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Acute Care Hospital

Metro Nashville General Hospital

Nashville, Tennessee · Davidson County · Emergency services listed

Summary

Metro Nashville General Hospital is an acute care hospital in Nashville, Tennessee. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 104 services, specialties and programs. Medicare lists 82 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(615) 341‑4000 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
82Doctors and clinicians
104Services listed

Quick answers

Does Metro Nashville General Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Metro Nashville General Hospital. In a medical emergency, call 911.
Where is Metro Nashville General Hospital?
1818 Albion Street, Nashville, TN 37208, in Davidson County, Tennessee.
What is the phone number of Metro Nashville General Hospital?
(615) 341-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Metro Nashville General Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][8][11][13]

Conditions treated[11][12][13][14][15]

Treatments[8][11]

  • Chemotherapy
  • Immunotherapy and biotherapy
  • Blood transfusions
  • Infusion therapy
  • Therapeutic phlebotomy
  • Targeted therapies
  • Epidural steroid injections
  • Radiofrequency ablation
  • Joint injections
  • Kyphoplasty and vertebroplasty
  • PICC placement

Procedures[8][12][13][14]

  • Coronary angiography
  • Angioplasty and stenting
  • Peripheral vascular intervention
  • Pericardiocentesis
  • Tilt table testing
  • Nuclear stress testing
  • Stress echocardiography
  • Exercise treadmill testing
  • Cardiac MRI
  • Coronary CT angiography
  • Hernia repair
  • Cholecystectomy
  • Appendectomy
  • Bowel resection
  • Thyroidectomy and parathyroidectomy
  • Mastectomy
  • Incision and drainage of abscess
  • Biopsy

Programs and centers[4][7][16][17]

  • Medical Forensic Program
  • Community Care Team
  • Clinical trials
  • Emergency Department (No-Wait ER)
  • Sexual Assault Nurse Examiner (SANE) program
  • Pediatric emergency services
  • Behavioral health evaluations in the emergency department
  • Food Pharmacy
  • Community Pharmacy

Emergency care (hospital website)[4][7]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel III

Visiting and practical information

VisitingVisitation follows the General Visitation Policy and ICU guidelines; ED visitor access subject to current guidelines[9][7]
ParkingAlbion Street Parking Garage across the street, open 24/7; valet available Mon-Fri 7:30am-4:30pm[7][9]
Patient portalHealtheLife Patient Portal

Recognition[8][10][11]

  • American College of Radiology (ACR) accreditation for imaging modalities
  • Commission on Cancer accreditation

Doctors and clinicians (82)

82 doctors and other clinicians list Metro Nashville General Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (82)

And 58 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Metro Nashville General Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1069%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well82%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them54%National average: 62%
Were given information about recovery at home79%National average: 86%
Room and bathroom “always” clean72%National average: 74%
Area around the room “always” quiet at night66%National average: 60%
Completed surveys123Response rate: 6%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.354No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.99No different from the national rate
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumonia17.4%
Readmitted within 30 days: COPD19.6%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)125 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)46%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in NashvilleBest hospitals in Nashville

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Metro Nashville General Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: 99203 Office Visit New Pt. Level 3 $174 $104.40 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: 99203 OFFICE/OUTPATIENT NEW PATIENT 30-44 MIN CHARGE $331 $198.60 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: 99203 NEW PATIENT 30 MIN VISIT CHARGE $174 $104.40 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: 99204 Office Visit New Pt. Level 4 $407 $244.20 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: 99204 OFFICE/OUTPATIENT NEW PATIENT 45-59 MIN CHARGE $221 $132.60 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Only OFC/OUTPT E&M NEW MOD 45 MIN $221 $132.60 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: 99205 Office Visit New Pt. Level 5 $82 $49.20 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: 99205 OFFICE/OUTPATIENT NEW PATIENT 60-74 MIN CHARGE $271 $162.60 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: 99205 NEW PATIENT 60 MIN VISIT CHARGE $210 $126 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: 99213 Office Visit Established Pt. Level 3 $227 $136.20 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: 99213 OFFICE/OUTPATIENT ESTABLISHED PATIENT 20-29 MIN CHARGE $279 $167.40 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: 99213 EST PATIENT 15 MIN VISIT CHARGE $227 $136.20 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: 99214 Office Visit Established Pt. Level 4 $436 $261.60 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: 99214 OFFICE/OUTPATIENT ESTABLISHED PATIENT 30-39 MIN CHARGE $174 $104.40 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Only OFC/OUTPT E&M ESTAB MOD 30 $195 $117 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: 99243 Office Consult New or Est. L3 Pt 40 min $79 $47.40 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: 99244 Office Consult New or Est. L4 Pt 60 min $86 $51.60 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: 99385 Preventive Eval Initial New Pt. 18-39 year age $153.30 $91.98 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: 99386 Preventive Eval Initial New Pt. 40-64 year age $207.37 $124.42 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: 99386 Preventative New Patient 40-64 Years $299 $179.40 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $248.79 – $419.02
Emergency room visit (moderate): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $261.89
  • Ambetter Health — Exchange: $366.64
  • CoreCivic — Prisoner Population Government: $288.08
  • HealthSpring — Medicare Managed Care Plan: $264.51
  • Naphcare — Prisoner Population Government: $392.83
  • Oscar — Exchange: $419.02
  • TennCare — Medicaid Managed Care Plan: $248.79
  • ZING — Medicare Managed Care Plan: $274.98
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: 99283 - Level 3 $1,095 $657 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: 99283 ER LEVEL 3 VISIT TechFee $1,095 $657 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $380.30 – $640.50
Emergency room visit (moderately high): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $400.31
  • Ambetter Health — Exchange: $560.44
  • CoreCivic — Prisoner Population Government: $440.34
  • HealthSpring — Medicare Managed Care Plan: $404.32
  • Naphcare — Prisoner Population Government: $600.47
  • Oscar — Exchange: $640.50
  • TennCare — Medicaid Managed Care Plan: $380.30
  • ZING — Medicare Managed Care Plan: $420.33
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: 99284 - Level 4 $1,741 $1,044.60 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: 99284 ER LEVEL 4 VISIT TechFee $1,741 $1,044.60 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $542.77 – $914.14
Emergency room visit (high): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $571.34
  • Ambetter Health — Exchange: $799.88
  • CoreCivic — Prisoner Population Government: $628.47
  • HealthSpring — Medicare Managed Care Plan: $577.05
  • Naphcare — Prisoner Population Government: $857.01
  • Oscar — Exchange: $914.14
  • TennCare — Medicaid Managed Care Plan: $542.77
  • ZING — Medicare Managed Care Plan: $599.91
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: 99285 - Level 5 $2,518 $1,510.80 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: 99285 ER VISIT LEVEL 5 TechFee $2,398 $1,438.80 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $8.04 – $13.54
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $8.46
  • Ambetter Health — Exchange: $11.84
  • Blue Cross — Network P Other Commercial Plan: $8.46
  • Blue Cross — Network S Other Commercial Plan: $8.46
  • Cigna — All Commercial Plans: $13.20
  • Cigna — IFP Exchange: $13.20
  • CoreCivic — Prisoner Population Government: $9.31
  • HealthSpring — Medicare Managed Care Plan: $8.54
  • Naphcare — Prisoner Population Government: $12.69
  • Oscar — Exchange: $13.54
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: 80048: METABOLIC PANEL TOTAL CA $166 $99.60 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Only Basic Metabolic Panel $166 $99.60 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.03 – $16.90
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $10.56
  • Ambetter Health — Exchange: $14.78
  • Blue Cross — Network P Other Commercial Plan: $10.56
  • Blue Cross — Network S Other Commercial Plan: $10.56
  • Cigna — All Commercial Plans: $16.47
  • Cigna — IFP Exchange: $16.47
  • CoreCivic — Prisoner Population Government: $11.62
  • HealthSpring — Medicare Managed Care Plan: $10.67
  • Naphcare — Prisoner Population Government: $15.84
  • Oscar — Exchange: $16.90
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Only Comprehensive Metabolic Panel $226 $135.60 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $226 $135.60 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $44.69 – $76.50
Obstetric blood test panel: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $47.81
  • Ambetter Health — Exchange: $66.93
  • Blue Cross — Network P Other Commercial Plan: $47.81
  • Blue Cross — Network S Other Commercial Plan: $47.81
  • Cigna — All Commercial Plans: $74.58
  • Cigna — IFP Exchange: $74.58
  • CoreCivic — Prisoner Population Government: $52.59
  • HealthSpring — Medicare Managed Care Plan: $48.29
  • Naphcare — Prisoner Population Government: $71.72
  • Oscar — Exchange: $76.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $12.72 – $21.42
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $13.39
  • Ambetter Health — Exchange: $18.75
  • Blue Cross — Network P Other Commercial Plan: $13.39
  • Blue Cross — Network S Other Commercial Plan: $13.39
  • Cigna — All Commercial Plans: $20.89
  • Cigna — IFP Exchange: $20.89
  • CoreCivic — Prisoner Population Government: $14.73
  • HealthSpring — Medicare Managed Care Plan: $13.52
  • Naphcare — Prisoner Population Government: $20.08
  • Oscar — Exchange: $21.42
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Pnl $163 $97.80 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.25 – $13.89
Kidney function panel: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $8.68
  • Ambetter Health — Exchange: $12.15
  • Blue Cross — Network P Other Commercial Plan: $8.68
  • Blue Cross — Network S Other Commercial Plan: $8.68
  • Cigna — All Commercial Plans: $13.54
  • Cigna — IFP Exchange: $13.54
  • CoreCivic — Prisoner Population Government: $9.55
  • HealthSpring — Medicare Managed Care Plan: $8.77
  • Naphcare — Prisoner Population Government: $13.02
  • Oscar — Exchange: $13.89
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel $166 $99.60 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $7.76 – $13.07
Liver function panel: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $8.17
  • Ambetter Health — Exchange: $11.44
  • Blue Cross — Network P Other Commercial Plan: $8.17
  • Blue Cross — Network S Other Commercial Plan: $8.17
  • Cigna — All Commercial Plans: $12.75
  • Cigna — IFP Exchange: $12.75
  • CoreCivic — Prisoner Population Government: $8.99
  • HealthSpring — Medicare Managed Care Plan: $8.25
  • Naphcare — Prisoner Population Government: $12.26
  • Oscar — Exchange: $13.07
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Panel $172 $103.20 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.01 – $5.07
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $3.17
  • Ambetter Health — Exchange: $4.44
  • Blue Cross — Network P Other Commercial Plan: $3.17
  • Blue Cross — Network S Other Commercial Plan: $3.17
  • Cigna — All Commercial Plans: $4.95
  • Cigna — IFP Exchange: $4.95
  • CoreCivic — Prisoner Population Government: $3.49
  • HealthSpring — Medicare Managed Care Plan: $3.20
  • Naphcare — Prisoner Population Government: $4.76
  • Oscar — Exchange: $5.07
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Only Urinalysis with micro $76 $45.60 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: UA w Micro if Ind & Cult if Ind $76 $45.60 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.21 – $5.57
Urine test (manual, without microscope): 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $3.48
  • Ambetter Health — Exchange: $4.87
  • Blue Cross — Network P Other Commercial Plan: $3.48
  • Blue Cross — Network S Other Commercial Plan: $3.48
  • Cigna — All Commercial Plans: $5.43
  • Cigna — IFP Exchange: $5.43
  • CoreCivic — Prisoner Population Government: $3.83
  • HealthSpring — Medicare Managed Care Plan: $3.51
  • Naphcare — Prisoner Population Government: $5.22
  • Oscar — Exchange: $5.57
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Specific Gravity Urine $28 $16.80 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.14 – $3.60
Urine test (automated, without microscope): 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $2.25
  • Ambetter Health — Exchange: $3.15
  • Blue Cross — Network P Other Commercial Plan: $2.25
  • Blue Cross — Network S Other Commercial Plan: $2.25
  • Cigna — All Commercial Plans: $3.51
  • Cigna — IFP Exchange: $3.51
  • CoreCivic — Prisoner Population Government: $2.48
  • HealthSpring — Medicare Managed Care Plan: $2.27
  • Naphcare — Prisoner Population Government: $3.38
  • Oscar — Exchange: $3.60
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Only Urinalysis (dipstick, manual, no microscopy) $53 $31.80 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick Clinic POC (RE) $53 $31.80 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $17.47 – $29.42
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $18.39
  • Ambetter Health — Exchange: $25.75
  • Blue Cross — Network P Other Commercial Plan: $18.39
  • Blue Cross — Network S Other Commercial Plan: $18.39
  • Cigna — All Commercial Plans: $28.69
  • Cigna — IFP Exchange: $28.69
  • CoreCivic — Prisoner Population Government: $20.23
  • HealthSpring — Medicare Managed Care Plan: $18.57
  • Naphcare — Prisoner Population Government: $27.58
  • Oscar — Exchange: $29.42
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Specific Antigen Total $159 $95.40 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Specific Antigen ARUP $159 $95.40 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $15.96 – $26.88
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $16.80
  • Ambetter Health — Exchange: $23.52
  • Blue Cross — Network P Other Commercial Plan: $16.80
  • Blue Cross — Network S Other Commercial Plan: $16.80
  • Cigna — All Commercial Plans: $26.21
  • Cigna — IFP Exchange: $26.21
  • CoreCivic — Prisoner Population Government: $18.48
  • HealthSpring — Medicare Managed Care Plan: $16.97
  • Naphcare — Prisoner Population Government: $25.20
  • Oscar — Exchange: $26.88
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Parathyroid Hormone Intact $175 $105 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $175 $105 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.38 – $12.43
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $7.77
  • Ambetter Health — Exchange: $10.88
  • Blue Cross — Network P Other Commercial Plan: $7.77
  • Blue Cross — Network S Other Commercial Plan: $7.77
  • Cigna — All Commercial Plans: $12.12
  • Cigna — IFP Exchange: $12.12
  • CoreCivic — Prisoner Population Government: $8.55
  • HealthSpring — Medicare Managed Care Plan: $7.85
  • Naphcare — Prisoner Population Government: $11.66
  • Oscar — Exchange: $12.43
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Only CBC w/ Differential $112 $67.20 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Diff $112 $67.20 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.15 – $10.35
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $6.47
  • Ambetter Health — Exchange: $9.06
  • Blue Cross — Network P Other Commercial Plan: $6.47
  • Blue Cross — Network S Other Commercial Plan: $6.47
  • Cigna — All Commercial Plans: $10.09
  • Cigna — IFP Exchange: $10.09
  • CoreCivic — Prisoner Population Government: $7.12
  • HealthSpring — Medicare Managed Care Plan: $6.53
  • Naphcare — Prisoner Population Government: $9.70
  • Oscar — Exchange: $10.35
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/o Diff $93 $55.80 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.08 – $6.86
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $4.29
  • Ambetter Health — Exchange: $6.01
  • Blue Cross — Network P Other Commercial Plan: $4.29
  • Blue Cross — Network S Other Commercial Plan: $4.29
  • Cigna — All Commercial Plans: $6.69
  • Cigna — IFP Exchange: $6.69
  • CoreCivic — Prisoner Population Government: $4.72
  • HealthSpring — Medicare Managed Care Plan: $4.33
  • Naphcare — Prisoner Population Government: $6.44
  • Oscar — Exchange: $6.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time and INR $120 $72 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time $120 $72 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $5.71 – $9.62
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $6.01
  • Ambetter Health — Exchange: $8.41
  • Blue Cross — Network P Other Commercial Plan: $6.01
  • Blue Cross — Network S Other Commercial Plan: $6.01
  • Cigna — All Commercial Plans: $9.38
  • Cigna — IFP Exchange: $9.38
  • CoreCivic — Prisoner Population Government: $6.61
  • HealthSpring — Medicare Managed Care Plan: $6.07
  • Naphcare — Prisoner Population Government: $9.02
  • Oscar — Exchange: $9.62
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Reflexed to PTT Ratio, Treated $100 $60 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT-LA Ratio ARUP $108 $64.80 Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $73.53 – $160.48
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $100.30
  • Ambetter Health — Exchange: $140.42
  • Blue Cross — Network P Other Commercial Plan: $73.53
  • Blue Cross — Network S Other Commercial Plan: $73.53
  • CoreCivic — Prisoner Population Government: $110.33
  • HealthSpring — Medicare Managed Care Plan: $101.30
  • Naphcare — Prisoner Population Government: $150.45
  • Oscar — Exchange: $160.48
  • TennCare — Medicaid Managed Care Plan: $95.28
  • ZING — Medicare Managed Care Plan: $105.31
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Brain/Head w/o Contrast $2,086 $1,251.60 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Brain/Head Stroke Alert $2,086 $1,251.60 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $251.75 – $535.52
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $334.70
  • Ambetter Health — Exchange: $468.58
  • Blue Cross — Network P Other Commercial Plan: $251.75
  • Blue Cross — Network S Other Commercial Plan: $251.75
  • CoreCivic — Prisoner Population Government: $368.17
  • HealthSpring — Medicare Managed Care Plan: $338.05
  • Naphcare — Prisoner Population Government: $502.05
  • Oscar — Exchange: $535.52
  • TennCare — Medicaid Managed Care Plan: $317.97
  • ZING — Medicare Managed Care Plan: $351.44
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Brain w/ + w/o Contrast $4,629 $2,777.40 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI IAC w/ + w/o Contrast $4,629 $2,777.40 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $20.83 – $133.58
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $83.49
  • Ambetter Health — Exchange: $116.89
  • Blue Cross — Network P Other Commercial Plan: $20.83
  • Blue Cross — Network S Other Commercial Plan: $20.83
  • CoreCivic — Prisoner Population Government: $91.84
  • HealthSpring — Medicare Managed Care Plan: $84.32
  • Naphcare — Prisoner Population Government: $125.24
  • Oscar — Exchange: $133.58
  • TennCare — Medicaid Managed Care Plan: $79.32
  • ZING — Medicare Managed Care Plan: $87.66
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 Views $406 $243.60 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest Decubitus Bilateral $406 $243.60 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $36.92 – $160.48
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $100.30
  • Ambetter Health — Exchange: $140.42
  • Blue Cross — Network P Other Commercial Plan: $36.92
  • Blue Cross — Network S Other Commercial Plan: $36.92
  • CoreCivic — Prisoner Population Government: $110.33
  • HealthSpring — Medicare Managed Care Plan: $101.30
  • Naphcare — Prisoner Population Government: $150.45
  • Oscar — Exchange: $160.48
  • TennCare — Medicaid Managed Care Plan: $95.28
  • ZING — Medicare Managed Care Plan: $105.31
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Lumbosacral 4 Plus Views $707 $424.20 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $152.35 – $366.26
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $228.91
  • Ambetter Health — Exchange: $320.47
  • Blue Cross — Network P Other Commercial Plan: $152.35
  • Blue Cross — Network S Other Commercial Plan: $152.35
  • CoreCivic — Prisoner Population Government: $251.80
  • HealthSpring — Medicare Managed Care Plan: $231.20
  • Naphcare — Prisoner Population Government: $343.36
  • Oscar — Exchange: $366.26
  • TennCare — Medicaid Managed Care Plan: $217.46
  • ZING — Medicare Managed Care Plan: $240.36
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast $3,284 $1,970.40 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $159.86 – $269.24
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $168.28
  • Ambetter Health — Exchange: $235.59
  • Blue Cross — Network P Other Commercial Plan: $160.07
  • Blue Cross — Network S Other Commercial Plan: $160.07
  • CoreCivic — Prisoner Population Government: $185.10
  • HealthSpring — Medicare Managed Care Plan: $169.96
  • Naphcare — Prisoner Population Government: $252.41
  • Oscar — Exchange: $269.24
  • TennCare — Medicaid Managed Care Plan: $159.86
  • ZING — Medicare Managed Care Plan: $176.69
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis w/ Contrast $2,530 $1,518 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $168.11 – $366.26
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $228.91
  • Ambetter Health — Exchange: $320.47
  • Blue Cross — Network P Other Commercial Plan: $168.11
  • Blue Cross — Network S Other Commercial Plan: $168.11
  • CoreCivic — Prisoner Population Government: $251.80
  • HealthSpring — Medicare Managed Care Plan: $231.20
  • Naphcare — Prisoner Population Government: $343.36
  • Oscar — Exchange: $366.26
  • TennCare — Medicaid Managed Care Plan: $217.46
  • ZING — Medicare Managed Care Plan: $240.36
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: MRI Ankle w/o Contrast Left $3,167 $1,900.20 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: MRI Ankle w/o Contrast Right $3,167 $1,900.20 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $210.57 – $535.52
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $334.70
  • Ambetter Health — Exchange: $468.58
  • Blue Cross — Network P Other Commercial Plan: $210.57
  • Blue Cross — Network S Other Commercial Plan: $210.57
  • CoreCivic — Prisoner Population Government: $368.17
  • HealthSpring — Medicare Managed Care Plan: $338.05
  • Naphcare — Prisoner Population Government: $502.05
  • Oscar — Exchange: $535.52
  • TennCare — Medicaid Managed Care Plan: $317.97
  • ZING — Medicare Managed Care Plan: $351.44
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: 74177 CT Abdomen and Pelvis w/ Contrast: AddOn $4,847 $2,908.20 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abdomen and Pelvis w/ Contrast $4,847 $2,908.20 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $69.58 – $160.48
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $100.30
  • Ambetter Health — Exchange: $140.42
  • Blue Cross — Network P Other Commercial Plan: $69.58
  • Blue Cross — Network S Other Commercial Plan: $69.58
  • CoreCivic — Prisoner Population Government: $110.33
  • HealthSpring — Medicare Managed Care Plan: $101.30
  • Naphcare — Prisoner Population Government: $150.45
  • Oscar — Exchange: $160.48
  • TennCare — Medicaid Managed Care Plan: $95.28
  • ZING — Medicare Managed Care Plan: $105.31
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abdomen Complete $1,136 $681.60 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $80.51 – $160.48
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $100.30
  • Ambetter Health — Exchange: $140.42
  • Blue Cross — Network P Other Commercial Plan: $80.51
  • Blue Cross — Network S Other Commercial Plan: $80.51
  • CoreCivic — Prisoner Population Government: $110.33
  • HealthSpring — Medicare Managed Care Plan: $101.30
  • Naphcare — Prisoner Population Government: $150.45
  • Oscar — Exchange: $160.48
  • TennCare — Medicaid Managed Care Plan: $95.28
  • ZING — Medicare Managed Care Plan: $105.31
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB Greater Than 14 Weeks Multi $881 $528.60 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB Greater Than 14 Weeks Single $881 $528.60 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $77.17 – $160.48
Transvaginal ultrasound: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $100.30
  • Ambetter Health — Exchange: $140.42
  • Blue Cross — Network P Other Commercial Plan: $77.17
  • Blue Cross — Network S Other Commercial Plan: $77.17
  • CoreCivic — Prisoner Population Government: $110.33
  • HealthSpring — Medicare Managed Care Plan: $101.30
  • Naphcare — Prisoner Population Government: $150.45
  • Oscar — Exchange: $160.48
  • TennCare — Medicaid Managed Care Plan: $95.28
  • ZING — Medicare Managed Care Plan: $105.31
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal Non-OB $848 $508.80 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $78.21 – $122.01
Diagnostic mammogram, one breast: rates for 4 insurance plans
  • Blue Cross — Network P Other Commercial Plan: $78.21
  • Blue Cross — Network S Other Commercial Plan: $78.21
  • Cigna — All Commercial Plans: $122.01
  • Cigna — IFP Exchange: $122.01
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $74.30 – $125.14
Diagnostic mammogram, one breast: rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $78.21
  • Ambetter Health — Exchange: $109.49
  • CoreCivic — Prisoner Population Government: $86.03
  • HealthSpring — Medicare Managed Care Plan: $78.99
  • Naphcare — Prisoner Population Government: $117.32
  • Oscar — Exchange: $125.14
  • TennCare — Medicaid Managed Care Plan: $74.30
  • ZING — Medicare Managed Care Plan: $82.12
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: MG Mammo Diagnostic Left w/ Tomo $449 $269.40 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $100.25 – $156.39
Diagnostic mammogram, both breasts: rates for 4 insurance plans
  • Blue Cross — Network P Other Commercial Plan: $100.25
  • Blue Cross — Network S Other Commercial Plan: $100.25
  • Cigna — All Commercial Plans: $156.39
  • Cigna — IFP Exchange: $156.39
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Diagnostic Bilateral w/ Tomo $616 $369.60 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: 77066 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $565 $339 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $82.76 – $129.11
Screening mammogram, both breasts: rates for 4 insurance plans
  • Blue Cross — Network P Other Commercial Plan: $82.76
  • Blue Cross — Network S Other Commercial Plan: $82.76
  • Cigna — All Commercial Plans: $129.11
  • Cigna — IFP Exchange: $129.11
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Screening Bilateral w/ Tomo $455 $273 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Screening Left w/ Tomo $455 $273 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: EKG POC. $44 $26.40 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $2,954.73 – $4,976.39
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $3,110.24
  • Ambetter Health — Exchange: $4,354.34
  • Blue Cross — Network P Other Commercial Plan: $4,269
  • Blue Cross — Network S Other Commercial Plan: $3,927
  • CoreCivic — Prisoner Population Government: $3,421.27
  • HealthSpring — Medicare Managed Care Plan: $3,141.34
  • Naphcare — Prisoner Population Government: $4,665.36
  • Oscar — Exchange: $4,976.39
  • TennCare — Medicaid Managed Care Plan: $2,954.73
  • UnitedHealthCare — All Commercial Plans: $4,310
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: 93452 Left Heart Cath $12,504 $7,502.40 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: 93452 left hrt cath w/ventrclgrphy $13,130 $7,878 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $7,108.69 – $11,972.53
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $7,482.83
  • Ambetter Health — Exchange: $10,475.97
  • CoreCivic — Prisoner Population Government: $8,231.12
  • HealthSpring — Medicare Managed Care Plan: $7,557.66
  • Naphcare — Prisoner Population Government: $11,224.25
  • Oscar — Exchange: $11,972.53
  • TennCare — Medicaid Managed Care Plan: $7,108.69
  • UnitedHealthCare — All Commercial Plans: $7,388
  • ZING — Medicare Managed Care Plan: $7,856.98
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $9,021 – $40,121.78
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $25,076.11
  • Ambetter Health — Exchange: $35,106.56
  • Blue Cross — Network P Other Commercial Plan: $9,805
  • Blue Cross — Network S Other Commercial Plan: $9,021
  • CoreCivic — Prisoner Population Government: $27,583.73
  • HealthSpring — Medicare Managed Care Plan: $25,326.88
  • Naphcare — Prisoner Population Government: $37,614.17
  • Oscar — Exchange: $40,121.78
  • TennCare — Medicaid Managed Care Plan: $23,822.31
  • UnitedHealthCare — All Commercial Plans: $14,385
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: 93656 Comp electrophys eval including transseptal cath, w/ intracard cath ablation of atrial fib $23,761 $14,256.60 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $782.66 – $1,318.17
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $823.86
  • Ambetter Health — Exchange: $1,153.40
  • CoreCivic — Prisoner Population Government: $906.24
  • HealthSpring — Medicare Managed Care Plan: $832.10
  • Naphcare — Prisoner Population Government: $1,235.79
  • Oscar — Exchange: $1,318.17
  • TennCare — Medicaid Managed Care Plan: $782.66
  • ZING — Medicare Managed Care Plan: $865.05

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $26.28 – $44.26
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $27.66
  • Ambetter Health — Exchange: $38.72
  • Cigna — All Commercial Plans: $43.15
  • Cigna — IFP Exchange: $43.15
  • CoreCivic — Prisoner Population Government: $30.43
  • HealthSpring — Medicare Managed Care Plan: $27.94
  • Naphcare — Prisoner Population Government: $41.49
  • Oscar — Exchange: $44.26
  • TennCare — Medicaid Managed Care Plan: $26.28
  • ZING — Medicare Managed Care Plan: $29.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Therapeutic Exercise Minutes $155 $93 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: OT ROM, Hand Minutes $102 $61.20 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $88.84 – $149.63
Physical therapy evaluation (low complexity): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $93.52
  • Ambetter Health — Exchange: $130.93
  • Cigna — All Commercial Plans: $145.89
  • Cigna — IFP Exchange: $145.89
  • CoreCivic — Prisoner Population Government: $102.87
  • HealthSpring — Medicare Managed Care Plan: $94.46
  • Naphcare — Prisoner Population Government: $140.28
  • Oscar — Exchange: $149.63
  • TennCare — Medicaid Managed Care Plan: $88.84
  • ZING — Medicare Managed Care Plan: $98.20
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Evaluation Low Complexity Time $319 $191.40 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation Low Complexity Units $319 $191.40 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $88.84 – $149.63
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $93.52
  • Ambetter Health — Exchange: $130.93
  • Cigna — All Commercial Plans: $145.89
  • Cigna — IFP Exchange: $145.89
  • CoreCivic — Prisoner Population Government: $102.87
  • HealthSpring — Medicare Managed Care Plan: $94.46
  • Naphcare — Prisoner Population Government: $140.28
  • Oscar — Exchange: $149.63
  • TennCare — Medicaid Managed Care Plan: $88.84
  • ZING — Medicare Managed Care Plan: $98.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Evaluation Moderate Complexity Time $367 $220.20 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation Moderate Complexity Units $367 $220.20 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $88.84 – $149.63
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $93.52
  • Ambetter Health — Exchange: $130.93
  • Cigna — All Commercial Plans: $145.89
  • Cigna — IFP Exchange: $145.89
  • CoreCivic — Prisoner Population Government: $102.87
  • HealthSpring — Medicare Managed Care Plan: $94.46
  • Naphcare — Prisoner Population Government: $140.28
  • Oscar — Exchange: $149.63
  • TennCare — Medicaid Managed Care Plan: $88.84
  • ZING — Medicare Managed Care Plan: $98.20
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Evaluation High Complexity Time $414 $248.40 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation High Complexity Units $414 $248.40 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $161.77 – $272.46
Psychotherapy, 30 minutes: rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $170.29
  • Ambetter Health — Exchange: $238.40
  • CoreCivic — Prisoner Population Government: $187.31
  • HealthSpring — Medicare Managed Care Plan: $171.99
  • Naphcare — Prisoner Population Government: $255.43
  • Oscar — Exchange: $272.46
  • TennCare — Medicaid Managed Care Plan: $161.77
  • ZING — Medicare Managed Care Plan: $178.80
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: 90832 Psychotherapy Patient +/ Family 30 minutes $207 $124.20 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: 90832 Psychotherapy, 30 minutes with patient $218 $130.80 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $161.77 – $272.46
Psychotherapy, 45 minutes: rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $170.29
  • Ambetter Health — Exchange: $238.40
  • CoreCivic — Prisoner Population Government: $187.31
  • HealthSpring — Medicare Managed Care Plan: $171.99
  • Naphcare — Prisoner Population Government: $255.43
  • Oscar — Exchange: $272.46
  • TennCare — Medicaid Managed Care Plan: $161.77
  • ZING — Medicare Managed Care Plan: $178.80
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: 90834 Psych follow up 45-50 minutes $315 $189 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: 90834 Psychotherapy, 45 minutes with patient $282 $169.20 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $161.77 – $272.46
Psychotherapy, 60 minutes: rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $170.29
  • Ambetter Health — Exchange: $238.40
  • CoreCivic — Prisoner Population Government: $187.31
  • HealthSpring — Medicare Managed Care Plan: $171.99
  • Naphcare — Prisoner Population Government: $255.43
  • Oscar — Exchange: $272.46
  • TennCare — Medicaid Managed Care Plan: $161.77
  • ZING — Medicare Managed Care Plan: $178.80
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: 90837 Psych Follow Up 60 Minutes $336 $201.60 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: 90837 Psychotherapy, 60 minutes with patient $336 $201.60 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $161.77 – $272.46
Family psychotherapy, without the patient: rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $170.29
  • Ambetter Health — Exchange: $238.40
  • CoreCivic — Prisoner Population Government: $187.31
  • HealthSpring — Medicare Managed Care Plan: $171.99
  • Naphcare — Prisoner Population Government: $255.43
  • Oscar — Exchange: $272.46
  • TennCare — Medicaid Managed Care Plan: $161.77
  • ZING — Medicare Managed Care Plan: $178.80
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: 90846 Family psychotherapy w/o patient present CHARGE $268 $160.80 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $161.77 – $272.46
Family psychotherapy, with the patient: rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $170.29
  • Ambetter Health — Exchange: $238.40
  • CoreCivic — Prisoner Population Government: $187.31
  • HealthSpring — Medicare Managed Care Plan: $171.99
  • Naphcare — Prisoner Population Government: $255.43
  • Oscar — Exchange: $272.46
  • TennCare — Medicaid Managed Care Plan: $161.77
  • ZING — Medicare Managed Care Plan: $178.80
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: 90847 Family psychotherapy w/ patient present CHARGE $311 $186.60 Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $92.59 – $155.94
Group psychotherapy: rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $97.46
  • Ambetter Health — Exchange: $136.45
  • CoreCivic — Prisoner Population Government: $107.21
  • HealthSpring — Medicare Managed Care Plan: $98.44
  • Naphcare — Prisoner Population Government: $146.19
  • Oscar — Exchange: $155.94
  • TennCare — Medicaid Managed Care Plan: $92.59
  • ZING — Medicare Managed Care Plan: $102.34
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Group Therapy Minutes $346 $207.60 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: 90853 Group psychotherapy $217 $130.20 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $2,432 – $6,010.22
Removal of breast growth (open surgery): 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $3,756.39
  • Ambetter Health — Exchange: $5,258.94
  • Blue Cross — Network P Other Commercial Plan: $4,269
  • Blue Cross — Network S Other Commercial Plan: $3,927
  • CoreCivic — Prisoner Population Government: $4,132.02
  • HealthSpring — Medicare Managed Care Plan: $3,793.95
  • Naphcare — Prisoner Population Government: $5,634.58
  • Oscar — Exchange: $2,975
  • TennCare — Medicaid Managed Care Plan: $3,568.57
  • UnitedHealthCare — All Commercial Plans: $2,432
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: 19120 Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue $7,277 $4,366.20 Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $7,488 – $19,707.46
Total hip replacement: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $12,317.16
  • Ambetter Health — Exchange: $17,244.03
  • Blue Cross — Network P Other Commercial Plan: $8,139
  • Blue Cross — Network S Other Commercial Plan: $7,488
  • CoreCivic — Prisoner Population Government: $13,548.88
  • HealthSpring — Medicare Managed Care Plan: $12,440.33
  • Naphcare — Prisoner Population Government: $18,475.74
  • Oscar — Exchange: $19,707.46
  • TennCare — Medicaid Managed Care Plan: $11,701.30
  • UnitedHealthCare — All Commercial Plans: $11,929
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement $20,580 $12,348 Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $7,488 – $19,707.46
Total knee replacement: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $12,317.16
  • Ambetter Health — Exchange: $17,244.03
  • Blue Cross — Network P Other Commercial Plan: $8,139
  • Blue Cross — Network S Other Commercial Plan: $7,488
  • CoreCivic — Prisoner Population Government: $13,548.88
  • HealthSpring — Medicare Managed Care Plan: $12,440.33
  • Naphcare — Prisoner Population Government: $18,475.74
  • Oscar — Exchange: $19,707.46
  • TennCare — Medicaid Managed Care Plan: $11,701.30
  • UnitedHealthCare — All Commercial Plans: $11,929
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments $18,858 $11,314.80 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $160 – $7,250
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • Blue Cross — Network P Other Commercial Plan: $174
  • Blue Cross — Network S Other Commercial Plan: $160
  • Oscar — Exchange: $7,250
  • UnitedHealthCare — All Commercial Plans: $326
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: 29826 Arthroscopy, shoulder, surgical; decompress subacromial space w/ part acromioplasty w/ release $4,754 $2,852.40 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $2,982.13 – $7,250
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $3,139.09
  • Ambetter Health — Exchange: $4,394.72
  • Blue Cross — Network P Other Commercial Plan: $4,269
  • Blue Cross — Network S Other Commercial Plan: $3,927
  • CoreCivic — Prisoner Population Government: $3,453
  • HealthSpring — Medicare Managed Care Plan: $3,170.48
  • Naphcare — Prisoner Population Government: $4,708.63
  • Oscar — Exchange: $7,250
  • TennCare — Medicaid Managed Care Plan: $2,982.13
  • UnitedHealthCare — All Commercial Plans: $3,255
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: 29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral) including chondroplasty $8,589 $5,153.40 Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $2,432 – $9,086.98
Removal of tonsils and adenoids (under age 12): 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $5,679.36
  • Ambetter Health — Exchange: $7,951.11
  • Blue Cross — Network P Other Commercial Plan: $6,563
  • Blue Cross — Network S Other Commercial Plan: $6,038
  • CoreCivic — Prisoner Population Government: $6,247.30
  • HealthSpring — Medicare Managed Care Plan: $5,736.15
  • Naphcare — Prisoner Population Government: $8,519.04
  • Oscar — Exchange: $2,975
  • TennCare — Medicaid Managed Care Plan: $5,395.39
  • UnitedHealthCare — All Commercial Plans: $2,432
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: 42820 Tonsillectomy and adenoidectomy; younger than age 12 $6,523 $3,913.80 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $826.64 – $2,732
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $870.14
  • Ambetter Health — Exchange: $1,218.20
  • Blue Cross — Network P Other Commercial Plan: $2,732
  • Blue Cross — Network S Other Commercial Plan: $2,513
  • CoreCivic — Prisoner Population Government: $957.16
  • HealthSpring — Medicare Managed Care Plan: $878.84
  • Naphcare — Prisoner Population Government: $1,305.21
  • Oscar — Exchange: $1,400
  • TennCare — Medicaid Managed Care Plan: $826.64
  • UnitedHealthCare — All Commercial Plans: $1,497
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, collection of specimen brsh/floss $2,957 $1,774.20 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $826.64 – $2,732
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $870.14
  • Ambetter Health — Exchange: $1,218.20
  • Blue Cross — Network P Other Commercial Plan: $2,732
  • Blue Cross — Network S Other Commercial Plan: $2,513
  • CoreCivic — Prisoner Population Government: $957.16
  • HealthSpring — Medicare Managed Care Plan: $878.84
  • Naphcare — Prisoner Population Government: $1,305.21
  • Oscar — Exchange: $2,260
  • TennCare — Medicaid Managed Care Plan: $826.64
  • UnitedHealthCare — All Commercial Plans: $1,497
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: 43239 Esophagogastroduodenoscopy, flexible, transoral with biopsy, single or multiple $3,040 $1,824 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $847.57 – $2,732
Colonoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $892.18
  • Ambetter Health — Exchange: $1,249.05
  • Blue Cross — Network P Other Commercial Plan: $2,732
  • Blue Cross — Network S Other Commercial Plan: $2,513
  • CoreCivic — Prisoner Population Government: $981.40
  • HealthSpring — Medicare Managed Care Plan: $901.10
  • Naphcare — Prisoner Population Government: $1,338.27
  • Oscar — Exchange: $2,260
  • TennCare — Medicaid Managed Care Plan: $847.57
  • UnitedHealthCare — All Commercial Plans: $1,497
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: 45378 Colonoscopy, flexible diagnostic, including collection of specimen(s) by brushing or washing $3,082 $1,849.20 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,090.63 – $2,732
Colonoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $1,148.03
  • Ambetter Health — Exchange: $1,607.25
  • Blue Cross — Network P Other Commercial Plan: $2,732
  • Blue Cross — Network S Other Commercial Plan: $2,513
  • CoreCivic — Prisoner Population Government: $1,262.84
  • HealthSpring — Medicare Managed Care Plan: $1,159.51
  • Naphcare — Prisoner Population Government: $1,722.05
  • Oscar — Exchange: $2,260
  • TennCare — Medicaid Managed Care Plan: $1,090.63
  • UnitedHealthCare — All Commercial Plans: $1,497
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: 45380 Colonoscopy, flexible with biopsy, single or multiple $2,616 $1,569.60 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,090.63 – $2,732
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $1,148.03
  • Ambetter Health — Exchange: $1,607.25
  • Blue Cross — Network P Other Commercial Plan: $2,732
  • Blue Cross — Network S Other Commercial Plan: $2,513
  • CoreCivic — Prisoner Population Government: $1,262.84
  • HealthSpring — Medicare Managed Care Plan: $1,159.51
  • Naphcare — Prisoner Population Government: $1,722.05
  • Oscar — Exchange: $2,260
  • TennCare — Medicaid Managed Care Plan: $1,090.63
  • UnitedHealthCare — All Commercial Plans: $1,497
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: 45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniq $3,178 $1,906.80 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,090.63 – $2,732
Ultrasound of the lower bowel by endoscope: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $1,148.03
  • Ambetter Health — Exchange: $1,607.25
  • Blue Cross — Network P Other Commercial Plan: $2,732
  • Blue Cross — Network S Other Commercial Plan: $2,513
  • CoreCivic — Prisoner Population Government: $1,262.84
  • HealthSpring — Medicare Managed Care Plan: $1,159.51
  • Naphcare — Prisoner Population Government: $1,722.05
  • Oscar — Exchange: $2,260
  • TennCare — Medicaid Managed Care Plan: $1,090.63
  • UnitedHealthCare — All Commercial Plans: $1,497
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: 45391 Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum $3,513 $2,107.80 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $703 – $2,732
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $892.18
  • Ambetter Health — Exchange: $1,249.05
  • Blue Cross — Network P Other Commercial Plan: $2,732
  • Blue Cross — Network S Other Commercial Plan: $2,513
  • CoreCivic — Prisoner Population Government: $981.40
  • HealthSpring — Medicare Managed Care Plan: $901.10
  • Naphcare — Prisoner Population Government: $1,338.27
  • Oscar — Exchange: $2,260
  • TennCare — Medicaid Managed Care Plan: $847.57
  • UnitedHealthCare — All Commercial Plans: $703
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk $2,937 $1,762.20 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $5,509.95 – $9,279.92
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $5,799.95
  • Ambetter Health — Exchange: $8,119.93
  • Blue Cross — Network P Other Commercial Plan: $6,563
  • Blue Cross — Network S Other Commercial Plan: $6,038
  • CoreCivic — Prisoner Population Government: $6,379.95
  • HealthSpring — Medicare Managed Care Plan: $5,857.95
  • Naphcare — Prisoner Population Government: $8,699.93
  • Oscar — Exchange: $9,279.92
  • TennCare — Medicaid Managed Care Plan: $5,509.95
  • UnitedHealthCare — All Commercial Plans: $7,388
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: 47562 Laparoscopy, surgical; cholecystectomy $12,984 $7,790.40 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,255 – $5,495.94
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $3,434.96
  • Ambetter Health — Exchange: $4,808.95
  • Blue Cross — Network P Other Commercial Plan: $4,269
  • Blue Cross — Network S Other Commercial Plan: $3,927
  • CoreCivic — Prisoner Population Government: $3,778.46
  • HealthSpring — Medicare Managed Care Plan: $3,469.31
  • Naphcare — Prisoner Population Government: $5,152.44
  • Oscar — Exchange: $3,450
  • TennCare — Medicaid Managed Care Plan: $3,263.21
  • UnitedHealthCare — All Commercial Plans: $3,255
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: 49505 bilat Repair initial inguinal hernia, 5 yrs $10,445 $6,267 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: 49505 Repair initial inguinal hernia, age 5 years or older; reducible $10,445 $6,267 Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $2,260
Prostate biopsy: rates for 1 insurance plan
  • Oscar — Exchange: $2,260
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: 55700 Biopsy of prostate $4,528 $2,716.80 Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Biopsy Prostate $4,528 $2,716.80 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $7,488 – $16,316.86
Prostate removal by laparoscope (radical prostatectomy): 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $10,198.04
  • Ambetter Health — Exchange: $14,277.26
  • Blue Cross — Network P Other Commercial Plan: $8,139
  • Blue Cross — Network S Other Commercial Plan: $7,488
  • CoreCivic — Prisoner Population Government: $11,217.84
  • HealthSpring — Medicare Managed Care Plan: $10,300.02
  • Naphcare — Prisoner Population Government: $15,297.06
  • Oscar — Exchange: $16,316.86
  • TennCare — Medicaid Managed Care Plan: $9,688.14
  • UnitedHealthCare — All Commercial Plans: $11,929
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Hospital (facility) fee In the file: 55866 Laparaoscopy, surgical prostatectomy, retro radical,includes nerve sparing/robot assist $24,022 $14,413.20 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $2,432 – $7,250
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $3,105.63
  • Ambetter Health — Exchange: $4,347.88
  • Blue Cross — Network P Other Commercial Plan: $4,269
  • Blue Cross — Network S Other Commercial Plan: $3,927
  • CoreCivic — Prisoner Population Government: $3,416.19
  • HealthSpring — Medicare Managed Care Plan: $3,136.69
  • Naphcare — Prisoner Population Government: $4,658.45
  • Oscar — Exchange: $7,250
  • TennCare — Medicaid Managed Care Plan: $2,950.35
  • UnitedHealthCare — All Commercial Plans: $2,432
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: 58558 Hysteroscopy, surgical; w/ biopsy of endometrium and/or polypectomy, with or w/o D & C $7,976 $4,785.60 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $643.35 – $2,065
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $677.21
  • Ambetter Health — Exchange: $948.09
  • Blue Cross — Network P Other Commercial Plan: $2,065
  • Blue Cross — Network S Other Commercial Plan: $1,900
  • CoreCivic — Prisoner Population Government: $744.93
  • HealthSpring — Medicare Managed Care Plan: $683.98
  • Naphcare — Prisoner Population Government: $1,015.81
  • Oscar — Exchange: $1,083.53
  • TennCare — Medicaid Managed Care Plan: $643.35
  • UnitedHealthCare — All Commercial Plans: $703
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: IR Injection Lmbr/Scrl Epidural $2,471 $1,482.60 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: IR Injection Lmbr/Scrl Epidural - Report $2,471 $1,482.60 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $703 – $2,065
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $848.54
  • Ambetter Health — Exchange: $1,187.96
  • Blue Cross — Network P Other Commercial Plan: $2,065
  • Blue Cross — Network S Other Commercial Plan: $1,900
  • CoreCivic — Prisoner Population Government: $933.40
  • HealthSpring — Medicare Managed Care Plan: $857.03
  • Naphcare — Prisoner Population Government: $1,272.82
  • Oscar — Exchange: $1,400
  • TennCare — Medicaid Managed Care Plan: $806.12
  • UnitedHealthCare — All Commercial Plans: $703
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Injection Lmbr/Scrl Foramina Epidural $2,737 $1,642.20 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: 64483 Injection Transforaminal Epidural - single level $2,737 $1,642.20 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,779.73 – $3,358
Carpal tunnel release: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $1,873.40
  • Ambetter Health — Exchange: $2,622.77
  • Blue Cross — Network P Other Commercial Plan: $3,358
  • Blue Cross — Network S Other Commercial Plan: $3,089
  • CoreCivic — Prisoner Population Government: $2,060.74
  • HealthSpring — Medicare Managed Care Plan: $1,892.14
  • Naphcare — Prisoner Population Government: $2,810.11
  • Oscar — Exchange: $2,260
  • TennCare — Medicaid Managed Care Plan: $1,779.73
  • UnitedHealthCare — All Commercial Plans: $2,432
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: 64721 Neuroplasty and/or transposition; median nerve at carpal tunnel $5,672 $3,403.20 Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $501.27 – $2,260
Laser treatment of clouding after cataract surgery: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $527.66
  • Ambetter Health — Exchange: $738.72
  • Blue Cross — Network P Other Commercial Plan: $2,065
  • Blue Cross — Network S Other Commercial Plan: $1,900
  • CoreCivic — Prisoner Population Government: $580.42
  • HealthSpring — Medicare Managed Care Plan: $532.93
  • Naphcare — Prisoner Population Government: $791.48
  • Oscar — Exchange: $2,260
  • TennCare — Medicaid Managed Care Plan: $501.27
  • UnitedHealthCare — All Commercial Plans: $703
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: 66821 Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior $1,799 $1,079.40 Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $2,103.37 – $6,750
Cataract removal with lens implant: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $2,214.08
  • Ambetter Health — Exchange: $3,099.71
  • Blue Cross — Network P Other Commercial Plan: $3,358
  • Blue Cross — Network S Other Commercial Plan: $3,089
  • CoreCivic — Prisoner Population Government: $2,435.49
  • HealthSpring — Medicare Managed Care Plan: $2,236.22
  • Naphcare — Prisoner Population Government: $3,321.12
  • Oscar — Exchange: $6,750
  • TennCare — Medicaid Managed Care Plan: $2,103.37
  • UnitedHealthCare — All Commercial Plans: $2,432
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: 66984 Extracapsular cataract removal w/ insertion of intraocular lens prosthesis (1 stage procedure) $5,471 $3,282.60 Not listed in the file

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: 59400 Routine obstetric care including antepartum care, vaginal delivery, postpartum care $7,419 $4,451.40 Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Hospital (facility) fee In the file: 59510 Routine obstetric care including antepartum care, cesarean delivery, and postpartum care $2,591 $1,554.60 Not listed in the file

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $72,071.61 – $239,283.26
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $159,522.17
  • Aetna — Medicare/Medicaid Managed Care Plan: $159,522.17
  • Ambetter Health — Exchange: $223,331.04
  • Blue Cross — Blue Advantage Medicare Managed Care Plan: $159,522.17
  • Blue Cross — Medicare/Medicaid Managed Care Plan: $159,522.17
  • Blue Cross — Network P Other Commercial Plan: $122,247.59
  • Blue Cross — Network S Other Commercial Plan: $112,463.45
  • Cigna — All Commercial Plans: $72,071.61
  • Cigna — IFP Exchange: $88,940.70
  • Cigna — Medicare/Medicaid Managed Care Plan: $159,522.17
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file Not listed in the file
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Aetna — All Commercial Plans: 55% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $14,265.11 – $132,211.96
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $88,141.31
  • Aetna — Medicare/Medicaid Managed Care Plan: $88,141.31
  • Ambetter Health — Exchange: $123,397.83
  • Blue Cross — Blue Advantage Medicare Managed Care Plan: $88,141.31
  • Blue Cross — Medicare/Medicaid Managed Care Plan: $88,141.31
  • Blue Cross — Network P Other Commercial Plan: $33,240.68
  • Blue Cross — Network S Other Commercial Plan: $30,580.25
  • Cigna — All Commercial Plans: $14,265.11
  • Cigna — IFP Exchange: $17,604
  • Cigna — Medicare/Medicaid Managed Care Plan: $88,141.31
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $17,886.08 – $139,197.45
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $92,798.30
  • Aetna — Medicare/Medicaid Managed Care Plan: $92,798.30
  • Ambetter Health — Exchange: $129,917.62
  • Blue Cross — Blue Advantage Medicare Managed Care Plan: $92,798.30
  • Blue Cross — Medicare/Medicaid Managed Care Plan: $92,798.30
  • Blue Cross — Network P Other Commercial Plan: $30,362.67
  • Blue Cross — Network S Other Commercial Plan: $27,932.59
  • Cigna — All Commercial Plans: $17,886.08
  • Cigna — IFP Exchange: $22,072.50
  • Cigna — Medicare/Medicaid Managed Care Plan: $92,798.30
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $8,108.83 – $122,829.81
Uterus and ovary surgery (not for cancer), without complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $81,886.54
  • Aetna — Medicare/Medicaid Managed Care Plan: $81,886.54
  • Ambetter Health — Exchange: $114,641.16
  • Blue Cross — Blue Advantage Medicare Managed Care Plan: $81,886.54
  • Blue Cross — Medicare/Medicaid Managed Care Plan: $81,886.54
  • Blue Cross — Network P Other Commercial Plan: $8,814.29
  • Blue Cross — Network S Other Commercial Plan: $8,108.83
  • Cigna — All Commercial Plans: $9,458.29
  • Cigna — IFP Exchange: $11,672.10
  • Cigna — Medicare/Medicaid Managed Care Plan: $81,886.54

Source: Metro Nashville General Hospital’s standard charges file (hospitalpricedisclosure.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address1818 Albion Street, Nashville, TN 37208
CountyDavidson County
StateTennessee
Phone(615) 341‑4000
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating4 of 5 stars
CMS Certification Number440111
Name in Medicare recordsMETRO NASHVILLE GENERAL HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteNashville General Hospital
Official websitenashvillegeneral.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Nashville General Hospital — nashvillegeneral.org
  2. Emergency Department | Nashville General Hospital — nashvillegeneral.org
  3. Imaging & Radiology | Nashville General Hospital — nashvillegeneral.org
  4. Plan Your Visit | Nashville General Hospital — nashvillegeneral.org
  5. Awards & Recognition | Nashville General Hospital — nashvillegeneral.org
  6. Dr. Robert E. Hardy Cancer Center | Nashville General Hospital — nashvillegeneral.org
  7. General Surgery | Nashville General Hospital — nashvillegeneral.org
  8. Heart & Vascular | Nashville General Hospital — nashvillegeneral.org
  9. Neurology | Nashville General Hospital — nashvillegeneral.org
  10. Orthopedics | Nashville General Hospital — nashvillegeneral.org
  11. Patient & Visitor Information | Nashville General Hospital — nashvillegeneral.org
  12. For Your Good Health | Nashville General Hospital — nashvillegeneral.org