Oscar Health MRI Rates in Nashville

Published Oscar Health negotiated rates for MRI at 7 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$26.93

Vanderbilt University Medical Center

all plan types

Highest Rate

$590.31

Maury Regional Medical Center

all plan types

Rate Spread

22x

across all plan types

Hospitals

7

with Oscar Health data

MRI rates negotiated by Oscar Health in Nashville vary 22x across 7 hospitals, from $26.93 at Vanderbilt University Medical Center (Exchange) to $590.31 at Maury Regional Medical Center. The median is $324.10. Lowest listed rates can reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: Oscar Health 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.

Oscar Health MRI Rates by Hospital

Hospital Lowest Oscar Health Rate
Vanderbilt University Medical Center $26.93
Ascension Saint Thomas Midtown $324.10
Ascension Saint Thomas Rutherford $324.10
Ascension Saint Thomas West $324.10
Metro Nashville General Hospital $366.26
Vanderbilt Wilson County Hospital $494.83
Maury Regional Medical Center $590.31

Median of all 44 published Oscar Health rates for MRI at these hospitals: $324.10

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 MRI Rates in Nashville

Where Nashville MRI rates start for Oscar Health. The lowest published rate is $26.93 at Vanderbilt University Medical Center. Three Ascension Saint Thomas hospitals (Midtown, Rutherford and West) each list $324.10. At the other end, Maury Regional Medical Center lists $590.31 and Vanderbilt Wilson County Hospital lists $494.83. Metro Nashville General Hospital lists $366.26.

How wide the Oscar Health MRI spread runs in Nashville. Across 7 hospitals the published rates spread 22x, and the median of all 44 published rates is $324.10. The plan types beside the lowest rates are mostly labeled Exchange or are internal Oscar Health plan names, so the plan behind a rate is not always stated clearly. A single hospital can also list many plans, as Vanderbilt University Medical Center does with 32.

Questions to bring about a Nashville MRI. These are facility rates, and professional fees such as the radiologist's reading are billed separately.

  • Ask Oscar Health for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask whether that hospital is in network for your plan.
  • Ask the hospital for a written estimate before the scan.

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 MRI in Nashville

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

Frequently Asked Questions

Where is the lowest-cost Oscar Health MRI in Nashville?

The lowest Oscar Health negotiated rate for MRI in Nashville is $26.93 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $590.31 at Maury Regional Medical Center, a 22x 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?

7 hospitals in the Nashville area have published Oscar Health negotiated rates for MRI in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Oscar Health directly.

Do I need a referral for an MRI with Oscar Health?

Most Oscar Health plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact Oscar Health before scheduling to confirm your plan's requirements.

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