Humana ER Visit Rates in Nashville
Published Humana negotiated rates for ER Visit at 13 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
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
$55.01
Vanderbilt University Medical Center
all plan types
Highest Rate
$1,350.17
TriStar Horizon Medical Center
all plan types
Rate Spread
25x
across all plan types
Hospitals
13
with Humana data
Humana's negotiated ER visit rates in Nashville span 25x, from $55.01 at Vanderbilt University Medical Center to $1,350.17 at TriStar Horizon Medical Center. Across 13 hospitals, the median rate is $587.17. The lowest figures often reflect Medicaid, Medicare, or other government plan types rather than commercial coverage.
Humana ER Visit Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| Vanderbilt University Medical Center | $55.01 |
| Ascension Saint Thomas Midtown | $265.18 |
| Ascension Saint Thomas Rutherford | $265.18 |
| Ascension Saint Thomas West | $265.18 |
| Maury Regional Medical Center | $265.18 |
| Vanderbilt Wilson County Hospital | $274.98 |
| TriStar Skyline Medical Center | $480.07 |
| TriStar Summit Medical Center | $482.21 |
| TriStar Centennial Medical Center | $514.66 |
| TriStar Southern Hills Medical Center | $540.58 |
| TriStar Hendersonville Medical Center | $560.38 |
| TriStar StoneCrest Medical Center | $639.34 |
| TriStar Horizon Medical Center | $688.27 |
Median of all 112 published Humana rates for ER Visit at these hospitals: $587.17
Rates shown are Humana's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Humana 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 Humana ER Visit Rates in Nashville
Where Humana ER visit rates start and top out in Nashville. Across the 13 Nashville hospitals with Humana rates, the lowest published figure is $55.01 at Vanderbilt University Medical Center. Next come Ascension Saint Thomas Midtown, Ascension Saint Thomas Rutherford and Ascension Saint Thomas West, each with a lowest rate of $265.18. At the top, TriStar Horizon Medical Center shows $1,350.17, and Maury Regional Medical Center lists a highest rate of $3,510.
How far Humana's Nashville ER visit spread stretches. The page shows a 25x spread between the lowest and highest rates, and the median of all 112 published Humana rates is $587.17. Several of the lowest rates sit beside plan types such as Military Government, Tricare and Medicare Advantage, so the low end likely reflects those plans rather than commercial plans. A rate may not match the plan you hold.
Questions for Humana and the hospital about a Nashville ER visit. Before you go, you can:
- Ask Humana for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask Humana whether that hospital is in network for your plan.
- Ask the hospital for an 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 Humana Negotiated Rates
A negotiated rate is the price Humana 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 Humana 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
Frequently Asked Questions
Where is the lowest-cost Humana ER Visit in Nashville?
The lowest Humana negotiated rate for ER Visit in Nashville is $55.01 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,350.17 at TriStar Horizon Medical Center, a 25x difference. Commercial plan rates typically fall between these extremes.
Is the Humana negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Humana 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 Humana for a pre-service cost estimate specific to your plan.
How many Nashville hospitals have published Humana rates?
13 hospitals in the Nashville area have published Humana 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 Humana directly.
Will Humana cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Humana 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 Humana 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 Humana 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 Humana website: www.humana.com