WellCare Colonoscopy Rates in Pensacola

Published WellCare negotiated rates for Colonoscopy at 4 hospitals in Pensacola, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$668.72

Santa Rosa Medical Center

all plan types

Highest Rate

$1,242.71

Baptist Hospital (Pensacola)

all plan types

Rate Spread

across all plan types

Hospitals

with WellCare data

WellCare colonoscopy rates in Pensacola span a 2x range across four hospitals, from $668.72 at Santa Rosa Medical Center to $1,242.71 at Baptist Hospital. The median negotiated rate is $960.91. The lowest figure is a Wellcare Medicaid FL rate, and Medicaid or Medicare rates often run below commercial ones.

Why the range is so wide: WellCare 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.

WellCare Colonoscopy Rates by Hospital

Hospital	Lowest WellCare Rate	Plan Type	Highest Rate	Plans
Santa Rosa Medical Center	$668.72	Wellcare Medicaid FL	$668.72	2
Gulf Breeze Hospital	$672.87	MCARE HMO	$1,242.71	6
Ascension Sacred Heart Pensacola	$915.16	2493_MEDICARE ADVANTAGE WELLCARE OUTPATIENT PSH 20250101	$915.16	2
Baptist Hospital (Pensacola)	$960.91	MCARE HMO	$1,242.71	4

Median of all 14 published WellCare rates for Colonoscopy at these hospitals: $960.91

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.

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 Pensacola

UnitedHealthcare $640.82 - $5,370 5 hospitals Aetna $640.83 - $13,658 4 hospitals Humana $655.99 - $942.61 4 hospitals Florida Blue $728.78 - $4,770 4 hospitals Simply Healthcare $675.09 - $3,440 4 hospitals Oscar Health $1,464.26 - $3,182 3 hospitals

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

Frequently Asked Questions

Where is the lowest-cost WellCare Colonoscopy in Pensacola?

The lowest WellCare negotiated rate for Colonoscopy in Pensacola is $668.72 at Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,242.71 at Baptist Hospital (Pensacola), a 2x 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 Pensacola hospitals have published WellCare rates?

4 hospitals in the Pensacola 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