Ambetter Chest X-ray Rates in Nashville

Published Ambetter negotiated rates for Chest X-ray at 8 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$17.16

Vanderbilt University Medical Center

all plan types

Highest Rate

$1,261.27

TriStar StoneCrest Medical Center

all plan types

Rate Spread

74x

across all plan types

Hospitals

8

with Ambetter data

Ambetter's negotiated rates for a chest X-ray in Nashville span a 74x gap, from $17.16 at Vanderbilt University Medical Center (Exchange) to $1,261.27 at TriStar StoneCrest Medical Center. The median across 8 hospitals is $109.63. Lowest listed rates often reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: Ambetter 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.

Ambetter Chest X-ray Rates by Hospital

Hospital Lowest Ambetter Rate
Vanderbilt University Medical Center $17.16
Ascension Saint Thomas Midtown $109.63
Ascension Saint Thomas Rutherford $109.63
Ascension Saint Thomas West $109.63
Metro Nashville General Hospital $116.89
Vanderbilt Wilson County Hospital $141.76
Maury Regional Medical Center $218.37
TriStar StoneCrest Medical Center $1,212.34

Median of all 27 published Ambetter rates for Chest X-ray at these hospitals: $109.63

Rates shown are Ambetter's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Ambetter 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 Ambetter Chest X-ray Rates in Nashville

Where Ambetter chest x-ray rates in Nashville start and top out. The lowest published rate is $17.16 at Vanderbilt University Medical Center. Next come Ascension Saint Thomas Midtown and Ascension Saint Thomas Rutherford, each at $109.63. At the other end, TriStar StoneCrest Medical Center lists $1,261.27, followed by Maury Regional Medical Center at $218.37 and Vanderbilt Wilson County Hospital at $176.16 for its highest rate.

How wide the Nashville spread runs. Across 8 hospitals the spread is 74x, and the median of all 27 published Ambetter rates is $109.63. The plan types beside the lowest rates are mostly labeled Exchange, or are internal plan codes, so the plan behind a rate is not always clearly stated. Read the low end with that in mind.

Questions to bring to Ambetter and the hospital.

  • Ask Ambetter for your own plan's negotiated rate and estimated cost share for a chest x-ray at a named hospital.
  • Ask Ambetter whether that hospital is in network for your plan.
  • Ask the hospital for an estimate.

These figures are facility rates. Professional fees, such as a radiologist's reading, are billed separately.

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

Understanding Ambetter Negotiated Rates

A negotiated rate is the price Ambetter 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 Ambetter 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 Chest X-ray in Nashville

View all Chest X-ray prices in Nashville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Ambetter Chest X-ray in Nashville?

The lowest Ambetter negotiated rate for Chest X-ray in Nashville is $17.16 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,261.27 at TriStar StoneCrest Medical Center, a 74x difference. Commercial plan rates typically fall between these extremes.

Is the Ambetter negotiated rate what I'll pay?

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

How many Nashville hospitals have published Ambetter rates?

8 hospitals in the Nashville area have published Ambetter negotiated rates for Chest X-ray in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Ambetter directly.

Why do chest X-ray costs vary between facilities with Ambetter?

The rates shown here are hospital facility charges. Outpatient imaging centers often charge less for the same X-ray under the same Ambetter plan. Whether the X-ray is classified as preventive or diagnostic also affects your cost-sharing. Confirm with Ambetter how the visit will be billed before scheduling.

We are not affiliated with Ambetter 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 Ambetter 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 Ambetter website: www.ambetterhealth.com