▸ Hospital · TN · CCN 440111
Metro Nashville General Hospital
1818 ALBION STREET, NASHVILLE, TN, 37208
99 bedsAcute Care Hospitals8
Compliance grade
A
100/100
Procedures tracked
125
of 209 target codes
Payers
19
with negotiated rates
Rates published
29,275
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 17 | $342 | $205.2 | $78.05 | $141.9 | $241.23 |
| Psychiatric eval with medical services | CPT | 90792 | 17 | $315 | $189 | $88.69 | $161.25 | $274.13 |
| Psychotherapy 30 minutes | CPT | 90832 | 17 | $315 | $189 | $36.1 | $65.63 | $173.25 |
| Psychotherapy 45 minutes | CPT | 90834 | 17 | $315 | $189 | $47.75 | $86.82 | $173.25 |
| Psychotherapy 60 minutes | CPT | 90837 | 17 | $315 | $189 | $70.48 | $128.14 | $217.84 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 17 | $315 | $189 | $67.96 | $123.56 | $210.05 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 19 | $352 | $211.2 | $5.76 | $10.59 | $193.6 |
| ED visit level 2 | CPT | 99282 | 19 | $595 | $357 | $21.12 | $38.4 | $327.25 |
| ED visit level 3 | CPT | 99283 | 19 | $784 | $470.4 | $3.5 | $91.22 | $431.2 |
| ED visit level 4 | CPT | 99284 | 19 | $1,299 | $779.4 | $61.23 | $111.32 | $714.45 |
| ED visit level 5 | CPT | 99285 | 19 | $1,875 | $1,125 | $88.74 | $258.15 | $1,040.38 |
| Critical care, first hour | CPT | 99291 | 19 | $3,414 | $2,048.4 | $107.59 | $318.49 | $1,877.7 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 19 | $1,986 | $1,191.6 | $20.54 | $37.35 | $1,092.3 |
| CT head with contrast | CPT | 70460 | 19 | $2,181 | $1,308.6 | $20.54 | $37.73 | $1,199.55 |
| CT head with and without contrast | CPT | 70470 | 19 | $2,653 | $1,591.8 | $30.82 | $56.03 | $1,459.15 |
| CT neck with contrast | CPT | 70491 | 19 | $2,437 | $1,462.2 | $33.45 | $60.81 | $1,340.35 |
| MRI brain without contrast | CPT | 70551 | 19 | $3,082 | $1,849.2 | $35.83 | $65.14 | $1,695.1 |
| MRI brain with contrast | CPT | 70552 | 19 | $3,476 | $2,085.6 | $43.1 | $78.37 | $1,911.8 |
| MRI brain with and without contrast | CPT | 70553 | 19 | $4,408 | $2,644.8 | $55.32 | $100.59 | $2,424.4 |
| Chest X-ray single view | CPT | 71045 | 19 | $331 | $198.6 | $4.31 | $7.83 | $182.05 |
| Chest X-ray 2 views | CPT | 71046 | 19 | $386 | $231.6 | $5.35 | $9.73 | $212.3 |
| CT chest without contrast | CPT | 71250 | 19 | $2,029 | $1,217.4 | $26.17 | $47.58 | $1,115.95 |
| CT chest with contrast | CPT | 71260 | 19 | $2,564 | $1,538.4 | $28.25 | $51.37 | $1,410.2 |
| CT chest with and without contrast | CPT | 71270 | 19 | $3,029 | $1,817.4 | $30.2 | $54.91 | $1,665.95 |
| MRI chest without contrast | CPT | 71550 | 19 | $2,765 | $1,659 | $35.3 | $64.19 | $1,520.75 |
| MRI chest with and without contrast | CPT | 71552 | 19 | $4,149 | $2,489.4 | $54.63 | $99.32 | $2,281.95 |
| Lumbosacral spine X-ray | CPT | 72100 | 19 | $490 | $294 | $5.51 | $10.02 | $269.5 |
| CT cervical spine without contrast | CPT | 72125 | 19 | $2,274 | $1,364.4 | $24.15 | $43.9 | $1,250.7 |
| CT thoracic spine without contrast | CPT | 72128 | 19 | $2,196 | $1,317.6 | $24.15 | $43.9 | $1,207.8 |
| CT lumbar spine without contrast | CPT | 72131 | 19 | $2,255 | $1,353 | $24.15 | $43.9 | $1,240.25 |
| MRI cervical spine without contrast | CPT | 72141 | 19 | $3,134 | $1,880.4 | $35.83 | $65.14 | $1,723.7 |
| MRI thoracic spine without contrast | CPT | 72146 | 19 | $3,114 | $1,868.4 | $35.83 | $65.14 | $1,712.7 |
| MRI lumbar spine without contrast | CPT | 72148 | 19 | $3,127 | $1,876.2 | $35.99 | $65.44 | $1,719.85 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 19 | $3,412 | $2,047.2 | $43.2 | $78.55 | $1,876.6 |
| MRI cervical spine with and without contrast | CPT | 72156 | 19 | $4,426 | $2,655.6 | $55.49 | $100.89 | $2,434.3 |
| MRI lumbar spine with contrast | CPT | 72158 | 19 | $4,448 | $2,668.8 | $55.49 | $100.89 | $2,446.4 |
| CT pelvis without contrast | CPT | 72192 | 19 | $2,058 | $1,234.8 | $26.35 | $47.91 | $1,131.9 |
| CT pelvis with contrast | CPT | 72193 | 19 | $2,409 | $1,445.4 | $28.09 | $51.08 | $1,324.95 |
| Shoulder X-ray | CPT | 73030 | 19 | $444 | $266.4 | $4.63 | $8.42 | $244.2 |
| Humerus X-ray | CPT | 73060 | 19 | $392 | $235.2 | $3.95 | $7.18 | $215.6 |
| Hand X-ray 3 views | CPT | 73130 | 19 | $442 | $265.2 | $4.29 | $7.8 | $243.1 |
| MRI upper extremity joint without contrast | CPT | 73221 | 19 | $3,020 | $1,812 | $32.91 | $59.83 | $1,661 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 19 | $4,041 | $2,424.6 | $52.22 | $94.95 | $2,222.55 |
| Knee X-ray 1-2 views | CPT | 73560 | 19 | $385 | $231 | $4.11 | $7.47 | $211.75 |
| Ankle X-ray 3 views | CPT | 73610 | 19 | $440 | $264 | $4.29 | $7.8 | $242 |
| MRI lower extremity joint without contrast | CPT | 73721 | 19 | $3,016 | $1,809.6 | $32.91 | $59.83 | $1,658.8 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 19 | $4,118 | $2,470.8 | $52.06 | $94.66 | $2,264.9 |
| CT abdomen without contrast | CPT | 74150 | 19 | $2,078 | $1,246.8 | $28.8 | $52.36 | $1,142.9 |
| CT abdomen with contrast | CPT | 74160 | 19 | $2,560 | $1,536 | $30.82 | $56.03 | $1,408 |
| CT abdomen with and without contrast | CPT | 74170 | 19 | $3,018 | $1,810.8 | $33.81 | $61.47 | $1,659.9 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 19 | $3,476 | $2,085.6 | $42.06 | $76.47 | $1,911.8 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 19 | $4,396 | $2,637.6 | $43.98 | $79.97 | $2,417.8 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 19 | $4,900 | $2,940 | $48.47 | $88.13 | $2,695 |
| MRI abdomen without contrast | CPT | 74181 | 19 | $3,039 | $1,823.4 | $35.3 | $64.19 | $1,671.45 |
| MRI abdomen with and without contrast | CPT | 74183 | 19 | $4,232 | $2,539.2 | $53.12 | $96.59 | $2,327.6 |
| Abdominal ultrasound complete | CPT | 76700 | 19 | $1,081 | $648.6 | $19.5 | $35.45 | $594.55 |
| Abdominal ultrasound limited | CPT | 76705 | 19 | $843 | $505.8 | $14.15 | $25.72 | $463.65 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 19 | $915 | $549 | $17.91 | $32.57 | $503.25 |
| Obstetric ultrasound first trimester | CPT | 76801 | 19 | $760 | $456 | $24.03 | $43.69 | $418 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 19 | $839 | $503.4 | $24.19 | $43.99 | $461.45 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 19 | $909 | $545.4 | $46.39 | $84.34 | $499.95 |
| Transvaginal ultrasound | CPT | 76830 | 19 | $807 | $484.2 | $18.3 | $33.28 | $443.85 |
| Pelvic ultrasound complete | CPT | 76856 | 19 | $932 | $559.2 | $18.13 | $32.96 | $512.6 |
| Scrotal ultrasound | CPT | 76870 | 19 | $867 | $520.2 | $15.37 | $27.95 | $476.85 |
| Diagnostic mammography unilateral | CPT | 77065 | 19 | $427 | $256.2 | $19.66 | $35.74 | $234.85 |
| Diagnostic mammography bilateral | CPT | 77066 | 19 | $586 | $351.6 | $24.15 | $43.9 | $322.3 |
| Screening mammography bilateral | CPT | 77067 | 19 | $433 | $259.8 | $18.44 | $33.52 | $238.15 |
| EKG tracing only | CPT | 93005 | 5 | $303 | $181.8 | $5 | $7.62 | $166.65 |
| Transthoracic echocardiogram complete | CPT | 93306 | 19 | $2,494 | $1,496.4 | $35.01 | $64.3 | $1,371.7 |
| Transthoracic echocardiogram | CPT | 93307 | 19 | $1,643 | $985.8 | $22.03 | $40.45 | $903.65 |
| Stress echocardiogram | CPT | 93350 | 19 | $1,944 | $1,166.4 | $35.01 | $64.3 | $1,069.2 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 4 | $150 | $90 | $7.29 | $8.8 | $82.5 |
| General health panel | CPT | 80050 | 5 | $302 | $181.2 | $5 | $40.46 | $166.1 |
| Electrolyte panel | CPT | 80051 | 4 | $100 | $60 | $7.01 | $8.42 | $55 |
| Comprehensive metabolic panel | CPT | 80053 | 4 | $205 | $123 | $9.12 | $10.98 | $112.75 |
| Lipid panel | CPT | 80061 | 4 | $148 | $88.8 | $13.39 | $24.01 | $81.4 |
| Renal function panel | CPT | 80069 | 4 | $151 | $90.6 | $7.29 | $9.03 | $83.05 |
| Hepatic function panel | CPT | 80076 | 4 | $156 | $93.6 | $7.29 | $8.5 | $85.8 |
| Urinalysis non-automated | CPT | 81002 | 4 | $26 | $15.6 | $3.48 | $4.18 | $14.3 |
| Urinalysis automated | CPT | 81003 | 4 | $48 | $28.8 | $1.49 | $2.34 | $26.4 |
| Glucose quantitative | CPT | 82947 | 4 | $52 | $31.2 | $3.93 | $5.82 | $28.6 |
| Hemoglobin A1c | CPT | 83036 | 4 | $100 | $60 | $9.71 | $14.16 | $55 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 4 | $159 | $95.4 | $16.8 | $24.84 | $87.45 |
| Complete blood count with automated differential | CPT | 85025 | 4 | $102 | $61.2 | $7.77 | $11.44 | $56.1 |
| Complete blood count without differential | CPT | 85027 | 4 | $84 | $50.4 | $6.47 | $9.57 | $46.2 |
| Urine culture bacterial | CPT | 87086 | 4 | $103 | $61.8 | $8.07 | $11.64 | $56.65 |
| Urine culture identification | CPT | 87088 | 4 | $81 | $48.6 | $8.09 | $11.88 | $44.55 |
| Tissue exam by pathologist level IV | CPT | 88305 | 19 | $310 | $186 | $12.64 | $34.13 | $170.5 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 19 | $559 | $335.4 | $6 | $25.83 | $307.45 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 1 | $1,200 | $720 | $660 | $660 | $660 |
| Vaginal delivery only | CPT | 59409 | 17 | $7,068 | $4,240.8 | $389.56 | $708.29 | $3,887.4 |
| Routine obstetric care with C-section | CPT | 59510 | 1 | $1,814 | $1,088.4 | $137.5 | $567.6 | $997.7 |
| C-section delivery only | CPT | 59514 | 17 | $11,025 | $6,615 | $43.8 | $79.64 | $6,063.75 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 19 | $185 | $111 | $23.99 | $43.61 | $101.75 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 19 | $195 | $117 | $41.35 | $75.19 | $139.13 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 19 | $210 | $126 | $67.41 | $122.56 | $208.77 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 19 | $245 | $147 | $87.54 | $166.6 | $283.31 |
| Office visit, established patient, 5 min | CPT | 99211 | 19 | $170 | $102 | $4.47 | $8.29 | $93.5 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 19 | $165 | $99 | $17.88 | $32.5 | $90.75 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 19 | $175 | $105 | $31.57 | $60.78 | $113.49 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 19 | $195 | $117 | $40.52 | $89.71 | $161.45 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 19 | $195 | $117 | $63.5 | $132.51 | $225.86 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 17 | $2,682 | $1,609.2 | $60.84 | $110.62 | $1,475.1 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 17 | $2,757 | $1,654.2 | $68.73 | $124.97 | $1,516.35 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 17 | $2,321 | $1,392.6 | $28.08 | $51.06 | $1,276.55 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 17 | $2,387 | $1,432.2 | $35.88 | $65.23 | $1,312.85 |
| Colonoscopy diagnostic | CPT | 45378 | 17 | $3,911 | $2,346.6 | $91.39 | $166.16 | $2,151.05 |
| Colonoscopy with biopsy | CPT | 45380 | 17 | $2,964 | $1,778.4 | $19.6 | $436.11 | $1,911.41 |
| Colonoscopy with polyp removal | CPT | 45385 | 17 | $2,882 | $1,729.2 | $125.87 | $228.86 | $1,585.1 |
| surgery | ||||||||
| Knee arthroscopy with meniscectomy | CPT | 29881 | 17 | $7,790 | $4,674 | $270.54 | $491.89 | $4,284.5 |
| ACL reconstruction | CPT | 29888 | 17 | $14,746 | $8,847.6 | $483.96 | $879.92 | $8,110.3 |
| Laparoscopic appendectomy | CPT | 44970 | 17 | $10,688 | $6,412.8 | $296.22 | $538.59 | $5,878.4 |
| Laparoscopic cholecystectomy | CPT | 47562 | 17 | $13,383 | $8,029.8 | $324.31 | $589.66 | $7,360.65 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 17 | $12,783 | $7,669.8 | $352.51 | $640.93 | $7,030.65 |
| Lap inguinal hernia repair | CPT | 49650 | 17 | $15,820 | $9,492 | $213.42 | $388.03 | $8,701 |
| Lap salpingo-oophorectomy | CPT | 58661 | 17 | $11,952 | $7,171.2 | $326.17 | $593.03 | $6,573.6 |
| Complex cataract surgery | CPT | 66982 | 17 | $5,500 | $3,300 | $370.96 | $674.48 | $3,025 |
| Cataract surgery with lens implant | CPT | 66984 | 17 | $4,889 | $2,933.4 | $270.72 | $492.22 | $2,688.95 |
| Intravitreal injection | CPT | 67028 | 17 | $979 | $587.4 | $45.73 | $83.14 | $538.45 |
| PCI single major coronary artery | CPT | 92920 | 19 | $13,947 | $8,368.2 | $253.62 | $461.13 | $7,670.85 |
| PCI with drug-eluting stent | CPT | 92928 | 19 | $24,342 | $14,605 | $282.19 | $513.07 | $13,388 |
| PCI bypass graft | CPT | 92937 | 19 | $23,647 | $14,188 | $282.11 | $512.92 | $13,006 |
| Left heart catheterization | CPT | 93452 | 5 | $12,504 | $7,502.4 | $286.18 | $881.08 | $6,877.2 |
| Coronary angiography with cath | CPT | 93455 | 19 | $12,603 | $7,561.8 | $112.82 | $207.17 | $6,931.65 |
| Coronary angiography with bypass cath | CPT | 93458 | 19 | $15,194 | $9,116.4 | $142.32 | $261.35 | $8,356.7 |
Payer mix (top 19)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 125 | $168.58 |
| Blue Cross Blue Shield | 123 | $173.74 |
| Cigna | 108 | $65.23 |
| amerivantage | 105 | $57.26 |
| blue | 105 | $65.44 |
| corecivic | 105 | $71.98 |
| corizon | 105 | $42.8 |
| farm bureau | 105 | $66.75 |
| Humana | 105 | $65.44 |
| Medicare | 105 | $65.44 |
| naphcare | 105 | $98.16 |
| provider network of america | 105 | $111.25 |
| WellCare | 105 | $65.44 |
| Ambetter | 105 | $91.62 |
| amerigroup | 105 | $57.26 |
| UnitedHealthcare | 105 | $55.12 |
| upmc | 105 | $65.44 |
| tenncare | 98 | $87.61 |
| bluecare | 98 | $87.61 |