BCBS Tennessee Colonoscopy Rates in Tri-Cities (Johnson City-Kingsport-Bristol)

Published BlueCross BlueShield of Tennessee negotiated rates for Colonoscopy at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$774

Indian Path Community Hospital

all plan types

Highest Rate

$2,521

Franklin Woods Community Hospital

all plan types

Rate Spread

across all plan types

Hospitals

with BlueCross BlueShield of Tennessee data

Why the range is so wide: BlueCross BlueShield of Tennessee 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.

BlueCross BlueShield of Tennessee Colonoscopy Rates by Hospital

Hospital	Lowest BlueCross BlueShield of Tennessee Rate	Plan Type	Highest Rate	Plans
Indian Path Community Hospital	$774	TENNCARE BLUE SELECT	$3,227	12
Bristol Regional Medical Center	$775	TENNCARE BLUE CARE	$3,227	12
Hawkins County Memorial Hospital	$775	TENNCARE BLUE CARE	$3,227	12
Holston Valley Medical Center	$775	TENNCARE BLUE CARE	$2,914.13	12
Johnson City Medical Center	$775	TENNCARE BLUE CARE	$2,521	9
Sycamore Shoals Hospital	$775	TENNCARE BLUE CARE	$2,521	8
Franklin Woods Community Hospital	$939	TENNCARE BLUE SELECT	$2,521	9

Median of all 74 published BlueCross BlueShield of Tennessee rates for Colonoscopy at these hospitals: $1,296.31

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

A negotiated rate is the price BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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 Tri-Cities (Johnson City-Kingsport-Bristol)

Aetna $1,085.68 - $1,377.93 7 hospitals Amerigroup $782.24 - $1,180.60 7 hospitals Cigna $1,139.97 - $2,588 7 hospitals Molina Healthcare $1,129.11 - $1,312.85 7 hospitals Sentara Health Plans $832.89 - $1,266.78 7 hospitals UnitedHealthcare $928 - $2,397 7 hospitals

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

Frequently Asked Questions

Where is the lowest-cost BlueCross BlueShield of Tennessee Colonoscopy in Tri-Cities (Johnson City-Kingsport-Bristol)?

The lowest BlueCross BlueShield of Tennessee negotiated rate for Colonoscopy in Tri-Cities (Johnson City-Kingsport-Bristol) is $774 at Indian Path Community Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,521 at Franklin Woods Community Hospital, a 3x difference. Commercial plan rates typically fall between these extremes.

Is the BlueCross BlueShield of Tennessee negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee for a pre-service cost estimate specific to your plan.

How many Tri-Cities (Johnson City-Kingsport-Bristol) hospitals have published BlueCross BlueShield of Tennessee rates?

7 hospitals in the Tri-Cities (Johnson City-Kingsport-Bristol) area have published BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee directly.

Is a preventive colonoscopy covered differently by BlueCross BlueShield of Tennessee?

Preventive and diagnostic colonoscopies are often billed differently under BlueCross BlueShield of Tennessee plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask BlueCross BlueShield of Tennessee about your plan's specific policy before scheduling.

We are not affiliated with BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee website: www.bcbst.com