UHC MRI Rates in Nashville
Published UnitedHealthcare negotiated rates for MRI at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$12.96
Vanderbilt University Medical Center
all plan types
Highest Rate
$517.79
HighPoint Health Sumner (Sumner Regional Medical Center)
all plan types
Rate Spread
40x
across all plan types
Hospitals
15
with UnitedHealthcare data
UnitedHealthcare's negotiated MRI rates in Nashville span a 40x gap, from $12.96 at Vanderbilt University Medical Center to $517.79 at HighPoint Health Sumner. Across 15 hospitals, the median rate is $313.62. Rates at the low end often reflect Medicaid or Medicare plan types rather than commercial coverage.
UnitedHealthcare MRI Rates by Hospital
| Hospital | Lowest UnitedHealthcare Rate |
|---|---|
| Vanderbilt University Medical Center | $12.96 |
| Maury Regional Medical Center | $117.91 |
| Vanderbilt Wilson County Hospital | $142.34 |
| Ascension Saint Thomas Midtown | $231.50 |
| Ascension Saint Thomas Rutherford | $231.50 |
| Ascension Saint Thomas West | $231.50 |
| TriStar Centennial Medical Center | $313.62 |
| TriStar Hendersonville Medical Center | $313.62 |
| TriStar Horizon Medical Center | $313.62 |
| TriStar NorthCrest Medical Center | $313.62 |
| TriStar Skyline Medical Center | $313.62 |
| TriStar Southern Hills Medical Center | $313.62 |
| TriStar StoneCrest Medical Center | $313.62 |
| TriStar Summit Medical Center | $313.62 |
| HighPoint Health Sumner (Sumner Regional Medical Center) | $517.79 |
Median of all 647 published UnitedHealthcare rates for MRI at these hospitals: $313.62
Rates shown are UnitedHealthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all UnitedHealthcare 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 UnitedHealthcare MRI Rates in Nashville
Where Nashville MRI rates start and end for UnitedHealthcare. The lowest published rate is $12.96 at Vanderbilt University Medical Center, followed by $117.91 at Maury Regional Medical Center and $142.34 at Vanderbilt Wilson County Hospital. At the other end, HighPoint Health Sumner (Sumner Regional Medical Center) shows $517.79, and the TriStar hospitals list $313.62 as their lowest rate.
The UnitedHealthcare MRI spread and the plans behind it. Across 15 hospitals the spread is 40x, and the median of all 647 published rates is $313.62. The second and third lowest rates are tied to Medicaid and TN CoverKids Medicaid Managed Care plans, so the low end likely reflects those plans rather than commercial plans. Medicare Advantage plans also appear beside some of the lower figures, and the plan behind a rate is not always stated clearly.
What a UnitedHealthcare member can ask about a Nashville MRI.
- Ask UnitedHealthcare for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask UnitedHealthcare whether that hospital is in network for your plan.
- Ask the hospital for an estimate.
These are facility rates, and professional fees are billed separately.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding UnitedHealthcare Negotiated Rates
A negotiated rate is the price UnitedHealthcare 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 UnitedHealthcare 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
Frequently Asked Questions
Where is the lowest-cost UnitedHealthcare MRI in Nashville?
The lowest UnitedHealthcare negotiated rate for MRI in Nashville is $12.96 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $517.79 at HighPoint Health Sumner (Sumner Regional Medical Center), a 40x difference. Commercial plan rates typically fall between these extremes.
Is the UnitedHealthcare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what UnitedHealthcare 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 UnitedHealthcare for a pre-service cost estimate specific to your plan.
How many Nashville hospitals have published UnitedHealthcare rates?
15 hospitals in the Nashville area have published UnitedHealthcare 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 UnitedHealthcare directly.
Do I need a referral for an MRI with UnitedHealthcare?
Most UnitedHealthcare 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 UnitedHealthcare before scheduling to confirm your plan's requirements.
We are not affiliated with UnitedHealthcare 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 UnitedHealthcare 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 UnitedHealthcare website: www.uhc.com