Oscar Health Colonoscopy Rates in Nashville
Published Oscar Health negotiated rates for Colonoscopy at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$27.24
Vanderbilt University Medical Center
all plan types
Highest Rate
$2,879.48
Maury Regional Medical Center
all plan types
Rate Spread
106x
across all plan types
Hospitals
15
with Oscar Health data
Oscar Health's negotiated rates for a colonoscopy in Nashville span a 106x gap, from $27.24 at Vanderbilt University Medical Center to $2,879.48 at Maury Regional Medical Center. The median across 15 hospitals is $213.08. Keep in mind that the lowest rates may reflect Medicaid or Medicare plan types rather than commercial coverage.
Oscar Health Colonoscopy Rates by Hospital
| Hospital | Lowest Oscar Health Rate |
|---|---|
| Vanderbilt University Medical Center | $27.24 |
| Ascension Saint Thomas Midtown | $1,222.40 |
| Ascension Saint Thomas Rutherford | $1,222.40 |
| Ascension Saint Thomas West | $1,222.40 |
| Metro Nashville General Hospital | $1,427.49 |
| Vanderbilt Wilson County Hospital | $1,928.63 |
| TriStar Centennial Medical Center | $2,048 |
| TriStar Hendersonville Medical Center | $2,048 |
| TriStar Horizon Medical Center | $2,048 |
| TriStar NorthCrest Medical Center | $2,048 |
| TriStar Skyline Medical Center | $2,048 |
| TriStar Southern Hills Medical Center | $2,048 |
| TriStar StoneCrest Medical Center | $2,048 |
| TriStar Summit Medical Center | $2,048 |
| Maury Regional Medical Center | $2,226.52 |
Median of all 178 published Oscar Health rates for Colonoscopy at these hospitals: $213.08
Rates shown are Oscar Health's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Oscar Health 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 Oscar Health Colonoscopy Rates in Nashville
Where Nashville colonoscopy rates start for Oscar Health. The lowest published Oscar Health rate is $27.24 at Vanderbilt University Medical Center. Next come the three Ascension Saint Thomas hospitals (Midtown, Rutherford and West), each at $1,222.40. At the top end, Maury Regional Medical Center lists $2,879.48, and Vanderbilt University Medical Center also lists a rate as high as $2,539.26 among its 151 plans.
How wide Oscar Health's Nashville spread runs. Across 15 hospitals, the lowest and highest rates are 106x apart, and the median of all 178 published rates is $213.08. The plan type beside the lowest rate at Vanderbilt University Medical Center is listed as Exchange, so it is not specified whether other plans sit behind the figures. Plan types are not always stated, and the plan behind a rate may not match a given member's plan.
What to ask before a Nashville colonoscopy.
- Ask Oscar Health for your own plan's negotiated rate and estimated cost share at a named hospital, such as Maury Regional Medical Center.
- Ask whether that hospital is in network for your plan.
- Ask the hospital for an estimate.
These are facility rates. Professional fees are billed separately.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Oscar Health Negotiated Rates
A negotiated rate is the price Oscar Health 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 Oscar Health 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 Oscar Health Colonoscopy in Nashville?
The lowest Oscar Health negotiated rate for Colonoscopy in Nashville is $27.24 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,879.48 at Maury Regional Medical Center, a 106x difference. Commercial plan rates typically fall between these extremes.
Is the Oscar Health negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Oscar Health 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 Oscar Health for a pre-service cost estimate specific to your plan.
How many Nashville hospitals have published Oscar Health rates?
15 hospitals in the Nashville area have published Oscar Health 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 Oscar Health directly.
Is a preventive colonoscopy covered differently by Oscar Health?
Preventive and diagnostic colonoscopies are often billed differently under Oscar Health plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Oscar Health about your plan's specific policy before scheduling.
We are not affiliated with Oscar Health 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 Oscar Health 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 Oscar Health website: www.hioscar.com