UHC Ultrasound Rates in Tri-Cities (Johnson City-Kingsport-Bristol)
Published UnitedHealthcare negotiated rates for Ultrasound at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$48.16
Hawkins County Memorial Hospital
all plan types
Highest Rate
$677
Sycamore Shoals Hospital
all plan types
Rate Spread
14x
across all plan types
Hospitals
7
with UnitedHealthcare data
UnitedHealthcare's negotiated ultrasound rates across Tri-Cities hospitals span a 14x gap, from $48.16 at Hawkins County Memorial Hospital to $677 at Sycamore Shoals Hospital. The median across all 7 hospitals is $206.83. The lowest figure reflects a TennCare plan, and low rates like this often tie to Medicaid or Medicare rather than commercial coverage.
UnitedHealthcare Ultrasound Rates by Hospital
| Hospital | Lowest UnitedHealthcare Rate |
|---|---|
| Hawkins County Memorial Hospital | $48.16 |
| Bristol Regional Medical Center | $57.79 |
| Holston Valley Medical Center | $57.79 |
| Franklin Woods Community Hospital | $86.68 |
| Indian Path Community Hospital | $86.68 |
| Johnson City Medical Center | $86.68 |
| Sycamore Shoals Hospital | $86.68 |
Median of all 98 published UnitedHealthcare rates for Ultrasound at these hospitals: $206.83
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 Ultrasound Rates in Tri-Cities (Johnson City-Kingsport-Bristol)
Where Tri ultrasound rates start and end for UnitedHealthcare. The lowest published rate is $48.16 at Hawkins County Memorial Hospital, followed by $57.79 at Bristol Regional Medical Center and at Holston Valley Medical Center. At the other end, Sycamore Shoals Hospital shows $677, and the table lists that same $677 as the highest rate at every one of the 7 hospitals.
How far the Tri spread runs and what sits behind it. The spread is 14x, and the median of all 98 published UnitedHealthcare rates for this procedure at these hospitals is $206.83. The plan type beside every lowest rate is TENNCARE UNITED HEALTHCARE, which looks like a Medicaid plan, so the low end likely reflects those plans rather than commercial plans.
What a UnitedHealthcare member can ask about a Tri ultrasound. 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, such as Johnson City Medical Center.
- UnitedHealthcare whether that hospital is in network for their plan.
- The hospital for an estimate of the charges.
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 Ultrasound in Tri-Cities (Johnson City-Kingsport-Bristol)
Frequently Asked Questions
Where is the lowest-cost UnitedHealthcare Ultrasound in Tri-Cities (Johnson City-Kingsport-Bristol)?
The lowest UnitedHealthcare negotiated rate for Ultrasound in Tri-Cities (Johnson City-Kingsport-Bristol) is $48.16 at Hawkins County Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $677 at Sycamore Shoals Hospital, a 14x 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 Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with UnitedHealthcare directly.
Are prenatal ultrasounds covered differently by UnitedHealthcare?
UnitedHealthcare plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your UnitedHealthcare plan documents for specifics on ultrasound coverage.
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