BCBS Tennessee Echocardiogram Rates in Tri-Cities (Johnson City-Kingsport-Bristol)
Published BlueCross BlueShield of Tennessee negotiated rates for Echocardiogram at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$170.76
Bristol Regional Medical Center
all plan types
Highest Rate
$699.28
Sycamore Shoals Hospital
all plan types
Rate Spread
4x
across all plan types
Hospitals
7
with BlueCross BlueShield of Tennessee data
BlueCross BlueShield of Tennessee Echocardiogram Rates by Hospital
| Hospital | Lowest BlueCross BlueShield of Tennessee Rate |
|---|---|
| Bristol Regional Medical Center | $170.76 |
| Franklin Woods Community Hospital | $170.76 |
| Hawkins County Memorial Hospital | $170.76 |
| Holston Valley Medical Center | $170.76 |
| Indian Path Community Hospital | $170.76 |
| Johnson City Medical Center | $170.76 |
| Sycamore Shoals Hospital | $170.76 |
Median of all 75 published BlueCross BlueShield of Tennessee rates for Echocardiogram at these hospitals: $605.48
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 Echocardiogram in Tri-Cities (Johnson City-Kingsport-Bristol)
Frequently Asked Questions
Where is the lowest-cost BlueCross BlueShield of Tennessee Echocardiogram in Tri-Cities (Johnson City-Kingsport-Bristol)?
The lowest BlueCross BlueShield of Tennessee negotiated rate for Echocardiogram in Tri-Cities (Johnson City-Kingsport-Bristol) is $170.76 at Bristol Regional Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $699.28 at Sycamore Shoals Hospital, a 4x 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 Echocardiogram 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.
Does BlueCross BlueShield of Tennessee require prior authorization for an echocardiogram?
Many BlueCross BlueShield of Tennessee plans require prior authorization for echocardiograms. Without it, the claim may be denied. Your referring provider's office typically handles the authorization request. The rates shown here are facility fees; the physician reading fee is billed separately.
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