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Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 11042
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Ascension Saint Thomas Hospital (Midtown + West) median $507 · local Medicare $390 · file 2026-01-01 | |||
| BCBS TN | $268 | 0.7× | 14 |
| Oscar | $536 | 1.4× | 2 |
| Select Specialty West | $478 | 1.2× | 1 |
| Smart Health | $536 | 1.4× | 2 |
| Ascension Saint Thomas Rutherford median $536 · local Medicare $390 · file 2026-01-01 | |||
| BCBS TN | $250 | 0.6× | 9 |
| Oscar | $536 | 1.4× | 1 |
| Smart Health | $536 | 1.4× | 1 |
| Vanderbilt Wilson County Hospital median $733 · local Medicare $390 · file 2025-10-01 | |||
| Aetna | $268 | 0.7× | 9 |
| BCBS TN | $268 | 0.7× | 11 |
| Cigna | $232 | 0.6× | 7 |
| Commonwealth Health | $861 | 2.2× | 1 |
| Hpi | $861 | 2.2× | 1 |
| Humana | $392 | 1.0× | 1 |
| Lucent | $861 | 2.2× | 1 |
| MedBen | $861 | 2.2× | 1 |
| Oscar | $235 | 0.6× | 3 |
| Partner Direct Health | $861 | 2.2× | 1 |
| UnitedHealthcare | $733 | 1.9× | 5 |
| Vanderbilt University Medical Center median $858 · local Medicare $390 · file 2025-10-01 | |||
| Aetna | $299 | 0.8× | 9 |
| BCBS TN | $299 | 0.8× | 11 |
| Cigna | $299 | 0.8× | 9 |
| Commonwealth Health | $868 | 2.2× | 1 |
| Hpi | $868 | 2.2× | 1 |
| Humana | $373 | 1.0× | 2 |
| Lucent | $868 | 2.2× | 1 |
| MedBen | $868 | 2.2× | 1 |
| Oscar | $235 | 0.6× | 5 |
| Partner Direct Health | $868 | 2.2× | 1 |
| UnitedHealthcare | $858 | 2.2× | 10 |
| TriStar Skyline Medical Center median $1,501 · local Medicare $390 · file 2026-09-01 | |||
| Aetna | $2,054 | 5.3× | 2 |
| BCBS TN | $1,501 | 3.8× | 2 |
| Bright Health | $1,028 | 2.6× | 2 |
| Oscar | $990 | 2.5× | 1 |
| UnitedHealthcare | $2,461 | 6.3× | 3 |
| TriStar Summit Medical Center median $1,501 · local Medicare $390 · file 2026-09-01 | |||
| Aetna | $2,054 | 5.3× | 2 |
| BCBS TN | $1,501 | 3.8× | 2 |
| Bright Health | $1,028 | 2.6× | 2 |
| Oscar | $990 | 2.5× | 1 |
| UnitedHealthcare | $2,662 | 6.8× | 2 |
| TriStar Hendersonville Medical Center median $1,572 · local Medicare $390 · file 2026-09-01 | |||
| Aetna | $2,054 | 5.3× | 2 |
| BCBS TN | $1,572 | 4.0× | 2 |
| Bright Health | $1,028 | 2.6× | 2 |
| Oscar | $990 | 2.5× | 1 |
| UnitedHealthcare | $2,662 | 6.8× | 2 |
| TriStar StoneCrest Medical Center median $1,572 · local Medicare $390 · file 2026-09-01 | |||
| Aetna | $2,054 | 5.3× | 2 |
| BCBS TN | $1,572 | 4.0× | 2 |
| Bright Health | $1,028 | 2.6× | 2 |
| Oscar | $990 | 2.5× | 1 |
| UnitedHealthcare | $2,662 | 6.8× | 2 |
CPT 11043
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Vanderbilt Wilson County Hospital median $733 · local Medicare $709 · file 2025-10-01 | |||
| Aetna | $653 | 0.9× | 12 |
| BCBS TN | $681 | 1.0× | 12 |
| Cigna | $697 | 1.0× | 12 |
| Commonwealth Health | $1,319 | 1.9× | 1 |
| Hpi | $1,319 | 1.9× | 1 |
| Humana | $600 | 0.8× | 1 |
| Lucent | $1,319 | 1.9× | 1 |
| MedBen | $1,319 | 1.9× | 1 |
| MultiPlan/PHCS (rental network) | $649 | 0.9× | 1 |
| Oscar | $423 | 0.6× | 3 |
| Partner Direct Health | $1,319 | 1.9× | 1 |
| UnitedHealthcare | $733 | 1.0× | 5 |
| Ascension Saint Thomas Rutherford median $821 · local Medicare $709 · file 2026-01-01 | |||
| BCBS TN | $496 | 0.7× | 9 |
| Oscar | $821 | 1.2× | 1 |
| Smart Health | $821 | 1.2× | 1 |
| Ascension Saint Thomas Hospital (Midtown + West) median $821 · local Medicare $709 · file 2026-01-01 | |||
| BCBS TN | $532 | 0.8× | 14 |
| Cigna | $3,284 | 4.6× | 1 |
| Oscar | $821 | 1.2× | 2 |
| Select Specialty West | $733 | 1.0× | 1 |
| Smart Health | $821 | 1.2× | 2 |
| Vanderbilt University Medical Center median $858 · local Medicare $709 · file 2025-10-01 | |||
| Aetna | $653 | 0.9× | 12 |
| BCBS TN | $681 | 1.0× | 12 |
| Cigna | $837 | 1.2× | 17 |
| Commonwealth Health | $1,330 | 1.9× | 1 |
| Hpi | $1,330 | 1.9× | 1 |
| Humana | $587 | 0.8× | 2 |
| Lucent | $1,330 | 1.9× | 1 |
| MedBen | $1,330 | 1.9× | 1 |
| MultiPlan/PHCS (rental network) | $649 | 0.9× | 1 |
| Oscar | $423 | 0.6× | 5 |
| Partner Direct Health | $1,330 | 1.9× | 1 |
| UnitedHealthcare | $858 | 1.2× | 10 |
| TriStar Skyline Medical Center median $1,828 · local Medicare $709 · file 2026-09-01 | |||
| Aetna | $2,054 | 2.9× | 2 |
| BCBS TN | $1,601 | 2.3× | 2 |
| Bright Health | $1,028 | 1.4× | 2 |
| Cigna | $3,536 | 5.0× | 2 |
| Oscar | $990 | 1.4× | 1 |
| UnitedHealthcare | $2,461 | 3.5× | 3 |
| TriStar Summit Medical Center median $1,828 · local Medicare $709 · file 2026-09-01 | |||
| Aetna | $2,054 | 2.9× | 2 |
| BCBS TN | $1,601 | 2.3× | 2 |
| Bright Health | $1,028 | 1.4× | 2 |
| Cigna | $3,536 | 5.0× | 2 |
| Oscar | $990 | 1.4× | 1 |
| UnitedHealthcare | $2,747 | 3.9× | 3 |
| TriStar Hendersonville Medical Center median $1,863 · local Medicare $709 · file 2026-09-01 | |||
| Aetna | $2,054 | 2.9× | 2 |
| BCBS TN | $1,672 | 2.4× | 2 |
| Bright Health | $1,028 | 1.4× | 2 |
| Cigna | $3,536 | 5.0× | 2 |
| Oscar | $990 | 1.4× | 1 |
| UnitedHealthcare | $2,747 | 3.9× | 3 |
| TriStar StoneCrest Medical Center median $1,863 · local Medicare $709 · file 2026-09-01 | |||
| Aetna | $2,054 | 2.9× | 2 |
| BCBS TN | $1,672 | 2.4× | 2 |
| Bright Health | $1,028 | 1.4× | 2 |
| Cigna | $3,536 | 5.0× | 2 |
| Oscar | $990 | 1.4× | 1 |
| UnitedHealthcare | $2,747 | 3.9× | 3 |
Questions
How much does wound debridement cost with commercial insurance in Nashville TN?
8 Nashville TN hospitals post usable commercial rates for CPT 11042, hospital outpatient. The median across hospitals is $1,180; hospital medians range from $507 to $1,572. Your cost depends on your plan's deductible and coinsurance.