BCBS Tennessee ER Visit Rates in Nashville

Published BlueCross BlueShield of Tennessee negotiated rates for ER Visit at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.

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If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.

Do not delay emergency care based on cost.

Lowest Rate

$22.05

Vanderbilt University Medical Center

all plan types

Highest Rate

$1,384

HighPoint Health Sumner (Sumner Regional Medical Center)

all plan types

Rate Spread

63x

across all plan types

Hospitals

with BlueCross BlueShield of Tennessee data

BlueCross BlueShield of Tennessee's negotiated ER visit rates in Nashville span a 63x range, from $22.05 at Vanderbilt University Medical Center to $1,384 at HighPoint Health Sumner. The median across 15 hospitals is $375.33. Lowest rates can reflect plan types like Blue Select Other Commercial or Medicaid and Medicare products, so figures vary by plan.

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 ER Visit Rates by Hospital

Hospital	Lowest BlueCross BlueShield of Tennessee Rate	Plan Type	Highest Rate	Plans
Vanderbilt University Medical Center	$22.05	Network S - Blue Select Other Commercial Plan	$759	254
Ascension Saint Thomas Midtown	$74.42	1015_BCBS BLUE CARE TENNCARE SELECT 20221001	$1,872	30
Ascension Saint Thomas Rutherford	$87.77	2414_BCBS BLUE CARE TENNCARE (RUTHERFORD) 20221001	$1,880	120
Ascension Saint Thomas West	$87.77	2423_BCBS BLUE CARE TENNCARE (WEST) 20221001	$1,872	84
Vanderbilt Wilson County Hospital	$101.73	BlueCare Medicaid Managed Care Plan	$333.94	6
Maury Regional Medical Center	$103	Medicaid	$4,778	34
TriStar StoneCrest Medical Center	$104.19	TENNCARE	$2,374	48
TriStar Skyline Medical Center	$107.91	TENNCARE	$2,374	48
TriStar Centennial Medical Center	$111.63	TENNCARE	$2,374	48
TriStar Summit Medical Center	$115.35	TENNCARE	$2,374	48
TriStar Horizon Medical Center	$119.07	TENNCARE	$2,374	48
TriStar Hendersonville Medical Center	$126.51	TENNCARE	$2,374	48
TriStar Southern Hills Medical Center	$127.77	TENNCARE	$2,374	48
TriStar NorthCrest Medical Center	$1,059	NetworkP	$2,100	12
HighPoint Health Sumner (Sumner Regional Medical Center)	$1,273	Blue Cross Select	$1,384	4

Median of all 880 published BlueCross BlueShield of Tennessee rates for ER Visit at these hospitals: $375.33

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 ER Visit Rates in Nashville

Where Nashville ER visit rates start for BlueCross BlueShield of Tennessee. Among the 15 hospitals with published rates, the lowest figures are $22.05 at Vanderbilt University Medical Center, $74.42 at Ascension Saint Thomas Midtown and $87.77 at Ascension Saint Thomas Rutherford. At the other end, HighPoint Health Sumner (Sumner Regional Medical Center) lists a lowest rate of $1,273, and TriStar NorthCrest Medical Center lists $1,059.

How wide the spread runs, and what the plan types suggest. The page shows a 63x spread between the lowest and highest rates, and the median of all 880 published rates is $375.33. Several of the lowest rates sit beside plan types labeled TennCare, BlueCare or Medicaid, so the low end likely reflects those plans rather than commercial plans. A rate in the table may not describe the plan you hold.

What BlueCross BlueShield of Tennessee members can ask in Nashville. These are facility rates, and professional fees are billed separately.

Ask BlueCross BlueShield of Tennessee for your own plan's negotiated rate and estimated cost share at a named hospital.
Ask the insurer whether that hospital is in network for your plan.
Ask the hospital for an estimate of an ER visit.

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 ER Visit in Nashville

UnitedHealthcare $18.61 - $2,814 15 hospitals Aetna $36.26 - $3,350 15 hospitals Ambetter $105.34 - $1,800 15 hospitals Oscar Health $16.14 - $2,769 15 hospitals Cigna $24.76 - $1,885.77 14 hospitals Humana $55.01 - $1,350.17 13 hospitals

View all ER Visit prices in Nashville (cash + insured) →

Frequently Asked Questions

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

The lowest BlueCross BlueShield of Tennessee negotiated rate for ER Visit in Nashville is $22.05 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,384 at HighPoint Health Sumner (Sumner Regional Medical Center), a 63x 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?

15 hospitals in the Nashville area have published BlueCross BlueShield of Tennessee negotiated rates for ER Visit 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.

Will BlueCross BlueShield of Tennessee cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. BlueCross BlueShield of Tennessee cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.

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