BCBS Tennessee Echocardiogram Rates in Nashville

Published BlueCross BlueShield of Tennessee negotiated rates for Echocardiogram at 14 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$39.47

Vanderbilt University Medical Center

all plan types

Highest Rate

$1,285.65

TriStar NorthCrest Medical Center

all plan types

Rate Spread

33x

across all plan types

Hospitals

with BlueCross BlueShield of Tennessee data

Echocardiogram rates negotiated by BlueCross BlueShield of Tennessee in Nashville span a 33x gap, from $39.47 at Vanderbilt University Medical Center to $1,285.65 at TriStar NorthCrest Medical Center. The median across 14 hospitals is $319.33. Rates vary by plan type, and the lowest figures may reflect non-commercial plans.

Why the range is so wide: BlueCross BlueShield of Tennessee 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.

BlueCross BlueShield of Tennessee Echocardiogram Rates by Hospital

Hospital	Lowest BlueCross BlueShield of Tennessee Rate	Plan Type	Highest Rate	Plans
Vanderbilt University Medical Center	$39.47	Network P - Blue Preferred Other Commercial Plan	$1,900.08	74
Ascension Saint Thomas Midtown	$148.77	1015_BCBS BLUE CARE TENNCARE SELECT 20221001	$551.37	10
Ascension Saint Thomas Rutherford	$148.77	2414_BCBS BLUE CARE TENNCARE (RUTHERFORD) 20221001	$551.37	52
Ascension Saint Thomas West	$148.77	2423_BCBS BLUE CARE TENNCARE (WEST) 20221001	$551.37	52
Vanderbilt Wilson County Hospital	$203.37	BlueCare Medicaid Managed Care Plan	$229.49	2
Maury Regional Medical Center	$207.39	Medicaid	$1,169.63	10
TriStar StoneCrest Medical Center	$208.28	TENNCARE	$1,251.10	4
TriStar Skyline Medical Center	$215.72	TENNCARE	$916.09	4
TriStar Centennial Medical Center	$223.16	TENNCARE	$1,323.47	5
TriStar Summit Medical Center	$230.59	TENNCARE	$1,815.28	4
TriStar Horizon Medical Center	$238.03	TENNCARE	$1,074.11	4
TriStar Hendersonville Medical Center	$252.91	TENNCARE	$1,793.68	5
TriStar Southern Hills Medical Center	$255.88	TENNCARE	$1,102.33	4
TriStar NorthCrest Medical Center	$1,285.65	NetworkP	$1,285.65	1

Median of all 231 published BlueCross BlueShield of Tennessee rates for Echocardiogram at these hospitals: $319.33

Rates shown are BlueCross BlueShield of Tennessee's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee Echocardiogram Rates in Nashville

Where Nashville echocardiogram rates start and top out. Among the 14 hospitals with BlueCross BlueShield of Tennessee rates, the lowest published figures are $39.47 at Vanderbilt University Medical Center, then $148.77 at Ascension Saint Thomas Midtown and at Ascension Saint Thomas Rutherford. The highest lowest-rate figure is $1,285.65 at TriStar NorthCrest Medical Center.

How wide the BlueCross BlueShield of Tennessee spread runs, and what it may mean. Rates for this echocardiogram span 33x, and the median of all 231 published rates is $319.33. Many of the plan types listed beside the lower rates look like Medicaid or TennCare plans, such as BlueCare and TENNCARE, so the low end likely reflects those plans rather than commercial plans. The plan behind any single rate is not always clear from the listing.

What BlueCross BlueShield of Tennessee members can ask about an echocardiogram. Members can contact:

BlueCross BlueShield of Tennessee, for the negotiated rate and estimated cost share under their own plan at a named Nashville hospital.
The insurer, to confirm whether that hospital is in network for their plan.
The hospital, for a written 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 BlueCross BlueShield of Tennessee Negotiated Rates

A negotiated rate is the price BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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

UnitedHealthcare $11.96 - $3,551.64 15 hospitals Aetna $24.53 - $4,700 15 hospitals Ambetter $60.13 - $1,831.07 15 hospitals Oscar Health $131.58 - $1,444.33 15 hospitals Humana $63 - $1,973.13 13 hospitals NHC Advantage $525.11 - $1,499.58 12 hospitals

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

Frequently Asked Questions

Where is the lowest-cost BlueCross BlueShield of Tennessee Echocardiogram in Nashville?

The lowest BlueCross BlueShield of Tennessee negotiated rate for Echocardiogram in Nashville is $39.47 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,285.65 at TriStar NorthCrest Medical Center, a 33x difference. Commercial plan rates typically fall between these extremes.

Is the BlueCross BlueShield of Tennessee negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee for a pre-service cost estimate specific to your plan.

How many Nashville hospitals have published BlueCross BlueShield of Tennessee rates?

14 hospitals in the Nashville area have published BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee directly.

Does BlueCross BlueShield of Tennessee require prior authorization for an echocardiogram?

Many BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee website: www.bcbst.com