NHC Advantage Ultrasound Rates in Nashville
Published NHC Advantage negotiated rates for Ultrasound at 12 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$101.84
Ascension Saint Thomas Midtown
all plan types
Highest Rate
$792.44
TriStar Horizon Medical Center
all plan types
Rate Spread
8x
across all plan types
Hospitals
12
with NHC Advantage data
NHC Advantage ultrasound rates in Nashville span an 8x range, from $101.84 at Ascension Saint Thomas Midtown to $792.44 at TriStar Horizon Medical Center. The median across 12 hospitals is $469.49. The lowest listed rates often reflect Medicare or Medicaid plan types rather than commercial contracts.
NHC Advantage Ultrasound Rates by Hospital
| Hospital | Lowest NHC Advantage Rate |
|---|---|
| Ascension Saint Thomas Midtown | $101.84 |
| Ascension Saint Thomas Rutherford | $101.84 |
| Ascension Saint Thomas West | $101.84 |
| Maury Regional Medical Center | $104.90 |
| TriStar StoneCrest Medical Center | $181.18 |
| TriStar Centennial Medical Center | $388.69 |
| TriStar NorthCrest Medical Center | $438.49 |
| TriStar Southern Hills Medical Center | $451.85 |
| TriStar Hendersonville Medical Center | $458.12 |
| TriStar Skyline Medical Center | $465.85 |
| TriStar Summit Medical Center | $567.51 |
| TriStar Horizon Medical Center | $647.85 |
Median of all 50 published NHC Advantage rates for Ultrasound at these hospitals: $469.49
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 Ultrasound Rates in Nashville
Where Nashville ultrasound rates start for NHC Advantage. The lowest published rate is $101.84, shared by Ascension Saint Thomas Midtown, Ascension Saint Thomas Rutherford and Ascension Saint Thomas West. At the other end, TriStar Horizon Medical Center shows $792.44 and TriStar Summit Medical Center shows $702.61 as its highest.
How wide the NHC Advantage ultrasound spread runs. Across 12 hospitals, the page shows an 8x spread, with a median of $469.49 across all 50 published rates. The plan types beside the lowest rates are labeled Medicare Advantage, so the low end likely reflects those plans rather than commercial plans. Most other hospitals list a different plan type code (MCRHMO) for their lowest rate.
What to ask NHC Advantage and a Nashville hospital. These are facility rates, and professional fees are billed separately. Questions a member can bring:
- Ask NHC Advantage for your own plan's negotiated ultrasound rate and estimated cost share at a named hospital.
- Ask NHC Advantage whether that hospital is in network for your plan.
- Ask the hospital for an estimate for your visit.
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 Ultrasound in Nashville
Frequently Asked Questions
Where is the lowest-cost NHC Advantage Ultrasound in Nashville?
The lowest NHC Advantage negotiated rate for Ultrasound in Nashville is $101.84 at Ascension Saint Thomas Midtown, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $792.44 at TriStar Horizon Medical Center, an 8x 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 Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with NHC Advantage directly.
Are prenatal ultrasounds covered differently by NHC Advantage?
NHC Advantage 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 NHC Advantage plan documents for specifics on ultrasound coverage.
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