BCBS Tennessee Ultrasound Rates in Nashville

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

Lowest Rate

$14.65

Vanderbilt University Medical Center

all plan types

Highest Rate

$178.46

HighPoint Health Sumner (Sumner Regional Medical Center)

all plan types

Rate Spread

12x

across all plan types

Hospitals

with BlueCross BlueShield of Tennessee data

BlueCross BlueShield of Tennessee ultrasound rates in Nashville span a 12x range across 16 hospitals, from $14.65 at Vanderbilt University Medical Center to $178.46 at HighPoint Health Sumner. The median negotiated rate is $117.47. Lower figures can reflect plan type, as some rates tie to Medicaid or Medicare-linked plans rather than commercial coverage.

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 Ultrasound Rates by Hospital

Hospital	Lowest BlueCross BlueShield of Tennessee Rate	Plan Type	Highest Rate	Plans
Vanderbilt University Medical Center	$14.65	Network P - Blue Preferred Other Commercial Plan	$437	122
Ascension Saint Thomas Midtown	$43.30	1015_BCBS BLUE CARE TENNCARE SELECT 20221001	$125.90	20
Ascension Saint Thomas Rutherford	$43.30	2414_BCBS BLUE CARE TENNCARE (RUTHERFORD) 20221001	$192.50	80
Ascension Saint Thomas West	$43.30	2423_BCBS BLUE CARE TENNCARE (WEST) 20221001	$192.50	56
TriStar StoneCrest Medical Center	$55.86	TENNCARE	$148.14	8
TriStar Skyline Medical Center	$58.02	TENNCARE	$148.14	8
Vanderbilt Wilson County Hospital	$59.19	BlueCare Medicaid Managed Care Plan	$223.51	8
TriStar Centennial Medical Center	$59.75	TENNCARE	$148.14	8
Maury Regional Medical Center	$60.36	Medicaid	$459.13	16
TriStar Summit Medical Center	$61.92	TENNCARE	$148.14	8
TriStar Horizon Medical Center	$64.08	TENNCARE	$148.14	8
Metro Nashville General Hospital	$66.06	Network P Other Commercial Plan	$69.58	4
TriStar Hendersonville Medical Center	$67.98	TENNCARE	$148.14	8
TriStar Southern Hills Medical Center	$68.85	TENNCARE	$148.14	8
TriStar NorthCrest Medical Center	$79.95	NetworkP	$89.41	2
HighPoint Health Sumner (Sumner Regional Medical Center)	$150.85	Blue Cross Select	$178.46	16

Median of all 380 published BlueCross BlueShield of Tennessee rates for Ultrasound at these hospitals: $117.47

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 Ultrasound Rates in Nashville

Where Nashville ultrasound rates start and end for BlueCross BlueShield of Tennessee. The lowest published rates in the table are $14.65 at Vanderbilt University Medical Center and $43.30 at both Ascension Saint Thomas Midtown and Ascension Saint Thomas Rutherford. At the other end, HighPoint Health Sumner (Sumner Regional Medical Center) shows the highest rate of $178.46, and its lowest rate is $150.85.

How wide the Nashville ultrasound spread runs. Across 16 hospitals, the spread is 12x, and the median of all 380 published rates is $117.47. Many of the plan types beside the lowest rates look like TennCare, Medicaid or BlueCare plans, so the low end likely reflects those plans rather than commercial plans. Treat a single low figure as one plan's rate, not a typical one.

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

BlueCross BlueShield of Tennessee for their own plan's negotiated rate and estimated cost share at a named hospital, such as Vanderbilt University Medical Center.
Whether that hospital is in network for their plan.
The hospital for an estimate before the 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 Ultrasound in Nashville

UnitedHealthcare $17.48 - $245.18 15 hospitals Aetna $34.60 - $1,848.98 15 hospitals Cigna $27.04 - $2,958.38 15 hospitals Humana $30.10 - $1,042.69 13 hospitals NHC Advantage $101.84 - $792.44 12 hospitals MultiPlan/PHCS $38.37 - $3,837.10 9 hospitals

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

Frequently Asked Questions

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

The lowest BlueCross BlueShield of Tennessee negotiated rate for Ultrasound in Nashville is $14.65 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $178.46 at HighPoint Health Sumner (Sumner Regional Medical Center), a 12x 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 Ultrasound 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.

Are prenatal ultrasounds covered differently by BlueCross BlueShield of Tennessee?

BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee plan documents for specifics on ultrasound coverage.

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