Sentara Colonoscopy Rates in Tri-Cities (Johnson City-Kingsport-Bristol)
Published Sentara Health Plans negotiated rates for Colonoscopy at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$832.89
Bristol Regional Medical Center
all plan types
Highest Rate
$1,266.78
Johnson City Medical Center
all plan types
Rate Spread
2x
across all plan types
Hospitals
7
with Sentara Health Plans data
Sentara Health Plans Colonoscopy Rates by Hospital
| Hospital | Lowest Sentara Health Plans Rate |
|---|---|
| Bristol Regional Medical Center | $832.89 |
| Hawkins County Memorial Hospital | $832.89 |
| Holston Valley Medical Center | $832.89 |
| Sycamore Shoals Hospital | $897.75 |
| Franklin Woods Community Hospital | $934.86 |
| Indian Path Community Hospital | $1,085.68 |
| Johnson City Medical Center | $1,116.64 |
Median of all 21 published Sentara Health Plans rates for Colonoscopy at these hospitals: $1,116.64
Rates shown are Sentara Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Sentara Health Plans 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 Sentara Health Plans Negotiated Rates
A negotiated rate is the price Sentara Health Plans 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 Sentara Health Plans 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 Tri-Cities (Johnson City-Kingsport-Bristol)
Frequently Asked Questions
Where is the lowest-cost Sentara Health Plans Colonoscopy in Tri-Cities (Johnson City-Kingsport-Bristol)?
The lowest Sentara Health Plans negotiated rate for Colonoscopy in Tri-Cities (Johnson City-Kingsport-Bristol) is $832.89 at Bristol Regional Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,266.78 at Johnson City Medical Center, a 2x difference. Commercial plan rates typically fall between these extremes.
Is the Sentara Health Plans negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Sentara Health Plans 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 Sentara Health Plans for a pre-service cost estimate specific to your plan.
How many Tri-Cities (Johnson City-Kingsport-Bristol) hospitals have published Sentara Health Plans rates?
7 hospitals in the Tri-Cities (Johnson City-Kingsport-Bristol) area have published Sentara Health Plans 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 Sentara Health Plans directly.
Is a preventive colonoscopy covered differently by Sentara Health Plans?
Preventive and diagnostic colonoscopies are often billed differently under Sentara Health Plans plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Sentara Health Plans about your plan's specific policy before scheduling.
We are not affiliated with Sentara Health Plans 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 Sentara Health Plans 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 Sentara Health Plans website: www.sentarahealthplans.com