Ambetter C-Section Rates in Knoxville

Published Ambetter negotiated rates for C-Section at 5 hospitals in Knoxville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$2,009

Fort Loudoun Medical Center

all plan types

Highest Rate

$2,009

Roane Medical Center

all plan types

Rate Spread

1x

across all plan types

Hospitals

5

with Ambetter data

Why the range is so wide: Ambetter 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.

Ambetter C-Section Rates by Hospital

Hospital Lowest Ambetter Rate
Fort Loudoun Medical Center $2,009
Fort Sanders Regional Medical Center $2,009
Methodist Medical Center of Oak Ridge $2,009
Parkwest Medical Center $2,009
Roane Medical Center $2,009

Median of all 35 published Ambetter rates for C-Section at these hospitals: $2,009

Rates shown are Ambetter's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Ambetter 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 Ambetter Negotiated Rates

A negotiated rate is the price Ambetter 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 Ambetter 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 C-Section in Knoxville

View all C-Section prices in Knoxville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Ambetter C-Section in Knoxville?

The lowest Ambetter negotiated rate for C-Section in Knoxville is $2,009 at Fort Loudoun Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,009 at Roane Medical Center. Commercial plan rates typically fall between these extremes.

Is the Ambetter negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Ambetter 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 Ambetter for a pre-service cost estimate specific to your plan.

How many Knoxville hospitals have published Ambetter rates?

5 hospitals in the Knoxville area have published Ambetter negotiated rates for C-Section in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Ambetter directly.

Does the Ambetter rate include all C-section costs?

The published rate typically covers the facility fee only. It usually does not include separately billed charges such as the surgeon's fee, anesthesia, lab work, or the newborn's hospital stay. Your total out-of-pocket cost with Ambetter will depend on these additional charges plus your plan's deductible and coinsurance.

We are not affiliated with Ambetter 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 Ambetter 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 Ambetter website: www.ambetterhealth.com