UHC Colonoscopy Rates in Nashville

Published UnitedHealthcare negotiated rates for Colonoscopy at 16 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$12.26

Vanderbilt University Medical Center

all plan types

Highest Rate

$3,707

HighPoint Health Sumner (Sumner Regional Medical Center)

all plan types

Rate Spread

302x

across all plan types

Hospitals

with UnitedHealthcare data

UnitedHealthcare's negotiated colonoscopy rates in Nashville span a 302x gap, from $12.26 at Vanderbilt University Medical Center to $3,707 at HighPoint Health Sumner. The median across 16 hospitals is $2,394. The lowest rates often reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: UnitedHealthcare 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.

UnitedHealthcare Colonoscopy Rates by Hospital

Hospital	Lowest UnitedHealthcare Rate	Plan Type	Highest Rate	Plans
Vanderbilt University Medical Center	$12.26	Community Plan (SNP) Medicare Managed Care Plan	$2,816	250
Vanderbilt Wilson County Hospital	$554.79	TN CoverKids Medicaid Managed Care Plan	$2,394	16
TriStar Summit Medical Center	$592	TENNCARE	$4,792	64
TriStar Horizon Medical Center	$640	TENNCARE	$4,792	64
TriStar Southern Hills Medical Center	$662	TENNCARE	$4,100	64
TriStar StoneCrest Medical Center	$672	TENNCARE	$4,792	64
TriStar Hendersonville Medical Center	$712	TENNCARE	$4,792	64
TriStar Centennial Medical Center	$769	TENNCARE	$4,100	64
Maury Regional Medical Center	$770	Medicaid	$3,143	13
TriStar NorthCrest Medical Center	$825	MCD	$4,100	64
Ascension Saint Thomas Midtown	$873.14	1230_MEDICARE ADVANTAGE UNITED HEALTH CARE OUTPATIENT 20250101	$873.14	2
Ascension Saint Thomas Rutherford	$873.14	2951_MTTN STTN RPTN MEDICARE ADVANTAGE UHC OUTPATIENT 20250101	$873.14	2
Ascension Saint Thomas West	$873.14	2951_MTTN STTN RPTN MEDICARE ADVANTAGE UHC OUTPATIENT 20250101	$873.14	2
Metro Nashville General Hospital	$1,497	All Commercial Plans	$1,497	2
TriStar Skyline Medical Center	$3,224	Core	$4,299	48
HighPoint Health Sumner (Sumner Regional Medical Center)	$3,707	UHC All Payer	$3,707	2

Median of all 785 published UnitedHealthcare rates for Colonoscopy at these hospitals: $2,394

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

Where Nashville colonoscopy rates begin and end for UnitedHealthcare. Across 16 hospitals, the lowest published rate is $12.26 at Vanderbilt University Medical Center. Next come Vanderbilt Wilson County Hospital at $554.79 and TriStar Summit Medical Center at $592. At the other end, HighPoint Health Sumner (Sumner Regional Medical Center) shows $3,707, and TriStar Skyline Medical Center shows $3,224 as its lowest rate.

How wide the UnitedHealthcare colonoscopy spread runs in Nashville. The page shows a 302x spread, and the median of all 785 published rates is $2,394. The plan types beside the lowest rates look like Medicare Advantage, Medicaid, CHIP and TennCare plans, so the low end likely reflects those plans rather than commercial plans. For some rows, the plan behind a rate is not always stated clearly.

What a UnitedHealthcare member can ask about a Nashville colonoscopy. These are facility rates, and professional fees are billed separately. A member can ask:

UnitedHealthcare for their own plan's negotiated rate and estimated cost share at a named hospital.
UnitedHealthcare 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 UnitedHealthcare Negotiated Rates

A negotiated rate is the price UnitedHealthcare 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 UnitedHealthcare 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

BlueCross BlueShield of Tennessee $29.61 - $2,732 16 hospitals Aetna $13.15 - $2,303 15 hospitals Ambetter $54.50 - $2,924.31 15 hospitals Oscar Health $27.24 - $2,879.48 15 hospitals Cigna $65.24 - $3,979 15 hospitals NHC Advantage $873.14 - $2,550 12 hospitals

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

Frequently Asked Questions

Where is the lowest-cost UnitedHealthcare Colonoscopy in Nashville?

The lowest UnitedHealthcare negotiated rate for Colonoscopy in Nashville is $12.26 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,707 at HighPoint Health Sumner (Sumner Regional Medical Center), a 302x difference. Commercial plan rates typically fall between these extremes.

Is the UnitedHealthcare negotiated rate what I'll pay?

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

How many Nashville hospitals have published UnitedHealthcare rates?

16 hospitals in the Nashville area have published UnitedHealthcare 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 UnitedHealthcare directly.

Is a preventive colonoscopy covered differently by UnitedHealthcare?

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

We are not affiliated with UnitedHealthcare 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 UnitedHealthcare 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 UnitedHealthcare website: www.uhc.com