MultiPlan/PHCS Colonoscopy Rates in Knoxville

Published MultiPlan/PHCS negotiated rates for Colonoscopy at 4 hospitals in Knoxville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$612.87

The University of Tennessee Medical Center

all plan types

Highest Rate

$181,550.16

LaFollette Medical Center

all plan types

Rate Spread

296x

across all plan types

Hospitals

4

with MultiPlan/PHCS data

A colonoscopy in Knoxville can be negotiated at $612.87 or $181,550.16 under MultiPlan/PHCS, a 296x spread across four hospitals. The lowest rate is at The University of Tennessee Medical Center (Commercial), while the highest is at LaFollette Medical Center. The median is $1,304.40, though some low rates may reflect Medicaid or Medicare plans rather than commercial ones.

Why the range is so wide: MultiPlan/PHCS 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.

MultiPlan/PHCS Colonoscopy Rates by Hospital

Hospital Lowest MultiPlan/PHCS Rate
The University of Tennessee Medical Center $612.87
Tennova Turkey Creek Medical Center $6,646.56
Tennova North Knoxville Medical Center $7,576.22
LaFollette Medical Center $10,881.73

Median of all 46 published MultiPlan/PHCS rates for Colonoscopy at these hospitals: $1,304.40

Rates shown are MultiPlan/PHCS's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all MultiPlan/PHCS 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 MultiPlan/PHCS Colonoscopy Rates in Knoxville

Where Knoxville colonoscopy rates start and end for MultiPlan/PHCS. Among the 4 hospitals with published MultiPlan/PHCS rates, the lowest listed is $612.87 at The University of Tennessee Medical Center, followed by $6,646.56 at Tennova Turkey Creek Medical Center and $7,576.22 at Tennova North Knoxville Medical Center. At the high end, LaFollette Medical Center lists $181,550.16.

How far MultiPlan/PHCS colonoscopy rates spread in Knoxville. The spread from lowest to highest is 296x, while the median of all 46 published rates is $1,304.40. The lowest rate at The University of Tennessee Medical Center is tagged Commercial, and the lowest rates at the other hospitals are tagged Multiplan Primary or Multiplan Complementary, so the plan behind a rate is not always clearly stated and a single figure may not match your own plan.

Questions for MultiPlan/PHCS and Knoxville hospitals about a colonoscopy. These are facility rates, and professional fees are billed separately. Members can ask:

  • MultiPlan/PHCS for the negotiated rate and estimated cost share under their own plan at a named hospital.
  • Whether that hospital is in network for their plan.
  • The hospital for a written estimate.

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

Understanding MultiPlan/PHCS Negotiated Rates

A negotiated rate is the price MultiPlan/PHCS 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 MultiPlan/PHCS 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 Knoxville

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

Frequently Asked Questions

Where is the lowest-cost MultiPlan/PHCS Colonoscopy in Knoxville?

The lowest MultiPlan/PHCS negotiated rate for Colonoscopy in Knoxville is $612.87 at The University of Tennessee Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $181,550.16 at LaFollette Medical Center, a 296x difference. Commercial plan rates typically fall between these extremes.

Is the MultiPlan/PHCS negotiated rate what I'll pay?

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

How many Knoxville hospitals have published MultiPlan/PHCS rates?

4 hospitals in the Knoxville area have published MultiPlan/PHCS 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 MultiPlan/PHCS directly.

Is a preventive colonoscopy covered differently by MultiPlan/PHCS?

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

We are not affiliated with MultiPlan/PHCS 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 MultiPlan/PHCS 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 MultiPlan/PHCS website: www.multiplan.com