Ambetter Ultrasound Rates in Nashville
Published Ambetter negotiated rates for Ultrasound at 7 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$15.04
Vanderbilt University Medical Center
all plan types
Highest Rate
$263.75
Maury Regional Medical Center
all plan types
Rate Spread
18x
across all plan types
Hospitals
7
with Ambetter data
Ambetter Ultrasound Rates by Hospital
| Hospital | Lowest Ambetter Rate |
|---|---|
| Vanderbilt University Medical Center | $15.04 |
| Ascension Saint Thomas Midtown | $132.39 |
| Ascension Saint Thomas Rutherford | $132.39 |
| Ascension Saint Thomas West | $132.39 |
| Metro Nashville General Hospital | $140.42 |
| Vanderbilt Wilson County Hospital | $170.30 |
| Maury Regional Medical Center | $263.75 |
Median of all 43 published Ambetter rates for Ultrasound at these hospitals: $132.39
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.
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 Ultrasound in Nashville
Frequently Asked Questions
Where is the lowest-cost Ambetter Ultrasound in Nashville?
The lowest Ambetter negotiated rate for Ultrasound in Nashville is $15.04 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $263.75 at Maury Regional Medical Center, an 18x 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?
7 hospitals in the Nashville area have published Ambetter negotiated rates for Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Ambetter directly.
Are prenatal ultrasounds covered differently by Ambetter?
Ambetter plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your Ambetter plan documents for specifics on ultrasound coverage.
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