Average Medicaid Emergency Room Visit Payments in Bristol, TN: $115.41
Avg. Paid
$115.41
Range
$17.01 – $151.14
Total Claims
155,283
Providers
30
Typical Payment Range
Typical Medicaid Emergency Room Visit payments fall between $56.00 and $114.21 per claim (median: $78.41). The top 10% of payments exceed $164.43.
Based on per-provider averages across all Medicaid claims in this category.
Emergency department visits for urgent and emergency medical care. Costs vary significantly based on severity level and treatments needed.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Emergency Room Visit in Bristol, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wellmont Health System
1 Medical Park Blvd |
$151.14 | 52,506 | 45,233 |
|
J Scott Ries
504 Old Jonesboro Road |
$105.63 | 17,697 | 14,339 |
|
Miranda Nicole Moretz
1 Medical Park Blvd |
$110.61 | 9,096 | 8,070 |
|
Gregory A Gerlock
1 Medical Park Blvd |
$100.76 | 8,353 | 7,528 |
|
Bruce N Gibbon
1 Medical Park Blvd |
$106.12 | 7,796 | 6,956 |
|
John M Woodard
1 Medical Park Blvd |
$106.85 | 7,335 | 6,716 |
|
Benjamin Altman
1 Medical Park Blvd |
$106.12 | 7,221 | 6,439 |
|
Jesse Jeffrey Matteson
208 Medical Park Blvd |
$108.78 | 6,527 | 5,705 |
|
James A Luna
1 Medical Park Blvd |
$100.95 | 6,138 | 5,360 |
|
Kenneth E Turner
1 Medical Park Blvd |
$110.54 | 4,822 | 4,257 |
|
Laura Scieszka
1 Medical Park Blvd |
$134.78 | 4,443 | 4,046 |
|
Thomas C Greene
1 Medical Park Blvd |
$55.12 | 4,337 | 3,970 |
|
Craig S Graul
104 Manchester Pl |
$67.81 | 4,319 | 4,066 |
|
Northeast Tennessee Emergency Physicians Pc
1 Medical Park Blvd |
$59.21 | 4,092 | 3,639 |
|
Jessica Dawn Anderson
1 Medical Park Blvd |
$62.46 | 2,418 | 2,277 |
|
Amanda Rae Marshall
1 Medical Park Blvd |
$63.24 | 2,156 | 1,986 |
|
Maggie Keshia Mullins
1 Medical Park Blvd |
$65.05 | 1,806 | 1,708 |
|
Tiffany Atkins
1 Medical Park Blvd |
$51.68 | 1,240 | 1,108 |
|
Makram Adel Jurdi
1 Medical Park Blvd |
$17.01 | 571 | 489 |
|
Steven T Parrish
1 Medical Park Blvd |
$59.69 | 426 | 387 |
|
Ahmad Albalbissi
1 Medical Park Blvd Ste 205E |
$88.93 | 403 | 118 |
|
Amber Moss
240 Medical Park Blvd Ste 3000 |
$71.13 | 371 | 352 |
|
Robert M Coleman
3053 W State St |
$29.41 | 332 | 248 |
|
Girendra V Hoskere
1 Medical Park Blvd Ste 205E |
$70.27 | 189 | 63 |
|
Mohmad Haneef Tantary
1 Medical Park Blvd |
$122.62 | 169 | 49 |
|
Gabriel Alberto Zaietta
271 Medical Park Blvd |
$97.50 | 168 | 64 |
|
Roger J Mcsharry
271 Medical Park Blvd |
$74.58 | 150 | 66 |
|
Karl E Lawrence
1 Medical Park Blvd |
$92.87 | 145 | 126 |
|
Robin Malinda Butler
1 Medical Park Blvd |
$68.36 | 45 | 44 |
|
Priscilla A Lowe
1 Medical Park Blvd |
$41.65 | 12 | 12 |
What to Expect: Emergency Room Visit
Emergency room visits begin with triage, where your condition is assessed to determine urgency. Wait times vary from minutes to hours depending on severity. You'll be seen by an ER physician who may order tests, imaging, or procedures. Costs include the facility fee, physician fee, and any tests or treatments. Most ER visits last 2-6 hours.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99284 | ER visit high severity | $118.05 | 170,705,529 | 95,397 |
| 99283 | ER visit moderate severity | $106.85 | 157,926,994 | 92,923 |
| 99285 | ER visit high sev w/threat | $136.01 | 111,002,396 | 79,755 |
| 99282 | ER visit low severity | $104.38 | 24,203,945 | 35,900 |
| 99291 | Critical care first 30-74 min | $120.48 | 10,902,745 | 28,076 |
| 99281 | ER visit minor problem | $92.67 | 8,018,086 | 9,327 |
| 99292 | Critical care each addl 30 min | $72.51 | 273,485 | 1,267 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Emergency Room Visit cost in Bristol, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Bristol, TN is $115.41 per claim, based on 155,283 claims from 30 providers. Typical payments fall between $56.00 and $114.21. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Emergency Room Visit in Bristol, TN?
There are 30 Medicaid providers offering Emergency Room Visit related services in Bristol, TN according to public payment data.
What is the price range for Emergency Room Visit in Bristol, TN?
Medicaid reimbursement for Emergency Room Visit in Bristol, TN ranges from $17.01 to $151.14 per claim, with an average of $115.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
4,694,783 claims · 272 providers
Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
4,304,161 claims · 851 providers
Indianapolis, IN
Avg $116.65
4,172,341 claims · 898 providers
New York, NY
Avg $130.02
3,905,512 claims · 1591 providers
Columbus, OH
Avg $98.63
3,813,295 claims · 929 providers
Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Bristol, TN
Office Visit
Avg $43.50
445,419 claims
Blood Work & Lab Tests
Avg $3.93
177,679 claims
X-Ray
Avg $6.72
157,014 claims
Dental Cleaning & Exam
Avg $26.30
129,685 claims
Psychiatric Evaluation
Avg $57.71
106,590 claims
Ambulance Transport
Avg $22.30
99,733 claims
CT Scan (Computed Tomography)
Avg $62.17
70,288 claims
Vaccines & Immunizations
Avg $15.13
54,578 claims