UHC Colonoscopy Rates in Tri-Cities (Johnson City-Kingsport-Bristol)

Published UnitedHealthcare negotiated rates for Colonoscopy at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$928

Indian Path Community Hospital

all plan types

Highest Rate

$2,397

Franklin Woods Community Hospital

all plan types

Rate Spread

3x

across all plan types

Hospitals

7

with UnitedHealthcare data

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
Indian Path Community Hospital $928
Sycamore Shoals Hospital $954
Hawkins County Memorial Hospital $968
Bristol Regional Medical Center $1,008
Holston Valley Medical Center $1,055
Johnson City Medical Center $1,083
Franklin Woods Community Hospital $1,086.49

Median of all 49 published UnitedHealthcare rates for Colonoscopy at these hospitals: $1,116.64

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.

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 Tri-Cities (Johnson City-Kingsport-Bristol)

View all Colonoscopy prices in Tri-Cities (Johnson City-Kingsport-Bristol) (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost UnitedHealthcare Colonoscopy in Tri-Cities (Johnson City-Kingsport-Bristol)?

The lowest UnitedHealthcare negotiated rate for Colonoscopy in Tri-Cities (Johnson City-Kingsport-Bristol) is $928 at Indian Path Community Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,397 at Franklin Woods Community Hospital, a 3x 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 Tri-Cities (Johnson City-Kingsport-Bristol) hospitals have published UnitedHealthcare rates?

7 hospitals in the Tri-Cities (Johnson City-Kingsport-Bristol) 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