Average Medicaid Emergency Room Visit Payments in Cookeville, TN: $81.19
Avg. Paid
$81.19
Range
$31.79 – $249.55
Total Claims
122,449
Providers
46
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 Cookeville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Katelyn Marie Bond
1 Medical Center Blvd |
$57.14 | 16 | 15 |
|
Angela Cavanaugh Sharp
1 Medical Center Blvd |
$42.10 | 17 | 13 |
|
Joshua Allen Rodriguez
1 Medical Center Blvd |
$61.28 | 29 | 28 |
|
Idowu Osaretin Uzzi
1 Medical Center Blvd |
$67.20 | 37 | 28 |
|
Shauna Darlene Nunes
145 W 4Th St Ste 201 |
$39.42 | 46 | 25 |
|
Preston Burke
1 Medical Center Blvd |
$64.00 | 47 | 47 |
|
Christopher J Klugewicz
1 Medical Center Blvd |
$242.39 | 76 | 68 |
|
Anthony Efobi
1 Medical Center Blvd |
$75.77 | 90 | 71 |
|
Lori Ann Thomas-Steward
753 Humble Dr Ste B |
$231.74 | 120 | 107 |
|
Baron Vance Herford
1 Medical Center Blvd |
$152.08 | 123 | 107 |
|
Christina Marie Collins
562 W Main St |
$77.58 | 134 | 132 |
|
Jessica Marie Lemons
1 Medical Center Blvd |
$85.31 | 148 | 129 |
|
Robert A Comparin
1 Medical Center Blvd |
$194.75 | 155 | 150 |
|
Jerome Howell
1 Medical Center Blvd |
$66.71 | 156 | 145 |
|
Abdirahman Mohamed
1 Medical Center Blvd |
$249.55 | 161 | 150 |
|
Oluwaseyi David Adejorin
1 Medical Center Blvd |
$49.01 | 204 | 89 |
|
Robyn Elizabeth Maxwell
1 Medical Center Blvd |
$56.50 | 251 | 113 |
|
Wayne Russell Babcock
1 Medical Center Blvd |
$49.68 | 301 | 108 |
|
Hima B Kona
145 W 4Th St Ste 201 |
$70.41 | 342 | 97 |
|
Vijay A Rupanagudi
135 W 3Rd St |
$51.86 | 410 | 146 |
|
Luis R Urbina
145 W 4Th St Ste 201 |
$46.15 | 512 | 182 |
|
Lexie Nicolette Gabbard
165 Maple Valley Ln |
$36.87 | 606 | 453 |
|
Michael Goldblatt
1 Medical Center Blvd |
$34.60 | 645 | 214 |
|
Madison Spivey Carlisle
1 Medical Center Blvd |
$95.05 | 740 | 684 |
|
Danny J Strange
1 Medical Center Blvd |
$109.26 | 1,051 | 973 |
|
Rhiannon Michelle Voss
1 Medical Center Blvd |
$70.64 | 1,101 | 852 |
|
Shanna Creighton
317 N Hickory Ave |
$51.91 | 1,149 | 981 |
|
Shelby Lynn Van Epps
145 W 4Th St Ste 201 |
$75.06 | 1,376 | 1,254 |
|
Bernadette L Hee
145 W 4Th St Ste 201 |
$55.27 | 1,405 | 457 |
|
Rebekah Sprouse
1 Medical Center Blvd |
$38.47 | 2,130 | 584 |
|
Marianna Boyles Ballard
1 Medical Center Blvd |
$47.85 | 2,460 | 2,111 |
|
Sullivan K Smith
1 Medical Center Blvd |
$107.13 | 2,979 | 2,701 |
|
Pamela Shelton Dobbs
145 W 4Th St Ste 201 |
$65.87 | 2,990 | 2,763 |
|
Mark Allen Clapp
315 N Washington Ave |
$67.03 | 3,414 | 3,089 |
|
Julian Howard Fields
1080 Neal St |
$31.79 | 3,999 | 3,770 |
|
Aaron Luther Bennett
1 Medical Center Blvd |
$101.06 | 4,096 | 3,675 |
|
James Patrick Kelly
1 Medical Center Blvd |
$65.27 | 4,560 | 4,138 |
|
Bradley Maxwell
1 Medical Center Blvd |
$65.34 | 4,993 | 4,510 |
|
Christopher C Russell
1 Medical Center Blvd |
$68.55 | 6,280 | 5,732 |
|
Brian Samuel
1 Medical Center Blvd |
$66.26 | 6,490 | 6,053 |
|
William Robert Gailmard
1 Medical Center Blvd |
$91.18 | 6,559 | 5,948 |
|
Rebecca Jones
100 W 3Rd St |
$68.02 | 9,349 | 8,345 |
|
Louis Charles Frazier
1 Medical Center Blvd |
$152.10 | 10,021 | 8,557 |
|
Adam Jones
1 Medical Center Blvd |
$73.76 | 11,782 | 10,525 |
|
Melissa D Burgess
1 Medical Center Blvd |
$72.47 | 13,460 | 12,273 |
|
Robert E Paasche
1 Medical Center Blvd |
$98.88 | 15,439 | 13,546 |
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 Cookeville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Cookeville, TN is $81.19 per claim, based on 122,449 claims from 46 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 Cookeville, TN?
There are 46 Medicaid providers offering Emergency Room Visit related services in Cookeville, TN according to public payment data.
What is the price range for Emergency Room Visit in Cookeville, TN?
Medicaid reimbursement for Emergency Room Visit in Cookeville, TN ranges from $31.79 to $249.55 per claim, with an average of $81.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Philadelphia, PA
Avg $135.52
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Other Procedures in Cookeville, TN
Office Visit
Avg $38.32
1,005,828 claims
Home Health Visit
Avg $70.87
344,852 claims
Personal Care Services
Avg $124.74
336,719 claims
Vaccines & Immunizations
Avg $15.04
247,680 claims
Blood Work & Lab Tests
Avg $3.34
237,762 claims
Psychiatric Evaluation
Avg $39.29
214,740 claims
Ambulance Transport
Avg $28.54
201,109 claims
Dental Cleaning & Exam
Avg $29.79
194,191 claims