Echocardiogram Cost in Tennessee (2026): Average Prices & What You'll Pay

What does a echocardiogram cost in Tennessee?

Where you have an echocardiogram done in Tennessee swings the bill from $130 to $205 for identical care. The median cash price across 55 reporting hospitals is $172. The numbers are pulled directly from federally mandated hospital price transparency files.

Where echocardiogram costs vary in Tennessee

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

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HCA Healthcare, headquartered in Nashville, has significant hospital presence in its home state, creating pricing patterns more aligned with for-profit hospital economics than nonprofit systems in comparable markets. Vanderbilt University Medical Center anchors the Nashville academic tier. Tennessee has not expanded Medicaid under the ACA, maintaining a high uninsured rate that influences facility pricing structures. Echocardiograms are unusual in that the physician component (interpretation fee) and technical component (sonographer and equipment) are often billed separately, meaning you may receive two bills from two different providers. Hospital-based cardiology departments also add a facility fee that independent echo labs and cardiology offices don't charge. The same study can cost $200 at a freestanding cardiology office and $2,000 at a hospital outpatient department.

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Why prices vary - and what it means for your coverage

A small number of hospitals (8) report prices above $477, including East Tennessee Childrens Hospital at $1,911, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $172 versus $175 inpatient, so where a procedure happens often matters more than which hospital you pick. Whether the scan happens in a hospital outpatient department (which adds a separate facility fee) or a freestanding imaging center is usually the single biggest driver of price for this procedure.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Frequently asked questions: echocardiogram costs in Tennessee

How much does an echocardiogram cost in Tennessee?

Across 55 Tennessee hospitals that publish prices, an echocardiogram ranges from $100 to $8,077, with a median of $172. Most facilities fall between $122 and $205. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an echocardiogram in Tennessee?

Based on declared prices, the lowest-cost facility in our Tennessee data is Williamson County Hospital District in Franklin at about $103. By metro, Knoxville has the lowest median ($122). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is an echocardiogram so much cheaper at some Tennessee hospitals?

Prices vary up to 80.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Tennessee, the median cash (self-pay) price is $172 versus a median negotiated rate of $116 - about 1.5× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for an echocardiogram in Tennessee?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

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