BCBS Tennessee Lab Work Rates in Nashville

Published BlueCross BlueShield of Tennessee negotiated rates for Lab Work at 16 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$10.56

Metro Nashville General Hospital

all plan types

Highest Rate

$28.18

HighPoint Health Sumner (Sumner Regional Medical Center)

all plan types

Rate Spread

across all plan types

Hospitals

with BlueCross BlueShield of Tennessee data

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 Lab Work Rates by Hospital

Hospital	Lowest BlueCross BlueShield of Tennessee Rate	Plan Type	Highest Rate	Plans
Metro Nashville General Hospital	$10.56	Network P Other Commercial Plan	$10.56	2
TriStar Centennial Medical Center	$10.61	NetworkP	$43.75	9
TriStar Hendersonville Medical Center	$10.61	NetworkP	$43.75	9
TriStar Horizon Medical Center	$10.61	NetworkP	$43.75	9
TriStar NorthCrest Medical Center	$10.61	NetworkP	$11.76	3
TriStar Skyline Medical Center	$10.61	NetworkP	$43.75	9
TriStar Southern Hills Medical Center	$10.61	NetworkP	$43.75	9
TriStar StoneCrest Medical Center	$10.61	NetworkP	$43.75	9
TriStar Summit Medical Center	$10.61	NetworkP	$43.75	9
Maury Regional Medical Center	$10.93	Dual Special Needs	$138.18	14
Ascension Saint Thomas Midtown	$10.95	1015_BCBS BLUE CARE TENNCARE SELECT 20221001	$22.34	16
Ascension Saint Thomas Rutherford	$10.95	2414_BCBS BLUE CARE TENNCARE (RUTHERFORD) 20221001	$25.05	88
Ascension Saint Thomas West	$10.95	2423_BCBS BLUE CARE TENNCARE (WEST) 20221001	$25.05	64
Vanderbilt University Medical Center	$11.90	BlueCare Medicaid Managed Care Plan	$23.35	11
Vanderbilt Wilson County Hospital	$14.97	BlueCare Medicaid Managed Care Plan	$23.35	8
HighPoint Health Sumner (Sumner Regional Medical Center)	$23.40	Blue Cross Select	$28.18	4

Median of all 273 published BlueCross BlueShield of Tennessee rates for Lab Work at these hospitals: $20.16

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.

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 Lab Work in Nashville

UnitedHealthcare $10.56 - $13.29 16 hospitals Cigna $10.45 - $21.02 16 hospitals Aetna $10.10 - $11.83 15 hospitals Ambetter $10.10 - $27.35 15 hospitals Oscar Health $10.88 - $31.68 15 hospitals Humana $10.01 - $11.09 14 hospitals

View all Lab Work prices in Nashville (cash + insured) →

Frequently Asked Questions

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

The lowest BlueCross BlueShield of Tennessee negotiated rate for Lab Work in Nashville is $10.56 at Metro Nashville General Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $28.18 at HighPoint Health Sumner (Sumner Regional Medical Center), a 3x 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?

16 hospitals in the Nashville area have published BlueCross BlueShield of Tennessee negotiated rates for Lab Work 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.

Can I get lab work done at a cheaper location with BlueCross BlueShield of Tennessee?

Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your BlueCross BlueShield of Tennessee plan covers independent labs like Quest or Labcorp, you may pay significantly less out of pocket. The rates on this page reflect hospital-based pricing only.

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