Echocardiogram Cost in Nashville, TN (2026): Average Prices & What You'll Pay
What does a echocardiogram cost in Nashville, TN?
The same echocardiogram in Nashville, TN might cost you $138 at one facility and $173 at another - the building you walk into drives the difference. The median cash price across 14 reporting hospitals is $154. These figures come straight from hospital price transparency files published under federal law.
Where echocardiogram costs vary in Nashville, TN
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.
26+ people checked prices near them this month.
A missing prior authorization can turn a covered echocardiogram into a denied claim - and the same study is one bill or two.
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Cheapest Echocardiogram Providers in Nashville, TN
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Saint Thomas Regional Hospitals | TN | $105 | -$49 |
| 2 | Saint Thomas West Hospital | TN | $105 | -$49 |
| 3 | TRISTAR ASHLAND CITY MEDICAL CENTER | Ashland City, TN | $105 | -$49 |
| 4 | Saint Thomas Hickman Hospital | TN | $142 | -$12 |
| 5 | TRISTAR STONECREST MEDICAL CENTER | Smyrna, TN | $151 | -$3 |
| 6 | TRISTAR HORIZON MEDICAL CENTER | Dickson, TN | $154 | +$0 |
| 7 | TRISTAR HENDERSONVILLE MEDICAL CENTER | Hendersonville, TN | $154 | +$0 |
| 8 | TRISTAR SOUTHERN HILLS MEDICAL CENTER | Antioch, TN | $154 | +$0 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Saint Thomas Regional Hospitals is the lowest-cost option at $105 - $49 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $154, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
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 (1) report prices above $569, including Trousdale Medical Center at $689, 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 $154 versus $564 inpatient (about 3.7× more), 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.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$154 |
| Deductible met - 20% coinsurance | ~$31 |
| Out-of-network provider | $339+ |
Frequently asked questions: echocardiogram costs in Nashville, TN
How much does an echocardiogram cost in Nashville, TN?
Across 14 Nashville, TN hospitals that publish prices, an echocardiogram ranges from $103 to $689, with a median of $154. Most facilities fall between $114 and $173. 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 Nashville, TN?
Based on declared prices, the lowest-cost facility in our Nashville, TN data is Williamson County Hospital District in Franklin at about $103. 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 Nashville, TN hospitals?
Prices vary up to 6.7× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Nashville, TN, the median cash (self-pay) price is $154 versus a median negotiated rate of $80 - about 1.9× 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 Nashville, TN?
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.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- Understanding your UnitedHealthcare EOB
Other procedures in Nashville, TN
Echocardiogram, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same echocardiogram - same outcome, very different bill. The ER charges the most of any setting and should only be used when the situation is medically urgent. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
Cost by type
Which type your doctor orders for this echocardiogram changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
This is shoppable
Echocardiogram is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for echocardiogram before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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