Ambetter Echocardiogram Rates in Nashville
Published Ambetter negotiated rates for Echocardiogram at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$60.13
Vanderbilt University Medical Center
all plan types
Highest Rate
$1,831.07
TriStar Summit Medical Center
all plan types
Rate Spread
30x
across all plan types
Hospitals
15
with Ambetter data
Ambetter echocardiogram rates in Nashville span a 30x gap, from $60.13 at Vanderbilt University Medical Center (Exchange) to $1,831.07 at TriStar Summit Medical Center. Across 15 hospitals, the median negotiated rate is $1,010.52. Lowest listed rates may reflect Medicaid or Medicare plan types rather than commercial coverage.
Ambetter Echocardiogram Rates by Hospital
| Hospital | Lowest Ambetter Rate |
|---|---|
| Vanderbilt University Medical Center | $60.13 |
| Ascension Saint Thomas Midtown | $682.64 |
| Ascension Saint Thomas Rutherford | $682.64 |
| Ascension Saint Thomas West | $682.64 |
| Metro Nashville General Hospital | $733.91 |
| TriStar Skyline Medical Center | $888.21 |
| Vanderbilt Wilson County Hospital | $890.07 |
| TriStar NorthCrest Medical Center | $992.52 |
| TriStar Horizon Medical Center | $1,041.42 |
| TriStar Southern Hills Medical Center | $1,068.79 |
| TriStar StoneCrest Medical Center | $1,213.03 |
| TriStar Centennial Medical Center | $1,283.19 |
| Maury Regional Medical Center | $1,359.87 |
| TriStar Hendersonville Medical Center | $1,581.05 |
| TriStar Summit Medical Center | $1,760.04 |
Median of all 40 published Ambetter rates for Echocardiogram at these hospitals: $1,010.52
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 Echocardiogram Rates in Nashville
Where Ambetter echocardiogram rates in Nashville sit low and high. Among the 15 hospitals with published rates, the lowest figures are $60.13 at Vanderbilt University Medical Center, $682.64 at Ascension Saint Thomas Midtown and $682.64 at Ascension Saint Thomas Rutherford. The highest are $1,831.07 at TriStar Summit Medical Center, $1,809.28 at TriStar Hendersonville Medical Center and $1,359.87 at Maury Regional Medical Center.
How far Nashville echocardiogram rates stretch. The page shows a spread of 30x, with a median of $1,010.52 across all 40 published Ambetter rates. The plan types beside the lowest rates are labeled Exchange or Ambetter of TN outpatient codes, not Medicaid, CHIP or Medicare Advantage, so the label alone does not show which plan sits behind a rate. The plan behind a rate is not always stated, and the lowest figure may not apply to every member.
What to ask Ambetter and Nashville hospitals about an echocardiogram. These are facility rates, and professional fees are billed separately.
- Ask Ambetter for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask Ambetter whether that hospital is in network for your plan.
- Ask the hospital for an estimate before the visit.
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 Echocardiogram in Nashville
Frequently Asked Questions
Where is the lowest-cost Ambetter Echocardiogram in Nashville?
The lowest Ambetter negotiated rate for Echocardiogram in Nashville is $60.13 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,831.07 at TriStar Summit Medical Center, a 30x 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?
15 hospitals in the Nashville area have published Ambetter negotiated rates for Echocardiogram in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Ambetter directly.
Does Ambetter require prior authorization for an echocardiogram?
Many Ambetter plans require prior authorization for echocardiograms. Without it, the claim may be denied. Your referring provider's office typically handles the authorization request. The rates shown here are facility fees; the physician reading fee is billed separately.
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