NHC Advantage Colonoscopy Rates in Nashville
Published NHC Advantage negotiated rates for Colonoscopy at 12 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$873.14
Ascension Saint Thomas Midtown
all plan types
Highest Rate
$2,550
TriStar Summit Medical Center
all plan types
Rate Spread
3x
across all plan types
Hospitals
12
with NHC Advantage data
A colonoscopy with an NHC Advantage plan costs as little as $873.14 at Ascension Saint Thomas Midtown or as much as $2,550 at TriStar Centennial Medical Center, a roughly 3x spread across 12 Nashville hospitals. The median negotiated rate matches the high end at $2,550. Lowest listed rates are often tied to Medicaid or Medicare Advantage plan types rather than commercial coverage.
NHC Advantage Colonoscopy Rates by Hospital
| Hospital | Lowest NHC Advantage Rate |
|---|---|
| Ascension Saint Thomas Midtown | $873.14 |
| Ascension Saint Thomas Rutherford | $873.14 |
| Ascension Saint Thomas West | $873.14 |
| Maury Regional Medical Center | $899.34 |
| TriStar Centennial Medical Center | $2,550 |
| TriStar Hendersonville Medical Center | $2,550 |
| TriStar Horizon Medical Center | $2,550 |
| TriStar NorthCrest Medical Center | $2,550 |
| TriStar Skyline Medical Center | $2,550 |
| TriStar Southern Hills Medical Center | $2,550 |
| TriStar StoneCrest Medical Center | $2,550 |
| TriStar Summit Medical Center | $2,550 |
Median of all 24 published NHC Advantage rates for Colonoscopy at these hospitals: $2,550
Rates shown are NHC Advantage's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all NHC Advantage 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 NHC Advantage Colonoscopy Rates in Nashville
Where Nashville colonoscopy rates start and stop for NHC Advantage. The lowest published rate is $873.14, shown at Ascension Saint Thomas Midtown, Ascension Saint Thomas Rutherford and Ascension Saint Thomas West. Maury Regional Medical Center follows at $899.34. At the other end, $2,550 is listed at TriStar Centennial Medical Center, TriStar Hendersonville Medical Center and TriStar Horizon Medical Center, among others.
How wide the NHC Advantage colonoscopy spread runs. The page shows a 3x spread across the 12 hospitals, and the median of all 24 published rates is $2,550. The plan types beside the lowest rates read as Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans. The same plan labels that appear beside the $2,550 rates look like Medicare-type HMO entries.
Questions for NHC Advantage and the hospital. A member can:
- Ask NHC Advantage for their own plan's negotiated rate and estimated cost share at a named hospital.
- Ask NHC Advantage whether that hospital is in network for their plan.
- Ask the hospital for an estimate.
These are facility rates, and professional fees are billed separately.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding NHC Advantage Negotiated Rates
A negotiated rate is the price NHC Advantage 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 NHC Advantage 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 Nashville
Frequently Asked Questions
Where is the lowest-cost NHC Advantage Colonoscopy in Nashville?
The lowest NHC Advantage negotiated rate for Colonoscopy in Nashville is $873.14 at Ascension Saint Thomas Midtown, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,550 at TriStar Summit Medical Center, a 3x difference. Commercial plan rates typically fall between these extremes.
Is the NHC Advantage negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what NHC Advantage 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 NHC Advantage for a pre-service cost estimate specific to your plan.
How many Nashville hospitals have published NHC Advantage rates?
12 hospitals in the Nashville area have published NHC Advantage 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 NHC Advantage directly.
Is a preventive colonoscopy covered differently by NHC Advantage?
Preventive and diagnostic colonoscopies are often billed differently under NHC Advantage plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask NHC Advantage about your plan's specific policy before scheduling.
We are not affiliated with NHC Advantage 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 NHC Advantage 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 NHC Advantage website: www.nhcadvantage.com