WellCare Colonoscopy Rates in San Antonio

Published WellCare negotiated rates for Colonoscopy at 15 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$805.92

CHRISTUS Santa Rosa Medical Center

all plan types

Highest Rate

$1,262.2

Northeast Methodist Hospital

all plan types

Rate Spread

across all plan types

Hospitals

with WellCare data

WellCare colonoscopy rates in San Antonio span from $805.92 at CHRISTUS Santa Rosa to $1,262.20 at Northeast Methodist Hospital, showing a notable 57% price difference across 15 facilities. The median rate sits at $1,107.13, though lowest rates often reflect Medicaid or Medicare rather than commercial plans.

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
CHRISTUS Santa Rosa Medical Center	$805.92	MM	$1,040.57	4
CHRISTUS Santa Rosa Alamo Heights	$856.08	Superior Health MM	$1,107.13	10
CHRISTUS Santa Rosa Westover Hills	$856.08	Superior Health MM	$1,107.13	10
CHRISTUS Santa Rosa New Braunfels	$883.54	Superior Medicare Advantage	$1,142.65	10
CHRISTUS Santa Rosa San Marcos	$883.54	Superior Medicare Advantage	$1,142.65	4
Methodist Hospital	$962.22	MCRHMO	$1,238.16	10
Methodist Hospital Landmark	$962.22	MCRHMO	$1,238.16	10
Metropolitan Methodist Hospital	$962.22	MCRHMO	$1,238.16	10
Methodist Hospital Atascosa	$980.91	MCRHMO	$1,262.2	10
Methodist Hospital Hill Country	$980.91	MCRHMO	$1,262.2	10
Methodist Hospital Westover Hills	$980.91	MCRHMO	$1,262.2	10
Methodist Specialty and Transplant	$980.91	MCRHMO	$1,262.2	10
Methodist Stone Oak Hospital	$980.91	MCRHMO	$1,262.2	10
Methodist Texsan Hospital	$980.91	MCRHMO	$1,262.2	10
Northeast Methodist Hospital	$980.91	MCRHMO	$1,262.2	10

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 San Antonio

Aetna $328.5 - $2,936 16 hospitals Blue Cross Blue Shield of Texas $328.5 - $2,590.89 16 hospitals Cigna $910.05 - $5,774 16 hospitals Healthcare Highways $2,235.36 - $7,049.4 16 hospitals UnitedHealthcare $345.58 - $3,917 16 hospitals Community First Health Plans $270 - $365 16 hospitals

View all Colonoscopy prices in San Antonio (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost WellCare Colonoscopy in San Antonio?

The lowest WellCare negotiated rate for Colonoscopy in San Antonio is $805.92 at CHRISTUS Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,262.2 at Northeast Methodist Hospital, 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 San Antonio hospitals have published WellCare rates?

15 hospitals in the San Antonio 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