How many shoppable procedure prices are published for Metro Nashville General Hospital?

Metro Nashville General Hospital in Nashville, TN currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Metro Nashville General Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Metro Nashville General Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Metro Nashville General Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Metro Nashville General Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 114 Beds · urban Updated: 2024-07-01

Metro Nashville General Hospital

1818 Albion Street, Nashville, TN 37208 · 102 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.75×vs. Fair Market Price

Typical commercial prices here are 25% below the fair benchmark (0.75×) after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 9% of the Time

File Completeness66

Price Logic65

Peer Alignment62

Clean Billing79

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.75× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Metro Nashville General Hospital prices routine shoppable procedures near 0.6× Medicare (p50 0.90×) while skewing captive emergency, lab, and upper-quartile codes to 1.1× Medicare (p75 1.14×, +27% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#4 of 84 in TN · 3rd State Percentile#189 of 3,385 in U.S. · 5th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 25% below peer Fair BaseRate (0.75×)
Self-pay cash beats commercial insurance on 9% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 64% patient recommendation (68/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.75× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.8×) & laboratory (2.2×) services average 1.83× higher multiples than routine shoppable care (0.6×)
Upper-quartile procedures (Q75 1.14×) jump +27% above the median procedure ratio (Q50 0.90×)
Unnegotiated chargemaster list prices average 8.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.83× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+27% Upper Tail

Q25 0.26× · Q50 0.90× · Q75 1.14×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

9% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 68/100Fair

Procedure Prices at Metro Nashville General Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$8,030	$8,030	$6,109	1.3×
Breast lump removal CPT Code: `19120`	$5,156	$5,156	$3,875	1.3×
Trauma team activation HCPCS Code: `G0390`	$3,503	$3,503	$1,453	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,638	$2,638	$448	5.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,496	$1,496	$583	2.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$880	$880	$272	3.2×
Rabies immune globulin HCPCS Code: `90375`	$766	$766	$322	unverified
Blood transfusion CPT Code: `36430`	$726	$726	$498	1.5×
Vaginal delivery (full package) CPT Code: `59400`	$720	$720	$2,680	0.3×
C-section delivery (full package) CPT Code: `59510`	$619	$619	$2,975	0.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$506	$506	$126	4.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$491	$491	$132	3.7×
Cataract surgery with lens implant CPT Code: `66984`	$2,933	$492	$2,540	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,674	$492	$3,372	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$900	$453	$1,256	0.4×
X-ray, lower back CPT Code: `72110`	$404	$404	$112	3.6×
X-ray, shoulder CPT Code: `73030`	$266	$266	$92	2.9×
X-ray, foot CPT Code: `73630`	$263	$263	$92	2.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$265	$265	$93	2.8×
X-ray, hand CPT Code: `73130`	$265	$265	$93	2.8×
X-ray, ankle CPT Code: `73610`	$264	$264	$93	2.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$263	$263	$201	1.3×
X-ray, hip CPT Code: `73502`	$237	$237	$93	2.5×
X-ray, chest (two views) CPT Code: `71046`	$232	$232	$93	2.5×
X-ray, pelvis CPT Code: `72170`	$236	$236	$110	2.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$182	$182	$64	2.8×
X-ray, chest (single view) CPT Code: `71045`	$199	$199	$92	2.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$205	$142	$185	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,347	$166	$981	0.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$189	$128	$181	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$391	$102	$86	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,645	$101	$511	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,654	$125	$987	0.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$105	$90	$123	0.7×
Family therapy session CPT Code: `90847`	$189	$98	$173	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$189	$87	$166	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$62	$103	$35	unverified
Typhoid vaccine HCPCS Code: `90675`	$746	$746	$347	2.1×
Pneumococcal vaccine HCPCS Code: `90732`	$211	$211	$140	1.5×
Drug screening test HCPCS Code: `G0480`	$172	$172	$116	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$108	$108	$56	1.9×
Speech therapy (language evaluation) CPT Code: `92507`	$190	$77	$86	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$107	$75	$110	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,086	$76	$303	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$50	$83	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$52	$86	$49	unverified
Blood test, vitamin D CPT Code: `82306`	$117	$36	$31	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$86	$38	$40	0.9×
Orthotic fitting and training CPT Code: `97760`	$89	$48	$51	0.9×
Prosthetic fitting and training CPT Code: `97761`	$76	$41	$45	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$98	$61	$87	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$85	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$83	$33	$38	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$108	$45	$111	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$352	$44	$148	0.3×
CT scan, pelvis CPT Code: `72192`	$1,235	$48	$163	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,217	$48	$167	0.3×
Screening mammogram (both breasts) CPT Code: `77067`	$260	$34	$123	0.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,353	$44	$168	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,364	$44	$169	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,876	$65	$338	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$1,849	$65	$343	0.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$649	$35	$134	0.3×
Blood test, calcium CPT Code: `82310`	$35	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$37	$6	$5	1.2×
Blood test, amylase CPT Code: `82150`	$64	$8	$7	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$83	$16	$14	1.1×
Ultrasound, pelvis CPT Code: `76856`	$559	$33	$130	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,192	$37	$160	0.2×
CT scan, sinuses CPT Code: `70486`	$1,165	$38	$166	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,592	$56	$258	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,810	$60	$369	0.2×
Colorectal cancer screening HCPCS Code: `G0010`	$41	$68	$49	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$31	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$33	$5	$4	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$60	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$36	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$35	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$7	$6	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$89	$16	$14	1.1×
Blood test, lipase CPT Code: `83690`	$71	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$54	$8	$7	1.1×
Hepatitis C antibody test CPT Code: `86803`	$82	$17	$15	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$80	$18	$16	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$61	$9	$8	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$95	$20	$18	1.1×
Culture, bacterial CPT Code: `87070`	$85	$10	$9	1.1×
Culture, blood CPT Code: `87040`	$116	$12	$11	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,309	$37	$242	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$90	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$123	$11	$11	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$91	$19	$19	1.0×
Physical therapy (gait training) CPT Code: `97116`	$79	$30	$33	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$41	$3	$3	1.0×
Blood test, hemoglobin CPT Code: `85018`	$25	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$65	$5	$5	1.0×
Blood test, liver function panel CPT Code: `80076`	$94	$8	$9	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$88	$30	$35	0.9×
Speech therapy (group session) CPT Code: `92508`	$83	$23	$27	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$86	$27	$34	0.8×
Blood antibody screen CPT Code: `86850`	$84	$12	$46	0.3×
Group therapy session CPT Code: `90853`	$106	$23	$100	0.2×

Showing top 25 high-impact procedures of 102 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Metro Nashville General Hospital (Zero PHI Required)

CMS CCN: 440111

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $8,030

Insurer Median $8,030

1. Amount on Your Bill or Quote ($) Pre-filled with Metro Nashville General Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $5,353 Paying Cash

Self-Pay Cash Rate ($8,030) Beats Your Bill

Metro Nashville General Hospital's published 45 CFR § 180 self-pay cash rate is $8,030 (vs. $8,030 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$7,274 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($13,383) is $7,274 above the denoised Fair BaseRate ($6,109) and 2.2× the $6,176 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Metro Nashville General Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite68/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait134 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (113 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Metro Nashville General Hospital.

Price Index: 0.42× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

-46.4%

Aetna

+131.8%

Median Household Income$75,664U.S. Census ACS

Local Uninsured Share12.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 440111

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 440111) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2024-07-01

Validated Rate Rows1,090 (CMS v1.0.0)

File Integrity DigestVerified · CCN 440111

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy