Aetna Colonoscopy Rates in Nashville
Published Aetna negotiated rates for Colonoscopy at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$13.15
Vanderbilt University Medical Center
all plan types
Highest Rate
$2,303
TriStar Summit Medical Center
all plan types
Rate Spread
175x
across all plan types
Hospitals
15
with Aetna data
Aetna colonoscopy rates in Nashville span a 175x gap, from $13.15 at Vanderbilt University Medical Center to $2,303 at TriStar Centennial Medical Center. Across 15 hospitals, the median negotiated rate is $1,804. The lowest figure reflects a Medicare Managed Care plan, and the lowest rates often belong to Medicaid or Medicare products rather than commercial plans.
Aetna Colonoscopy Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| Vanderbilt University Medical Center | $13.15 |
| Ascension Saint Thomas Midtown | $890.60 |
| Ascension Saint Thomas Rutherford | $890.60 |
| Ascension Saint Thomas West | $890.60 |
| Metro Nashville General Hospital | $892.18 |
| Maury Regional Medical Center | $899.34 |
| Vanderbilt Wilson County Hospital | $999.24 |
| TriStar Centennial Medical Center | $1,804 |
| TriStar Hendersonville Medical Center | $1,804 |
| TriStar Horizon Medical Center | $1,804 |
| TriStar NorthCrest Medical Center | $1,804 |
| TriStar Skyline Medical Center | $1,804 |
| TriStar Southern Hills Medical Center | $1,804 |
| TriStar StoneCrest Medical Center | $1,804 |
| TriStar Summit Medical Center | $1,804 |
Median of all 490 published Aetna rates for Colonoscopy at these hospitals: $1,804
Rates shown are Aetna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Aetna 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.
Reading Aetna Colonoscopy Rates in Nashville
Where Aetna colonoscopy rates start and end in Nashville. The lowest published rate is $13.15 at Vanderbilt University Medical Center, followed by $890.60 at Ascension Saint Thomas Midtown and Ascension Saint Thomas Rutherford. At the high end, TriStar Centennial Medical Center lists $2,303, and Vanderbilt University Medical Center also shows $3,478 as its highest rate.
How wide the Nashville colonoscopy spread runs. The spread on this page is 175x, and the median of all 490 published Aetna rates for this procedure at these hospitals is $1,804. The plan types beside the lowest rates, such as Medicare Managed Care Plan and Medicare Advantage, suggest the low end likely reflects those plans rather than commercial plans.
Questions for Aetna and a Nashville hospital. These are facility rates, and professional fees are billed separately. A member can ask:
- Aetna, for their own plan's negotiated rate and estimated cost share at a named hospital
- Aetna and the hospital, whether that hospital is in network for their plan
- The hospital, for an estimate of the colonoscopy
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Aetna Negotiated Rates
A negotiated rate is the price Aetna 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 Aetna 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 Nashville
Frequently Asked Questions
Where is the lowest-cost Aetna Colonoscopy in Nashville?
The lowest Aetna negotiated rate for Colonoscopy in Nashville is $13.15 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,303 at TriStar Summit Medical Center, a 175x difference. Commercial plan rates typically fall between these extremes.
Is the Aetna negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Aetna 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 Aetna for a pre-service cost estimate specific to your plan.
How many Nashville hospitals have published Aetna rates?
15 hospitals in the Nashville area have published Aetna 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 Aetna directly.
Is a preventive colonoscopy covered differently by Aetna?
Preventive and diagnostic colonoscopies are often billed differently under Aetna plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Aetna about your plan's specific policy before scheduling.
We are not affiliated with Aetna 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 Aetna 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 Aetna website: www.aetna.com