Aetna MRI Rates in Nashville

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

Lowest Rate

$40.97

Vanderbilt University Medical Center

all plan types

Highest Rate

$5,321.60

TriStar Summit Medical Center

all plan types

Rate Spread

130x

across all plan types

Hospitals

15

with Aetna data

Aetna's negotiated MRI rates in Nashville span a 94x gap, from $40.97 at Vanderbilt University Medical Center to $3,859.89 at TriStar Centennial Medical Center. The median across 15 hospitals is $530.38. The lowest rate belongs to a Medicaid managed care plan, and rates of that type often sit well below commercial plan rates.

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 MRI Rates by Hospital

Hospital Lowest Aetna Rate
Vanderbilt University Medical Center $40.97
Metro Nashville General Hospital $228.91
Ascension Saint Thomas Midtown $236.13
Ascension Saint Thomas Rutherford $236.13
Ascension Saint Thomas West $236.13
Maury Regional Medical Center $238.44
Vanderbilt Wilson County Hospital $256.38
TriStar Centennial Medical Center $530.38
TriStar Hendersonville Medical Center $530.38
TriStar Horizon Medical Center $530.38
TriStar NorthCrest Medical Center $530.38
TriStar Skyline Medical Center $530.38
TriStar Southern Hills Medical Center $530.38
TriStar StoneCrest Medical Center $530.38
TriStar Summit Medical Center $530.38

Median of all 257 published Aetna rates for MRI at these hospitals: $530.38

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 MRI Rates in Nashville

Aetna MRI rates at the low and high ends in Nashville. The lowest published rate is $40.97 at Vanderbilt University Medical Center, followed by $228.91 at Metro Nashville General Hospital and $236.13 at Ascension Saint Thomas Midtown. At the top, TriStar Centennial Medical Center lists $3,859.89, and the highest figure in the table for TriStar Horizon Medical Center is $6,588.82.

How far apart Nashville MRI figures sit. The spread across the page is 94x, and the median of all 257 published Aetna rates is $530.38. The plan types beside the lowest rates look like Medicaid, Medicare Advantage or Medicare managed care plans, so the low end likely reflects those plans rather than commercial plans. Many of the higher-starting rates are labeled COMM.

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

  • Aetna for their own plan's negotiated rate and estimated cost share at a named hospital
  • Aetna whether that hospital is in network for their plan
  • The hospital for an estimate

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 MRI in Nashville

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

Frequently Asked Questions

Where is the lowest-cost Aetna MRI in Nashville?

The lowest Aetna negotiated rate for MRI in Nashville is $40.97 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $5,321.60 at TriStar Summit Medical Center, a 130x 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 MRI in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.

Do I need a referral for an MRI with Aetna?

Most Aetna plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact Aetna before scheduling to confirm your plan's requirements.

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