BCBS Tennessee MRI Rates in Nashville
Published BlueCross BlueShield of Tennessee negotiated rates for MRI at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$17.66
Vanderbilt University Medical Center
all plan types
Highest Rate
$937.38
TriStar Southern Hills Medical Center
all plan types
Rate Spread
53x
across all plan types
Hospitals
15
with BlueCross BlueShield of Tennessee data
MRI prices at Nashville hospitals vary 53-fold under BlueCross BlueShield of Tennessee, from $17.66 at Vanderbilt University Medical Center to $937.38 at TriStar Southern Hills Medical Center. The lowest figure reflects the TennCare Select Medicaid Managed Care Plan, and such rates often differ from commercial plan pricing. Across 15 hospitals, the median negotiated rate is $297.08.
BlueCross BlueShield of Tennessee MRI Rates by Hospital
| Hospital | Lowest BlueCross BlueShield of Tennessee Rate |
|---|---|
| Vanderbilt University Medical Center | $17.66 |
| Metro Nashville General Hospital | $152.35 |
| Ascension Saint Thomas Midtown | $179.77 |
| Ascension Saint Thomas Rutherford | $179.77 |
| Ascension Saint Thomas West | $179.77 |
| Maury Regional Medical Center | $239.60 |
| HighPoint Health Sumner (Sumner Regional Medical Center) | $291.34 |
| Vanderbilt Wilson County Hospital | $322.98 |
| TriStar StoneCrest Medical Center | $409.42 |
| TriStar Skyline Medical Center | $425.29 |
| TriStar Centennial Medical Center | $437.98 |
| TriStar Summit Medical Center | $453.85 |
| TriStar Horizon Medical Center | $469.72 |
| TriStar Hendersonville Medical Center | $498.29 |
| TriStar Southern Hills Medical Center | $504.63 |
Median of all 553 published BlueCross BlueShield of Tennessee rates for MRI at these hospitals: $297.08
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 MRI Rates in Nashville
Where BlueCross BlueShield of Tennessee MRI rates begin and end in Nashville. The lowest published rate is $17.66 at Vanderbilt University Medical Center, followed by $152.35 at Metro Nashville General Hospital. The highest is $937.38 at TriStar Southern Hills Medical Center, a figure that also appears as the top rate at several other TriStar hospitals in the table.
What the Nashville MRI spread means. Across 15 hospitals, the spread is 53x, and the median of all 553 published rates is $297.08. The plan type beside the lowest rate at Vanderbilt University Medical Center is TennCare Select Medicaid Managed Care Plan, so the low end likely reflects Medicaid plans rather than commercial plans. Several TriStar hospitals also list TennCare beside their lowest rates. Keep in mind that the plan behind a rate is not always stated clearly.
Questions BlueCross BlueShield of Tennessee members can bring to an MRI in Nashville. These are facility rates, and professional fees are billed separately. Members can ask:
- BlueCross BlueShield of Tennessee, for your own plan's negotiated rate and estimated cost share at a named hospital
- BlueCross BlueShield of Tennessee, whether that hospital is in network for your plan
- The hospital, for an estimate before the scan
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 MRI in Nashville
Frequently Asked Questions
Where is the lowest-cost BlueCross BlueShield of Tennessee MRI in Nashville?
The lowest BlueCross BlueShield of Tennessee negotiated rate for MRI in Nashville is $17.66 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $937.38 at TriStar Southern Hills Medical Center, a 53x 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 MRI 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.
Do I need a referral for an MRI with BlueCross BlueShield of Tennessee?
Most BlueCross BlueShield of Tennessee plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact BlueCross BlueShield of Tennessee before scheduling to confirm your plan's requirements.
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