Colonoscopy Cost in Tri-Cities (Johnson City-Kingsport-Bristol), TN

How much does a colonoscopy cost without insurance in Tri-Cities (Johnson City-Kingsport-Bristol)?

For code 45380 (colonoscopy with biopsy), the cash price is $484.05 at all seven hospitals: Bristol Regional, Franklin Woods, Hawkins County Memorial, Holston Valley, Indian Path, Johnson City Medical Center, and Sycamore Shoals. The overall cash price range is therefore a single figure, $484.05. No cash prices are listed as $0, and only one code appears in the data, so there is no variant comparison. This amount is the facility fee, which covers the hospital's room, equipment, and staff. Physician and professional fees are billed separately and are not included.

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

The gross charge, or chargemaster price, is the hospital's full list price before any discounts. For code 45380, it is $3,227 at all seven hospitals. The cash price of $484.05 is 15% of that figure at every hospital, so the discount is the same everywhere. Almost no one pays the gross charge. Insurers negotiate lower rates, and uninsured patients are typically offered the cash price. Because the gross charge and cash price are identical across hospitals, no location has a larger percentage discount that still results in a higher cash price.

Does insurance cover a colonoscopy?

Coverage depends on the specific plan and on whether the procedure meets the plan's medical necessity criteria. Some plans require prior authorization for non-emergency procedures. Negotiated rates for code 45380 vary widely across the 314 payer rates in the data, from $774 to $3,227. If you are on a high-deductible plan and have not met your deductible, you owe the negotiated rate for the service, not the gross charge. Your insurer can provide the rate and your remaining deductible for a specific hospital.

Are there additional fees beyond the colonoscopy facility charge?

Yes. The facility fee covers the hospital's room, equipment, and staff. Several other charges are billed separately. The physician who performs the procedure bills a professional fee. An anesthesiologist or anesthesia provider bills separately if sedation is administered. Tissue samples removed during a biopsy are sent to a laboratory, and the pathologist who examines them bills their own fee. If the procedure is performed in an emergency department, separate ER facility fees apply. These charges are not included in the prices shown on this page, and dollar amounts for them are not in the source data.

What is the cash price for a colonoscopy at Johnson City Medical Center?

Johnson City Medical Center lists a cash price of $484.05 for 45380 Colonoscopy with Biopsy, against a gross charge of $3,227. The cash price is 15% of gross. This is a facility charge only, so professional fees are not included. No cash price is shown on this page for 45378 at this hospital.

What is the lowest colonoscopy price at Indian Path Community Hospital in Kingsport?

The lowest insured rate shown for 45380 Colonoscopy with Biopsy at Indian Path Community Hospital is $774, paid under BLUE CROSS TENNCARE BLUE SELECT. The cash price there is $484.05 and the gross charge is $3,227. All figures are facility charges only and exclude separate physician or pathology bills.

What are the highest and lowest insurance rates for a colonoscopy in Tri-Cities, TN?

Across the Tri-Cities hospitals on this page, insured rates for 45380 Colonoscopy with Biopsy run from $774 at Indian Path Community Hospital to $3,227 at Bristol Regional Medical Center. Both are facility charges only. Data for 45378 Screening Colonoscopy is not shown, so no rates for that code appear.

How much does Blue Cross charge for a colonoscopy at Indian Path Community Hospital?

At Indian Path Community Hospital, Blue Cross plans for 45380 range from $774 for TENNCARE BLUE SELECT and $775 for TENNCARE BLUE CARE to $3,227 for ANTHEM EXCHANGE, ANTHEM HMO and ANTHEM PPO, TRADITIONAL INDEMNITY. These are facility charges only and do not include other bills tied to the visit.

Do all Ballad Health hospitals in the Tri-Cities list the same colonoscopy cash price?

Yes. All 7 Ballad Health hospitals on this page list a cash price of $484.05 for 45380 Colonoscopy with Biopsy, including Bristol Regional Medical Center, Holston Valley Medical Center and Sycamore Shoals Hospital. Each also shows a gross charge of $3,227. These are facility charges only, and no 45378 rows appear in the data.