CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Metro Nashville General Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$96
about 0.7× the $136 Medicare rate · typically $40–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
About the fair price
about $6 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $96 This hospital $90 Cash price $105 Hospital's list price $175

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $42 Priciest $90

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $96 (about 0.7× the $136 Medicare rate). Metro Nashville General Hospital charges insurers about $90, or about $105 in cash — about the fair price. Located in Nashville, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $49 - $90 36%
Blue Cross Blue Shieldmajor $122 - $161 90%
Aetnamajor $90 - $107 66%
Cignamajor $76 - $90 56%
Humanamajor $90 66%
Ambetter (Centene) $126 93%
Amerigroup $78 58%
UPMC Health Plan $90 66%
WellCare $90 66%
+ 7 smaller / regional plans $41 - $153
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1818 Albion Street, Nashville, TN 37208
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals