X-Ray Cost in Nashville, TN (2026): Average Prices & What You'll Pay
What does a x-ray cost in Nashville, TN?
Where you have an x-ray done in Nashville, TN swings the bill from $30 to $38 for identical care. The median cash price across 25 reporting hospitals is $34. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.
Three low-priced facilities in Nashville, TN, from hospital price files
- Saint Thomas West Hospital $30
- Saint Thomas Regional Hospitals $30
- Williamson County Hospital District · Franklin, TN $30
Free: the typical range and the facilities above. Add your email and we send the full ranked list of all 25 facilities (PDF) plus a checklist of what to ask before you book. We don't sell your information (privacy policy).
Where x-ray 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.
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Cheapest X-Ray 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 West Hospital | TN | $30 | -$4 |
| 2 | Hospital name hidden | Your City, TN | $823 | -$000 |
| 3 | Saint Thomas Regional Hospitals | TN | $30 | -$4 |
| 4 | Hospital name hidden | Your City, TN | $821 | -$000 |
| 5 | Hospital name hidden | Your City, TN | $820 | -$000 |
| 6 | Williamson County Hospital District | Franklin, TN | $30 | -$4 |
| 7 | Hospital name hidden | Your City, TN | $818 | -$000 |
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Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
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Sends a PDF with all 25 facilities ranked cheapest first, plus a short checklist of questions that change what you pay. We don't sell your information (privacy policy).
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
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Quick take
- Saint Thomas West Hospital is the lowest-cost option at $30 - $4 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 $34, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $89 to $107 | $89 |
| With insurance (commercial, average) | 19 | $57 to $235 | $112 |
| Without insurance (cash price) | 27 | $30 to $120 | $34 |
| BlueCross BlueShield of Tennessee | 19 | $17 to $33 | $18 |
| Cigna | 17 | $38 to $99 | $74 |
| Aetna | 15 | $38 to $39 | $38 |
| UnitedHealthcare | 6 | $128 to $703 | $128 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does an X-ray cost with Medicare in Nashville, TN?
Medicare's national hospital outpatient payment for X-ray is about $89 to $107 (typically near $89). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $18 on a $89 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does an X-ray cost with insurance in Nashville, TN?
Across 19 Nashville, TN hospitals, the negotiated rates commercial insurers pay for X-ray average $57 to $235 per hospital, with a median near $112. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does an X-ray cost without insurance in Nashville, TN?
Cash (self-pay) prices for X-ray at 27 Nashville, TN hospitals range from $30 to $120, with a median of $34. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does an X-ray cost with BlueCross BlueShield of Tennessee in Nashville, TN?
BlueCross BlueShield of Tennessee negotiated rates for X-ray at 19 Nashville, TN hospitals range from $17 to $33, with a median near $18. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does an X-ray cost with Cigna in Nashville, TN?
Cigna negotiated rates for X-ray at 17 Nashville, TN hospitals range from $38 to $99, with a median near $74. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How much does an X-ray cost with Aetna in Nashville, TN?
Aetna negotiated rates for X-ray at 15 Nashville, TN hospitals range from $38 to $39, with a median near $38. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How much does an X-ray cost with UnitedHealthcare in Nashville, TN?
UnitedHealthcare negotiated rates for X-ray at 6 Nashville, TN hospitals range from $128 to $703, with a median near $128. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.
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. X-ray is the most commoditized of all imaging procedures, and price differences are almost entirely explained by facility type: a hospital outpatient chest X-ray can cost 5–10× more than the same study at an urgent care center or independent imaging clinic. For non-emergency X-rays, asking your physician for a referral to an outpatient imaging center rather than a hospital radiology department is the simplest and most reliable cost reduction available.
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Why prices vary - and what it means for your coverage
A small number of hospitals (5) report prices above $60, including Saint Thomas Rehabilitation Hospital at $218, 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 $34 versus $137 inpatient (about 4× 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 | ~$34 |
| Deductible met - 20% coinsurance | ~$7 |
| Out-of-network provider | $75+ |
Frequently asked questions: X-ray costs in Nashville, TN
How much does an X-ray cost in Nashville, TN?
The typical insurer-negotiated rate is $15, with most facilities between $10 and $34 (based on 23 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $20 to $218 across all 25 Nashville, TN hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an X-ray in Nashville, TN?
Based on declared prices, the lowest-cost facility in our Nashville, TN data is Trousdale Medical Center at about $20. By metro, Nashville has the lowest median ($34). 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 X-ray so much cheaper at some Nashville, TN hospitals?
Prices vary up to 10.9× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Nashville, TN, the median cash (self-pay) price is $34 versus a median negotiated rate of $112 - cash is the lower number at many hospitals. Asking for the cash price as well as 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 X-ray 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
- How to read an EOB line by line
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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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