Colonoscopy Cost in Morristown, TN

How much does a colonoscopy cost without insurance in Morristown?

Published cash prices on this page range from $2,664.03 for code 45378 to $3,443.44 for code 45380, both at Tennova Jefferson Memorial Hospital. Morristown-Hamblen Hospital has no published cash price for either code, so that is missing data and not a price of zero. These figures cover the hospital facility charge only. Professional fees, such as the physician performing the procedure, are billed separately and are not included in these amounts. Anyone planning a visit can contact the hospital's billing office for an itemized estimate.

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

The gross charge is a list price that few patients actually pay. At Tennova Jefferson Memorial Hospital, it is $12,038.10 for code 45378 and $15,560.07 for code 45380. The published cash prices are $2,664.03 and $3,443.44, which is 22% of gross for each code. Hospitals set gross charges as starting points for negotiations with insurers and for self-pay discounts, so the cash price reflects a discount applied to that list figure. Morristown-Hamblen Hospital lists no gross charge for either code, so no comparison is possible there.

Does insurance cover a colonoscopy?

Whether a colonoscopy is covered depends on your specific plan, so the plan's benefit documents or its member services line are the places to check. The price files show negotiated rates by insurer. At Tennova Jefferson Memorial Hospital, insured rates run from $299.66 to $12,038.10 for code 45378. At Morristown-Hamblen Hospital, they run from $843.73 to $2,945. If you have a high-deductible plan and have not yet met your deductible, you usually pay the plan's negotiated rate until it is met.

Are there additional fees beyond the colonoscopy facility charge?

Yes. The hospital facility charge is only one part of the total. A colonoscopy commonly generates separate bills from the physician who performs the procedure, from anesthesia services, and from a pathology laboratory if tissue samples are sent for analysis. Some visits also include separate charges for medications or supplies. These professional and laboratory bills often come from different billing entities than the hospital, and they may arrive on different dates. Requesting an itemized estimate that lists each provider can clarify what the hospital price does and does not include.

What is the cash price for a colonoscopy at Tennova Jefferson Memorial Hospital?

Tennova Jefferson Memorial Hospital publishes a cash price of $2,664.03 for 45378 Screening Colonoscopy and $3,443.44 for 45380 Colonoscopy with Biopsy. Both are facility charges only, so professional fees are not included. The cash price is 22% of the gross charge for each code.

Does Morristown-Hamblen Hospital publish a self-pay price for colonoscopy?

No. Morristown-Hamblen Hospital shows no published cash price for either 45378 or 45380. Its gross charge is also missing, published as $0 or blank, which means the data is missing, not that the procedure is free. Only insured rates are listed for this Morristown hospital, and they cover facility charges only.

What is the lowest published insured rate for a colonoscopy in Morristown?

The lowest insured rate in the Morristown price table is $299.66, listed at Tennova Jefferson Memorial Hospital for 45378 Screening Colonoscopy. At Morristown-Hamblen Hospital, the lowest insured rates are $843.73 for 45378 and $1,068 for 45380. These are facility charges only and vary by payer.

How much does BCBS TN pay for a colonoscopy at Morristown-Hamblen Hospital?

For 45378 Screening Colonoscopy at Morristown-Hamblen Hospital, the payer table lists BCBS TN rates of $2,945 under both Commercial Network P and Commercial Network S. That is the top of the insured range shown for this code. The figure is a facility charge only, and other fees may be billed separately.

What is the difference between CPT 45378 and 45380 colonoscopy prices in Morristown?

45378 is Screening Colonoscopy and 45380 is Colonoscopy with Biopsy. At Tennova Jefferson Memorial Hospital in Morristown, the cash price is $2,664.03 for 45378 and $3,443.44 for 45380. At Morristown-Hamblen Hospital, insured rates begin at $843.73 for 45378 and $1,068 for 45380. All figures are facility charges only.