Ultrasound Cost in Morristown, TN

How much does a ultrasound cost without insurance in Morristown?

Without insurance, cash prices for a complete pelvic ultrasound (76856) are $109.20 at Morristown-Hamblen and $266.52 at Tennova Jefferson Memorial. For a complete abdominal ultrasound (76700), cash prices are $268.20 at Morristown-Hamblen and $457.13 at Tennova Jefferson Memorial. Across all listed options, the overall range is $109.20 to $457.13. The abdominal code costs more than the pelvic code at both hospitals, by $159 at Morristown-Hamblen and $190.61 at Tennova. These figures are facility fees, which cover the room, equipment, and staff. Physician and professional fees, such as the radiologist's interpretation, are billed separately.

Why is the gross charge so much higher than the cash price?

The gross charge, or chargemaster price, is the hospital's standard list price before any discounts or negotiated rates. Almost no one pays it. At Morristown-Hamblen, cash prices equal about 30% of gross for both codes ($109.20 of $364 and $268.20 of $894). At Tennova Jefferson Memorial, cash prices equal about 22% of gross ($266.52 of $1,204.32 and $457.13 of $2,065.64). Tennova's larger percentage discount still results in a higher cash price, because its gross charges start far higher. The gross charge mainly serves as a starting point for negotiated insurance rates and self-pay discounts.

Does insurance cover a ultrasound?

Coverage depends on your specific plan and on whether the service is considered medically necessary. Negotiated rates vary widely by insurer. For abdominal ultrasound (76700), the 165 payer rates range from $42.05 to $2,065.64, and pelvic ultrasound (76856) rates range from $42.05 to $1,204.32. Some plans require prior authorization for non-emergency imaging, so checking with your insurer before scheduling clarifies requirements. If you are on a high-deductible plan and have not met your deductible, you owe the negotiated rate for your plan, not the gross charge, until the deductible is satisfied.

Are there additional fees beyond the ultrasound facility charge?

Yes. The prices listed here are facility fees, which cover the hospital's room, equipment, and technologist. For imaging procedures like ultrasound, a radiologist typically interprets the images and bills a separate professional reading fee. That fee is not included in the facility prices on this page, and no amount for it appears in the source data. If an ultrasound is performed in the emergency department, a separate ER facility fee is also billed. Other providers involved in your care may bill separately as well.

How much is the cash price for an abdominal ultrasound at Morristown-Hamblen Hospital?

Morristown-Hamblen Hospital lists a cash price of $268.20 for a complete abdominal ultrasound (CPT 76700), against a gross charge of $894. Its cash price is 30% of gross. These are facility charges only, so separate professional fees are not included in this figure.

What is the lowest ultrasound price published in Morristown?

The lowest cash price on this page is $109.20 for a complete pelvic ultrasound (CPT 76856) at Morristown-Hamblen Hospital. It is a facility charge only and does not include any separate professional or reading fees. The highest cash price on the page is about 4x the lowest.

What is the highest cash price for an ultrasound near Morristown, TN?

The highest cash price on this page is $457.13 for a complete abdominal ultrasound (CPT 76700) at Tennova Jefferson Memorial Hospital. That compares with a gross charge of $2,065.64 at the same hospital, where cash is 22% of gross. This is a facility charge only.

What does United Healthcare pay for an abdominal ultrasound at Tennova Jefferson Memorial Hospital?

Tennova Jefferson Memorial Hospital publishes United Healthcare rates for CPT 76700 that range from $42.05 under UHC Community Plan to $2,065.64 under UHC APA. These are facility charges only. The payer table lists 94 published rates for this code, and the highest is about 49x the lowest.

How much is a pelvic ultrasound with insurance at Morristown-Hamblen Hospital?

Morristown-Hamblen Hospital publishes insured rates for a complete pelvic ultrasound (CPT 76856) from $52.56 to $347, against a gross charge of $364. Which rate applies depends on the plan. These figures are facility charges only and do not include separate professional fees.