopy pricing. Published rates across these hospitals run 31x from lowest to highest, with a median of $971.14 across all 64 published rates. The plan types beside the lowest rates are Medicaid at Holy Cross Hospital and Medicare Advantage at Cleveland Clinic Weston Hospital, so the low end likely reflects those plans rather than commercial plans.
Questions to bring about a Miami colonoscopy. A few things a member can ask:
- WellCare: the negotiated rate and estimated cost share for your own plan at a named hospital, and whether that hospital is in network for your plan.
- The hospital: a written estimate for your situation.
These figures are facility rates, and professional fees are billed separately.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding WellCare Negotiated Rates
A negotiated rate is the price WellCare 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 WellCare 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 WellCare Colonoscopy in Miami-Fort Lauderdale-West Palm Beach?
The lowest WellCare negotiated rate for Colonoscopy in Miami-Fort Lauderdale-West Palm Beach is $69.96 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,137.75 at Mount Sinai Medical Center, a 31x difference. Commercial plan rates typically fall between these extremes.
Is the WellCare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what WellCare 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 WellCare for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published WellCare rates?
8 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published WellCare 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 WellCare directly.
Is a preventive colonoscopy covered differently by WellCare?
Preventive and diagnostic colonoscopies are often billed differently under WellCare plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask WellCare about your plan's specific policy before scheduling.
We are not affiliated with WellCare 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 WellCare 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 WellCare website: www.wellcare.com