NHC Advantage Echocardiogram Rates in Nashville

Published NHC Advantage negotiated rates for Echocardiogram at 12 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$525.11

Ascension Saint Thomas Midtown

all plan types

Highest Rate

$1,499.58

TriStar Summit Medical Center

all plan types

Rate Spread

3x

across all plan types

Hospitals

12

with NHC Advantage data

Echocardiogram rates under NHC Advantage in Nashville vary threefold, from $525.11 at Ascension Saint Thomas Midtown to $1,499.58 at TriStar Summit Medical Center. The median across 12 hospitals is $887.31. The lowest rates listed are tied to a Medicare Advantage outpatient plan, which often runs below commercial rates.

Why the range is so wide: NHC Advantage 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.

NHC Advantage Echocardiogram Rates by Hospital

Hospital Lowest NHC Advantage Rate
Ascension Saint Thomas Midtown $525.11
Ascension Saint Thomas Rutherford $525.11
Ascension Saint Thomas West $525.11
Maury Regional Medical Center $540.86
TriStar Skyline Medical Center $756.77
TriStar Horizon Medical Center $887.31
TriStar Southern Hills Medical Center $910.62
TriStar NorthCrest Medical Center $977.09
TriStar StoneCrest Medical Center $1,033.52
TriStar Centennial Medical Center $1,093.30
TriStar Hendersonville Medical Center $1,347.08
TriStar Summit Medical Center $1,499.58

Median of all 17 published NHC Advantage rates for Echocardiogram at these hospitals: $887.31

Rates shown are NHC Advantage's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all NHC Advantage 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 NHC Advantage Echocardiogram Rates in Nashville

Where Nashville echocardiogram rates start and top out. The lowest published NHC Advantage rate is $525.11, shown at Ascension Saint Thomas Midtown, Ascension Saint Thomas Rutherford and Ascension Saint Thomas West. At the other end, TriStar Summit Medical Center lists $1,499.58, followed by TriStar Hendersonville Medical Center at $1,481.73 and TriStar Centennial Medical Center at $1,093.30.

How far apart NHC Advantage echocardiogram rates sit. The spread across hospitals is 3x, and the median of all 17 published rates is $887.31. The plan types beside the lowest rates read as Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans. Check which plan a listed rate belongs to before comparing hospitals.

Questions for NHC Advantage and your Nashville hospital. These are facility rates, and professional fees are billed separately. Members can ask:

  • NHC Advantage for the negotiated rate and estimated cost share under their own plan at a named hospital.
  • NHC Advantage whether that hospital is in network for their plan.
  • The hospital for an estimate for the echocardiogram.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding NHC Advantage Negotiated Rates

A negotiated rate is the price NHC Advantage 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 NHC Advantage 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 Echocardiogram in Nashville

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

Frequently Asked Questions

Where is the lowest-cost NHC Advantage Echocardiogram in Nashville?

The lowest NHC Advantage negotiated rate for Echocardiogram in Nashville is $525.11 at Ascension Saint Thomas Midtown, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,499.58 at TriStar Summit Medical Center, a 3x difference. Commercial plan rates typically fall between these extremes.

Is the NHC Advantage negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what NHC Advantage 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 NHC Advantage for a pre-service cost estimate specific to your plan.

How many Nashville hospitals have published NHC Advantage rates?

12 hospitals in the Nashville area have published NHC Advantage negotiated rates for Echocardiogram in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with NHC Advantage directly.

Does NHC Advantage require prior authorization for an echocardiogram?

Many NHC Advantage plans require prior authorization for echocardiograms. Without it, the claim may be denied. Your referring provider's office typically handles the authorization request. The rates shown here are facility fees; the physician reading fee is billed separately.

We are not affiliated with NHC Advantage 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 NHC Advantage 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 NHC Advantage website: www.nhcadvantage.com