Aetna ER Visit Rates in Nashville

Published Aetna negotiated rates for ER Visit at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.

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If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.

Do not delay emergency care based on cost.

Lowest Rate

$36.26

Vanderbilt University Medical Center

all plan types

Highest Rate

$3,350

TriStar Horizon Medical Center

all plan types

Rate Spread

92x

across all plan types

Hospitals

with Aetna data

Aetna's negotiated ER visit rates in Nashville span a 92x gap, from $36.26 at Vanderbilt University Medical Center to $3,350 at TriStar Horizon Medical Center. The lowest figure comes from a Medicaid managed care plan, and such rates typically run far below commercial ones. Across 15 hospitals, the median negotiated rate is $1,046.42.

Why the range is so wide: Aetna 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.

Aetna ER Visit Rates by Hospital

Hospital	Lowest Aetna Rate	Plan Type	Highest Rate	Plans
Vanderbilt University Medical Center	$36.26	Better Health KY Medicaid Managed Care Plan	$759	104
Ascension Saint Thomas Rutherford	$56.40	3161_RPTN AETNA 20250701	$3,200	69
Ascension Saint Thomas West	$56.40	3161_RPTN AETNA 20250701	$3,200	36
Metro Nashville General Hospital	$261.89	Medicare Managed Care Plan	$571.34	3
Ascension Saint Thomas Midtown	$270.48	1231_MEDICARE AETNA OUTPATIENT 20250101	$2,500	15
Maury Regional Medical Center	$273.13	Medicare Advantage	$3,821	30
Vanderbilt Wilson County Hospital	$293.32	Medicare Managed Care Plan	$639.90	3
TriStar Skyline Medical Center	$960.13	NAP	$3,350	12
TriStar Summit Medical Center	$964.42	NAP	$3,350	15
TriStar Centennial Medical Center	$1,029.33	NAP	$3,350	21
TriStar NorthCrest Medical Center	$1,036.46	NAP	$3,350	9
TriStar Southern Hills Medical Center	$1,081.16	NAP	$3,350	15
TriStar Hendersonville Medical Center	$1,120.76	NAP	$3,350	15
TriStar StoneCrest Medical Center	$1,278.68	NAP	$3,350	9
TriStar Horizon Medical Center	$1,376.54	NAP	$3,350	12

Median of all 368 published Aetna rates for ER Visit at these hospitals: $1,046.42

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

Nashville ER visit rates at the low and high ends for Aetna. Across 15 hospitals, the lowest published rate is $36.26 at Vanderbilt University Medical Center, followed by $56.40 at both Ascension Saint Thomas Rutherford and Ascension Saint Thomas West. At the top, TriStar Horizon Medical Center lists $3,350, as do TriStar StoneCrest Medical Center and TriStar Southern Hills Medical Center.

The 92x spread and what sits behind it. The page shows a 92x spread, with a median of $1,046.42 across all 368 published Aetna rates for this visit. The lowest rates sit beside plan types such as a Medicaid managed care plan and Medicare plans, so the low end likely reflects those plans rather than commercial plans. Some rates are tied to plan labels that do not say what kind of plan they are, so the plan behind a rate is not always stated.

Questions an Aetna member can bring about a Nashville ER visit.

Ask Aetna for the negotiated rate and estimated cost share under your own plan at a named hospital.
Ask Aetna whether that hospital is in network for your plan.
Ask the hospital for an estimate.

These are facility rates, and professional fees are billed separately.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding Aetna Negotiated Rates

A negotiated rate is the price Aetna 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 Aetna 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 ER Visit in Nashville

UnitedHealthcare $18.61 - $2,814 15 hospitals BlueCross BlueShield of Tennessee $22.05 - $1,384 15 hospitals Ambetter $105.34 - $1,800 15 hospitals Oscar Health $16.14 - $2,769 15 hospitals Cigna $24.76 - $1,885.77 14 hospitals Humana $55.01 - $1,350.17 13 hospitals

View all ER Visit prices in Nashville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna ER Visit in Nashville?

The lowest Aetna negotiated rate for ER Visit in Nashville is $36.26 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,350 at TriStar Horizon Medical Center, a 92x difference. Commercial plan rates typically fall between these extremes.

Is the Aetna negotiated rate what I'll pay?

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

How many Nashville hospitals have published Aetna rates?

15 hospitals in the Nashville area have published Aetna negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.

Will Aetna cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Aetna cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.

We are not affiliated with Aetna 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 Aetna 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 Aetna website: www.aetna.com