Oscar Health Ultrasound Rates in Nashville
Published Oscar Health negotiated rates for Ultrasound at 7 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$22.16
Vanderbilt University Medical Center
all plan types
Highest Rate
$259.70
Maury Regional Medical Center
all plan types
Rate Spread
12x
across all plan types
Hospitals
7
with Oscar Health data
Oscar Health's negotiated rates for ultrasound in Nashville span a 12x range across 7 hospitals, from $22.16 at Vanderbilt University Medical Center (Exchange) to $259.70 at Maury Regional Medical Center. The median rate is $142.58. Note that the lowest rates in hospital pricing files often reflect Medicaid or Medicare plan types rather than commercial coverage.
Oscar Health Ultrasound Rates by Hospital
| Hospital | Lowest Oscar Health Rate |
|---|---|
| Vanderbilt University Medical Center | $22.16 |
| Ascension Saint Thomas Midtown | $142.58 |
| Ascension Saint Thomas Rutherford | $142.58 |
| Ascension Saint Thomas West | $142.58 |
| Metro Nashville General Hospital | $160.48 |
| Vanderbilt Wilson County Hospital | $216.82 |
| Maury Regional Medical Center | $259.70 |
Median of all 47 published Oscar Health rates for Ultrasound at these hospitals: $142.58
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 Ultrasound Rates in Nashville
Where Nashville ultrasound rates start for Oscar Health. The lowest published rate is $22.16 at Vanderbilt University Medical Center. Ascension Saint Thomas Midtown, Ascension Saint Thomas Rutherford and Ascension Saint Thomas West each show $142.58 as their lowest. At the other end, Maury Regional Medical Center shows $259.70, Vanderbilt Wilson County Hospital shows $216.82 and Metro Nashville General Hospital shows $160.48 as the top of its range.
How wide the Oscar Health ultrasound spread runs in Nashville. The page shows a 12x spread across the 7 hospitals, with a median of $142.58 across all 47 published Oscar Health rates. The plan types beside the lowest rates are Exchange or hospital-specific Oscar Health labels, so they do not clearly point to Medicaid, CHIP or Medicare Advantage. The plan behind a rate is not always stated, so a listed rate may not match the plan you hold.
Questions to bring about a Nashville ultrasound with Oscar Health. These are facility rates, and professional fees are billed separately. Before scheduling, you can ask:
- Oscar Health: what is the negotiated rate and my estimated cost share for my own plan at a named hospital?
- Oscar Health or the hospital: is the hospital in network for my plan?
- The hospital: can I get a written estimate for the ultrasound?
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 Ultrasound in Nashville
Frequently Asked Questions
Where is the lowest-cost Oscar Health Ultrasound in Nashville?
The lowest Oscar Health negotiated rate for Ultrasound in Nashville is $22.16 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $259.70 at Maury Regional Medical Center, a 12x 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 Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Oscar Health directly.
Are prenatal ultrasounds covered differently by Oscar Health?
Oscar Health 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 Oscar Health plan documents for specifics on ultrasound coverage.
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