Colonoscopy Cost in Knoxville, TN

How much does a colonoscopy cost without insurance in Knoxville?

Among published cash prices on this page, a colonoscopy facility fee runs from $489.25 at The University of Tennessee Medical Center (45380) to $4,326 at LaFollette Medical Center (45380). Tennova North Knoxville Medical Center and Tennova Turkey Creek Medical Center also publish cash prices. Five hospitals list no cash price for either code: Fort Loudoun Medical Center, Fort Sanders Regional Medical Center, Methodist Medical Center of Oak Ridge, Parkwest Medical Center and Roane Medical Center. That is missing data, not a price of zero. These figures cover the facility charge only. Professional fees, such as the physician's services, are billed separately.

Why is the gross charge so much higher than the cash price?

The gross charge is the hospital's full list price, and few patients pay it. Cash prices are set as a discounted share of that list price. On this page, cash is 27% of gross at LaFollette Medical Center, 23% at Tennova North Knoxville Medical Center, 22% at Tennova Turkey Creek Medical Center and 25% at The University of Tennessee Medical Center. For example, LaFollette Medical Center lists a gross charge of $16,022.22 for 45380 against a cash price of $4,326. Ten of the 18 rows have no gross charge published, so no comparison is possible for those hospitals.

Does insurance cover a colonoscopy?

Whether a colonoscopy is covered depends on the specific plan, so the plan itself or the insurer is the source for that answer. This page shows negotiated rates for all 9 hospitals. Insured rates range from $84.33 at The University of Tennessee Medical Center (45378) to $181,550.16 at LaFollette Medical Center (45380). At The University of Tennessee Medical Center, 211 published rates for 45380 range from $182.95 to $1,957. If you are on a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate for the facility charge.

Are there additional fees beyond the colonoscopy facility charge?

Yes. The facility charge is only one part of the total. A colonoscopy typically also generates a separate bill from the physician who performs it. An anesthesia provider or group often bills separately for sedation. If tissue samples are taken, a pathology laboratory usually bills separately for analyzing them. Some patients also receive separate charges for supplies, medications or bowel preparation. Each of these bills may come from a different provider, and each may be handled differently by an insurance plan. An itemized statement and the insurer's explanation of benefits show which charges were billed.

What is the cash price for a colonoscopy at The University of Tennessee Medical Center in Knoxville?

The University of Tennessee Medical Center publishes a cash price of $543.50 for 45378 (Screening Colonoscopy) and $489.25 for 45380 (Colonoscopy with Biopsy). Both are facility charges only, so professional and other separate fees are not included. Its gross charges for the same codes are $2,174 and $1,957.

What is the highest published cash price for a colonoscopy in Knoxville?

The highest cash price on this page is $4,326 at LaFollette Medical Center for 45380 (Colonoscopy with Biopsy). This is a facility charge only. The lowest cash price shown is $489.25 at The University of Tennessee Medical Center for the same code, and the highest is about 9x the lowest.

Why do some Knoxville hospitals show no cash price for colonoscopy?

Five of the 9 hospitals on this page have no published cash price for either code: Fort Loudoun Medical Center, Fort Sanders Regional Medical Center, Methodist Medical Center of Oak Ridge, Parkwest Medical Center and Roane Medical Center. Blank or $0 entries mean the data is missing, not that the procedure is free.

What does Aetna pay for a colonoscopy with biopsy at The University of Tennessee Medical Center?

Aetna's Medicare Advantage rate for 45380 (Colonoscopy with Biopsy) at The University of Tennessee Medical Center is $182.95, the lowest of the 211 published rates for that code. This is a facility charge only. Other payers in the table, such as HealthSmart at $1,761.30, show higher rates.

How wide is the range of insured rates for colonoscopy at LaFollette Medical Center?

For 45380 (Colonoscopy with Biopsy), LaFollette Medical Center lists insured rates from $378.18 to $181,550.16, the highest insured rate on this page. For 45378 (Screening Colonoscopy) the range is from $299.66 to $141,089.85. These are facility charges only.