Humana Ultrasound Rates in Nashville
Published Humana negotiated rates for Ultrasound at 13 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$30.10
Vanderbilt University Medical Center
all plan types
Highest Rate
$1,042.69
TriStar Horizon Medical Center
all plan types
Rate Spread
35x
across all plan types
Hospitals
13
with Humana data
Humana's negotiated ultrasound rates in Nashville span a 35x gap, from $30.10 at Vanderbilt University Medical Center to $1,042.69 at TriStar Horizon Medical Center. Across 13 hospitals, the median rate is $127.39. The lowest figures often reflect Medicaid or Medicare plan types rather than commercial coverage.
Humana Ultrasound Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| Vanderbilt University Medical Center | $30.10 |
| Ascension Saint Thomas Midtown | $101.84 |
| Ascension Saint Thomas Rutherford | $101.84 |
| Ascension Saint Thomas West | $101.84 |
| Maury Regional Medical Center | $101.84 |
| Vanderbilt Wilson County Hospital | $105.31 |
| TriStar StoneCrest Medical Center | $238.39 |
| TriStar Centennial Medical Center | $511.44 |
| TriStar Southern Hills Medical Center | $594.54 |
| TriStar Hendersonville Medical Center | $602.79 |
| TriStar Skyline Medical Center | $612.96 |
| TriStar Summit Medical Center | $746.73 |
| TriStar Horizon Medical Center | $852.43 |
Median of all 89 published Humana rates for Ultrasound at these hospitals: $127.39
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 Ultrasound Rates in Nashville
Where Nashville ultrasound rates start and end for Humana. The lowest published rate is $30.10 at Vanderbilt University Medical Center, followed by $101.84 at Ascension Saint Thomas Midtown and Ascension Saint Thomas Rutherford. At the top, TriStar Horizon Medical Center lists $1,042.69, with TriStar Summit Medical Center at $924.49 and Maury Regional Medical Center at $843.30.
How wide the Humana ultrasound spread is in Nashville. Across 13 hospitals, the highest rate is 35x the lowest, while the median of all 89 published rates is $127.39. The plan types beside the lowest rates look like Military, Tricare and Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans.
Questions for Humana and Nashville hospitals about an ultrasound. These are facility rates, and professional fees are billed separately. A member can ask:
- Humana for their own plan's negotiated rate and estimated cost share at a named hospital
- Humana and the hospital whether it is in network for their plan
- The hospital for an estimate
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 Ultrasound in Nashville
Frequently Asked Questions
Where is the lowest-cost Humana Ultrasound in Nashville?
The lowest Humana negotiated rate for Ultrasound in Nashville is $30.10 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,042.69 at TriStar Horizon Medical Center, a 35x 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 Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Humana directly.
Are prenatal ultrasounds covered differently by Humana?
Humana 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 Humana plan documents for specifics on ultrasound coverage.
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