Billing & Insurance

Pricing

Nashville General Hospital is committed to providing compassionate, comprehensive health care to all — regardless of whether or not they have health insurance. At the same time, it’s important to remember that all patients still have some degree of financial responsibility for the care they receive.

We want you to clearly understand the charges attached to your visit or hospital stay. To that end we have outlined the most common procedures on our Patient Price Information List. This page, and the related Chargemaster document, are updated periodically to reflect changes in the costs we incur in performing those services. The prices listed include a 40% discount for patients without insurance.

Visit our Patient Price Information List

Surprise Billing

Congress enacts new consumer protections against surprise medical bills beginning January 1, 2022. The No Surprises Act (NSA) will protect consumers by: 

  • requiring private health plans to cover out-of-network claims and apply in-network cost sharing for both job-based and non-group plans; 
  • prohibits doctors, hospitals, and other covered providers from billing patients more than in-network cost sharing amount for surprise medical bills; and 
  • establishes a process for determining payment amount for surprise, out-of-network medical bills, beginning with negotiations between plans and providers, and if that is unsuccessful, arbitration. 

Click on the button below to learn more. 

Your Rights and Protections Against Surprise Billing

Online Bill Pay

Nashville General Hospital makes it easy to pay your bill online — safely and securely.

Login to view your account information, make payments with credit, debit card or e-check, or make changes to your personal information. Enrolling is quick and easy, and your account information is stored securely. If you prefer not to enroll, you can still pay your bill online.

Online Bill Pay

Insurance

Insurance Nashville General Hospital and its affiliates Nashville Healthcare Center, accepts patients from most commercial health insurance plans.

We accept most common commercial insurance plans (HMO / POS / PPO), Medicare, Medicaid, workers’ compensation, auto insurance, and indemnity insurance. Scroll down to see a list of accepted health insurance plans. Our list of accepted insurance providers is subject to change at any time. Please contact your insurance company to confirm Nashville General Hospital is in-network before scheduling your appointment.

If you do not have insurance, please contact NGH Financial Assistance at 615.341.4165 . For Medicare patients, please call before selecting a plan as the insurance company websites are not updated regularly. We welcome traditional Medicare and supplemental plans but do not accept AMBETTER SELECT. Please call NGH Billing at 615.341.4517 or email billingquestions@nashvilleha.org to confirm we are in-network if you are uncertain.

AMBETTER SELECT PATIENTS 
Our facility is not in network with AMBETTER SELECT and any of its tiers. We are in network for all other AMBETTER plans. Please call 615-341-4165 for more information.

Nashville General Hospital accepts the following Insurance plans:

Payor Name Insurance Name on Insurance Card
AARP AARP
AETNA PPO AETNA
AETNA HMO AETNA
AETNA MEDICARE ADVANTAGE PPO AETNA MEDICARE PPO
AMBETTER (*not Ambetter Select) AMBETTER
AMERIVANTAGE AMERIVANTAGE CLASSIC (HMO)
BCBS PPO NETWORK S BLUECROSS BLUESHIELD OF TENNESSEE
BLUECARE PLUS BLUECARE TENNESSEE
BLUE CROSS PPO BLUECROSS BLUESHIELD
BLUE CROSS METRO EMPLOYEE BLUECROSS BLUESHIELD OF TENNESSEE
BCBS PPO NETWORK P BLUECROSS BLUESHIELD OF TENNESSEE
CIGNA PPO METRO EMPLOYEE CIGNA
CIGNA MDHA METRO EMPLOYEE CIGNA
CIGNA PPO CIGNA
CIGNA HMO CIGNA
CIGNA METRO BOARD OF EDUCATION CIGNA
CIGNA PPO HIX CIGNA TN EPO CONNECT
CIGNA PPO NES METRO NES CIGNA PPO S
CONSOCIATE DAVIDSON TRANSIT AUTHORITY
COVER TN BLUECARE TENNESSEE COVERKIDS
HEALTHSPRING CIGNA-HEALTHSPRING PREFERRED (HMO)
HUMANA HUMANA GOLD PLUS (HMO)
HUMANA HUMANA GOLD PLUS (HMO D-SNP)
HUMANA HUMANA MEDICARE (EMPLOYER PPO)
MEDICARE MEDICARE
MEDICARE MEDICARE HEALTH INSURANCE
MEDICARE HMO BLUECROSS BLUESHIELD OF TENNESSEE BLUEADVANTAGE
MEDICARE HMO none
NGH RISK MANAGEMENT none
OSCAR Insurance Company of Texas OSCAR
TENNCARE AMERIGROUP REALSOLUTIONS
TENNCARE UNITED HEALTHCARE COMMUNITY PLAN
TENNCARE BLUECARE TENNESSEE
TENNCARE TENNCARE SELECT
TRICARE EAST VA
TRICARE EAST VA
UNITED HEALTHCARE UNITED HEALTHCARE
UNITED HEALTHCARE AARP MEDICARE ADVANTAGE
UNITED HEALTHCARE UNITED HEALTHCARE STUDENT RESOURCES
UNITED HEALTHCARE DUAL COMPLETE UNITED HEALTHCARE DUAL COMPLETE (HMO D-SNP)
WELLCARE WELLCARE

Setting Up Payment Plans

The following matrix is used for initiating talks with the patient who cannot pay their healthcare bill in full and has demonstrated a need to make payments. Balances under $50 should be paid within 30 days of service.

↓ Income | Amt owed→ $50 - $500 $501- $1,000 $1001 & up
Less than 100% FPL $50 $60 $70
101% - 150% $50 $65 $85
151% - 200% $50 $70 $90
201% - 250% $55 $85 $100
250% - 300% $85 $110 $120
Over 300% $100 $170 $150

 

In all cases, minimum payment is $50/month; payments are accepted for up to 12 months with a balloon payment. If patient needs continued monthly payments, based on income & expenses at the end of 12 months, payments may be established for up to another 12 months at a lower rate than appears on the table. Documentation to substantiate the plan is required.

 

Billing agencies for both physician fee charges, and facility charges will utilize this guide to establish payment plans only if patient cannot pay in full or obtain financing for their bill.. Plans may be established at a lower rate if patient demonstrates a need for lower rates for the first 6 months, after which time payments will be reset based on updated application for extended payments.

Financial Assistance

Nashville General Hospital is committed to providing compassionate, comprehensive healthcare regardless of a patient’s ability to pay. The NGH charity program provides financial relief to Davidson County Residents who are unable to meet their financial obligations for eligible healthcare services provided at or authorized by Nashville General Hospital. Patients not qualifying for financial assistance will receive discounts on a sliding scale, and may be eligible for prompt pay and/or cash payment discounts.

Please call 615.341.4165 , Monday – Friday 8:00 a.m. – 4:00 pm., to schedule an appointment with a Financial Counselor today. For information about Nashville General Hospital’s eligibility guidelines for discounted and charity care:

Do you want to request pricing, make a payment or complete payment arrangements, or have a billing question? Call 615.341.4517 between 8:00 a.m. – 4:00 p.m., Monday – Friday. Or email us at billingquestions@nashvilleha.org.

Metro Healthcare Incentive Program

The Metro Employee Healthcare Incentive Program allows Metro employees, dependents and pensioners who participate in the Metro Benefits plan access to high quality healthcare without incurring out-of-pocket expenses — such as CIGNA co-insurance or BlueCross/BlueShield copays and deductibles. (If Medicare is the pensioner’s employee’s or dependent’s primary insurance, Federal law prohibits use of the Metro Healthcare Incentive Program.)

If you have any questions about this program, please contact:

**If you were seen at NGH or MMC and have questions regarding your BC/BS or Cigna Explanation of Benefits (EOB) or if you received a bill in error, please call 615-341-4200 or email us at billingquestions@nashvilleha.org.

Learn More about the Metro Employee Healthcare Incentive Program