Ambetter Colonoscopy Rates in Nashville
Published Ambetter negotiated rates for Colonoscopy at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$54.50
Vanderbilt University Medical Center
all plan types
Highest Rate
$2,924.31
Maury Regional Medical Center
all plan types
Rate Spread
54x
across all plan types
Hospitals
15
with Ambetter data
Ambetter's negotiated colonoscopy rates in Nashville span a 54x range, from $54.50 at Vanderbilt University Medical Center (Exchange) to $2,924.31 at Maury Regional Medical Center. Across 15 hospitals, the median rate is $1,560. Lower figures may reflect Medicaid or Medicare plan types rather than commercial coverage.
Ambetter Colonoscopy Rates by Hospital
| Hospital | Lowest Ambetter Rate |
|---|---|
| Vanderbilt University Medical Center | $54.50 |
| Ascension Saint Thomas Midtown | $1,135.08 |
| Ascension Saint Thomas Rutherford | $1,135.08 |
| Ascension Saint Thomas West | $1,135.08 |
| Metro Nashville General Hospital | $1,249.05 |
| Vanderbilt Wilson County Hospital | $1,514.83 |
| TriStar Centennial Medical Center | $1,560 |
| TriStar Hendersonville Medical Center | $1,560 |
| TriStar Horizon Medical Center | $1,560 |
| TriStar NorthCrest Medical Center | $1,560 |
| TriStar Skyline Medical Center | $1,560 |
| TriStar Southern Hills Medical Center | $1,560 |
| TriStar StoneCrest Medical Center | $1,560 |
| TriStar Summit Medical Center | $1,560 |
| Maury Regional Medical Center | $2,261.18 |
Median of all 402 published Ambetter rates for Colonoscopy at these hospitals: $1,560
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.
Reading Ambetter Colonoscopy Rates in Nashville
Where Ambetter colonoscopy rates in Nashville begin and end. The lowest published rate is $54.50 at Vanderbilt University Medical Center. Next come Ascension Saint Thomas Midtown, Ascension Saint Thomas Rutherford and Ascension Saint Thomas West, each at $1,135.08. At the top end, Maury Regional Medical Center shows $2,924.31 as its highest rate, while Vanderbilt University Medical Center lists $2,478.53 and Vanderbilt Wilson County Hospital lists $2,422.35.
How far Nashville colonoscopy rates stretch. The spread on this page is 54x, and the median of all 402 published Ambetter rates for this procedure at these hospitals is $1,560. The plan type beside the lowest rate is listed as Exchange, not Medicaid, CHIP or Medicare Advantage, but a plan behind a rate is not always stated clearly, so a single low figure may not reflect what your own plan pays.
What to ask Ambetter and Nashville hospitals about a colonoscopy. These are facility rates, and professional fees are billed separately. A member can:
- Ask Ambetter for the negotiated rate and estimated cost share under their own plan at a named hospital.
- Ask Ambetter whether that hospital is in network for their plan.
- Ask the hospital for a written estimate.
Written from the rates in the table above. General information, not medical or insurance advice.
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 Colonoscopy in Nashville
Frequently Asked Questions
Where is the lowest-cost Ambetter Colonoscopy in Nashville?
The lowest Ambetter negotiated rate for Colonoscopy in Nashville is $54.50 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,924.31 at Maury Regional Medical Center, a 54x difference. 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 Nashville hospitals have published Ambetter rates?
15 hospitals in the Nashville area have published Ambetter 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 Ambetter directly.
Is a preventive colonoscopy covered differently by Ambetter?
Preventive and diagnostic colonoscopies are often billed differently under Ambetter plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Ambetter about your plan's specific policy before scheduling.
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