Oscar Health ER Visit Rates in Nashville
Published Oscar Health negotiated rates for ER Visit at 15 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
$16.14
Vanderbilt University Medical Center
all plan types
Highest Rate
$2,769
TriStar Summit Medical Center
all plan types
Rate Spread
172x
across all plan types
Hospitals
15
with Oscar Health data
Oscar Health's negotiated ER-visit rates in Nashville span a 172x range, from $16.14 at Vanderbilt University Medical Center (Exchange) to $2,769 at TriStar Centennial Medical Center. The median across 15 hospitals is $409.33. Lowest listed rates often reflect Medicaid or Medicare plan types rather than commercial coverage.
Oscar Health ER Visit Rates by Hospital
| Hospital | Lowest Oscar Health Rate |
|---|---|
| Vanderbilt University Medical Center | $16.14 |
| Ascension Saint Thomas Midtown | $371.25 |
| Ascension Saint Thomas Rutherford | $371.25 |
| Ascension Saint Thomas West | $371.25 |
| Metro Nashville General Hospital | $419.02 |
| Vanderbilt Wilson County Hospital | $566.13 |
| Maury Regional Medical Center | $676.20 |
| TriStar Centennial Medical Center | $1,937 |
| TriStar Hendersonville Medical Center | $1,937 |
| TriStar Horizon Medical Center | $1,937 |
| TriStar NorthCrest Medical Center | $1,937 |
| TriStar Skyline Medical Center | $1,937 |
| TriStar Southern Hills Medical Center | $1,937 |
| TriStar StoneCrest Medical Center | $1,937 |
| TriStar Summit Medical Center | $1,937 |
Median of all 104 published Oscar Health rates for ER Visit at these hospitals: $409.33
Rates shown are Oscar Health's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Oscar Health 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 Oscar Health ER Visit Rates in Nashville
Where Nashville ER visit rates begin for Oscar Health. The lowest published rate is $16.14 at Vanderbilt University Medical Center. Ascension Saint Thomas Midtown, Ascension Saint Thomas Rutherford and Ascension Saint Thomas West each list $371.25 as their lowest. At the high end, TriStar Centennial Medical Center shows $2,769, and the other TriStar hospitals in the table list the same $2,769 top rate.
How far the Oscar Health spread runs in Nashville. Across 15 hospitals the page shows a 172x spread, with a median of $409.33 across all 104 published rates. The plan type beside the lowest rate at Vanderbilt University Medical Center is listed as Exchange, and the plan behind a given rate is not always stated clearly, so a low figure may not describe your own plan.
Questions to bring about a Nashville ER visit. These are facility rates, and professional fees are billed separately. A member can ask:
- Oscar Health, for the negotiated rate and estimated cost share for their own plan at a named hospital.
- Oscar Health, whether that hospital is in network for their plan.
- The hospital, for an estimate of the visit.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Oscar Health Negotiated Rates
A negotiated rate is the price Oscar Health 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 Oscar Health 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 Oscar Health ER Visit in Nashville?
The lowest Oscar Health negotiated rate for ER Visit in Nashville is $16.14 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,769 at TriStar Summit Medical Center, a 172x difference. Commercial plan rates typically fall between these extremes.
Is the Oscar Health negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Oscar Health 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 Oscar Health for a pre-service cost estimate specific to your plan.
How many Nashville hospitals have published Oscar Health rates?
15 hospitals in the Nashville area have published Oscar Health 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 Oscar Health directly.
Will Oscar Health cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Oscar Health 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 Oscar Health 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 Oscar Health 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 Oscar Health website: www.hioscar.com