BCBS Tennessee MRI Rates in Knoxville

Published BlueCross BlueShield of Tennessee negotiated rates for MRI at 9 hospitals in Knoxville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$166.65

Fort Loudoun Medical Center

all plan types

Highest Rate

$1,093.81

LaFollette Medical Center

all plan types

Rate Spread

7x

across all plan types

Hospitals

9

with BlueCross BlueShield of Tennessee data

A single MRI in Knoxville can cost anywhere from $166.65 at Fort Loudoun Medical Center to $1,093.81 at LaFollette Medical Center, a roughly 7x spread across nine hospitals under BlueCross BlueShield of Tennessee. The median negotiated rate is $245.56. Rates vary by plan type, and the lowest figures may reflect Medicaid or Medicare products rather than commercial coverage.

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 MRI Rates by Hospital

Hospital Lowest BlueCross BlueShield of Tennessee Rate
Fort Loudoun Medical Center $166.65
Fort Sanders Regional Medical Center $166.65
Methodist Medical Center of Oak Ridge $166.65
Parkwest Medical Center $166.65
Roane Medical Center $166.65
Tennova North Knoxville Medical Center $219.41
Tennova Turkey Creek Medical Center $219.41
The University of Tennessee Medical Center $227.34
LaFollette Medical Center $304.70

Median of all 568 published BlueCross BlueShield of Tennessee rates for MRI at these hospitals: $245.56

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.

Reading BlueCross BlueShield of Tennessee MRI Rates in Knoxville

Where Knoxville MRI rates start and top out for BlueCross BlueShield of Tennessee. The lowest published rate is $166.65, shared by Fort Loudoun Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center. At the other end, The University of Tennessee Medical Center lists a high of $2,088.32, Tennova North Knoxville Medical Center and Tennova Turkey Creek Medical Center list $1,219.53, and LaFollette Medical Center's top rate is $1,093.81.

How wide the Knoxville MRI spread runs. Rates across the nine hospitals spread 7x, and the median of all 568 published rates is $245.56. Several low-end rates sit beside plan types that look like Medicare Advantage or D-SNP plans (such as MCR ADV and MedAdv D-SNP), and the Blue Care label is not specific. The low end may therefore reflect those plans rather than commercial plans, and the plan behind a rate is not always stated.

What BlueCross BlueShield of Tennessee members can ask about an MRI in Knoxville.

  • Ask BlueCross BlueShield of Tennessee for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask whether that hospital is in network for your plan.
  • Ask the hospital for an estimate.

These are facility rates, and professional fees, such as the radiologist's reading, are billed separately.

Written from the rates in the table above. General information, not medical or insurance advice.

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 MRI in Knoxville

View all MRI prices in Knoxville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost BlueCross BlueShield of Tennessee MRI in Knoxville?

The lowest BlueCross BlueShield of Tennessee negotiated rate for MRI in Knoxville is $166.65 at Fort Loudoun Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,093.81 at LaFollette Medical Center, a 7x 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 Knoxville hospitals have published BlueCross BlueShield of Tennessee rates?

9 hospitals in the Knoxville area have published BlueCross BlueShield of Tennessee negotiated rates for MRI 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.

Do I need a referral for an MRI with BlueCross BlueShield of Tennessee?

Most BlueCross BlueShield of Tennessee plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact BlueCross BlueShield of Tennessee before scheduling to confirm your plan's requirements.

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