Amerigroup Ultrasound Rates in Tri-Cities (Johnson City-Kingsport-Bristol)

Published Amerigroup negotiated rates for Ultrasound at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$94.85

Indian Path Community Hospital

all plan types

Highest Rate

$103.14

Holston Valley Medical Center

all plan types

Rate Spread

1x

across all plan types

Hospitals

7

with Amerigroup data

Why the range is so wide: Amerigroup 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.

Amerigroup Ultrasound Rates by Hospital

Hospital Lowest Amerigroup Rate
Indian Path Community Hospital $94.85
Sycamore Shoals Hospital $94.85
Franklin Woods Community Hospital $94.92
Johnson City Medical Center $97.56
Hawkins County Memorial Hospital $98.65
Bristol Regional Medical Center $103.14
Holston Valley Medical Center $103.14

Median of all 22 published Amerigroup rates for Ultrasound at these hospitals: $98.65

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

A negotiated rate is the price Amerigroup 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 Amerigroup 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 Ultrasound in Tri-Cities (Johnson City-Kingsport-Bristol)

View all Ultrasound prices in Tri-Cities (Johnson City-Kingsport-Bristol) (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Amerigroup Ultrasound in Tri-Cities (Johnson City-Kingsport-Bristol)?

The lowest Amerigroup negotiated rate for Ultrasound in Tri-Cities (Johnson City-Kingsport-Bristol) is $94.85 at Indian Path Community Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $103.14 at Holston Valley Medical Center. Commercial plan rates typically fall between these extremes.

Is the Amerigroup negotiated rate what I'll pay?

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

How many Tri-Cities (Johnson City-Kingsport-Bristol) hospitals have published Amerigroup rates?

7 hospitals in the Tri-Cities (Johnson City-Kingsport-Bristol) area have published Amerigroup negotiated rates for Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Amerigroup directly.

Are prenatal ultrasounds covered differently by Amerigroup?

Amerigroup plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your Amerigroup plan documents for specifics on ultrasound coverage.

We are not affiliated with Amerigroup 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 Amerigroup 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 Amerigroup website: www.amerigroup.com