BCBS Tennessee Ultrasound Rates in Knoxville

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

Lowest Rate

$30.51

The University of Tennessee Medical Center

all plan types

Highest Rate

$400.73

Tennova Turkey Creek Medical Center

all plan types

Rate Spread

13x

across all plan types

Hospitals

9

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 Ultrasound Rates by Hospital

Hospital Lowest BlueCross BlueShield of Tennessee Rate
The University of Tennessee Medical Center $30.51
LaFollette Medical Center $46.07
Fort Loudoun Medical Center $54.13
Fort Sanders Regional Medical Center $54.13
Methodist Medical Center of Oak Ridge $54.13
Parkwest Medical Center $54.13
Roane Medical Center $54.13
Tennova North Knoxville Medical Center $56.49
Tennova Turkey Creek Medical Center $56.49

Median of all 471 published BlueCross BlueShield of Tennessee rates for Ultrasound at these hospitals: $83.81

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 Ultrasound in Knoxville

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

Frequently Asked Questions

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

The lowest BlueCross BlueShield of Tennessee negotiated rate for Ultrasound in Knoxville is $30.51 at The University of Tennessee Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $400.73 at Tennova Turkey Creek Medical Center, a 13x 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 Ultrasound 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.

Are prenatal ultrasounds covered differently by BlueCross BlueShield of Tennessee?

BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee plan documents for specifics on ultrasound coverage.

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