Oscar Health Lab Work Rates in Nashville
Published Oscar Health negotiated rates for Lab Work at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$10.88
Ascension Saint Thomas Midtown
all plan types
Highest Rate
$31.68
TriStar Summit Medical Center
all plan types
Rate Spread
3x
across all plan types
Hospitals
15
with Oscar Health data
Negotiated lab-work rates for Oscar Health in Nashville span a 3x range, from $10.88 at Ascension Saint Thomas Midtown to $31.68 at TriStar Centennial Medical Center. The median across 15 hospitals is $23.31. Lower rates may reflect Medicaid or Medicare plan types rather than commercial contracts.
Oscar Health Lab Work Rates by Hospital
| Hospital | Lowest Oscar Health Rate |
|---|---|
| Ascension Saint Thomas Midtown | $10.88 |
| Ascension Saint Thomas Rutherford | $10.88 |
| Ascension Saint Thomas West | $10.88 |
| Metro Nashville General Hospital | $12.43 |
| Vanderbilt University Medical Center | $16.23 |
| Vanderbilt Wilson County Hospital | $16.80 |
| Maury Regional Medical Center | $19.81 |
| TriStar Centennial Medical Center | $23.31 |
| TriStar Hendersonville Medical Center | $23.31 |
| TriStar Horizon Medical Center | $23.31 |
| TriStar NorthCrest Medical Center | $23.31 |
| TriStar Skyline Medical Center | $23.31 |
| TriStar Southern Hills Medical Center | $23.31 |
| TriStar StoneCrest Medical Center | $23.31 |
| TriStar Summit Medical Center | $23.31 |
Median of all 33 published Oscar Health rates for Lab Work at these hospitals: $23.31
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 Lab Work Rates in Nashville
Where Oscar Health lab work rates start in Nashville. The lowest published rate is $10.88, shown at Ascension Saint Thomas Midtown, Ascension Saint Thomas Rutherford and Ascension Saint Thomas West. At the other end, TriStar Centennial Medical Center lists $31.68, and TriStar Hendersonville Medical Center and TriStar Horizon Medical Center list the same figure as their highest.
How wide Oscar Health's Nashville lab work spread runs. Across 15 hospitals the spread is 3x, and the median of all 33 published rates is $23.31. The plan types beside the lowest rates are labeled Exchange, Commercial Exchange or HIX, or are internal Oscar Health plan names, so none of them reads as Medicaid, CHIP or Medicare Advantage. Even so, the plan behind a rate is not always clearly stated, so a listed figure may not match your own plan.
Questions to bring about Nashville lab work with Oscar Health. These are facility rates, and professional fees are billed separately. You can ask:
- Oscar Health: what is my plan's negotiated rate and estimated cost share at a named hospital, such as Vanderbilt University Medical Center?
- Oscar Health: is that hospital in network for my plan?
- The hospital: can I get an estimate for this lab work?
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 Lab Work in Nashville
Frequently Asked Questions
Where is the lowest-cost Oscar Health Lab Work in Nashville?
The lowest Oscar Health negotiated rate for Lab Work in Nashville is $10.88 at Ascension Saint Thomas Midtown, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $31.68 at TriStar Summit Medical Center, a 3x 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 Lab Work in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Oscar Health directly.
Can I get lab work done at a cheaper location with Oscar Health?
Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your Oscar Health plan covers independent labs like Quest or Labcorp, you may pay significantly less out of pocket. The rates on this page reflect hospital-based pricing only.
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