Billing & Insurance
Pricing Transparency
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 Shoppable Services. 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.
Surprise Billing
Congress enacted new consumer protections against surprise medical bills beginning January 1, 2022. The No Surprises Act (NSA) protects 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.
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.
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.
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:
- Financial Assistance, Credit, & Collections Policy 2022 (English)
- Financial Assistance, Credit, & Collections Policy 2022 (Spanish)
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.
Nashville Healthcare Incentive Program
The Nashville 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: Cathy Poole: cathy.poole@nashvilleha.org, 615-341-4082
**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.