Average Medicaid Emergency Room Visit Payments in Franklin, TN: $96.27
Avg. Paid
$96.27
Range
$33.27 – $182.44
Total Claims
106,621
Providers
31
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 Franklin, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kyle D Kakac
1416 Willowbrooke Cir |
$118.29 | 14,576 | 12,735 |
|
Robert Alan Richter
1284 W Main St |
$100.30 | 14,343 | 12,706 |
|
April Peal
270 Pennystone Cir |
$106.80 | 9,996 | 8,872 |
|
Omar Louis Hamada
1062 Carlisle Ln |
$105.59 | 7,108 | 6,246 |
|
Luis Ivan Portilla
212 Padgett Ct |
$65.21 | 7,007 | 6,456 |
|
Patrick Martin
625 Bakers Bridge Ave Ste 101 |
$87.06 | 6,527 | 6,050 |
|
Steven Paul Ragle
2021 N Carothers Rd |
$78.84 | 6,099 | 5,262 |
|
Joanna Lucy Nyland-Henderson
131 Reliance Dr |
$103.97 | 5,885 | 5,400 |
|
Lindsey N Obert
Vanderbilt Walk-In Clinic |
$50.49 | 4,994 | 4,487 |
|
David W Schroeder
5965 Greenbriar Rd |
$115.54 | 3,771 | 3,215 |
|
William Donald Gibson
1113 Murfreesboro Rd Ste 319 |
$127.67 | 3,558 | 3,114 |
|
Joyesh Skaria Thomas
143 Se Parkway Ct |
$90.23 | 3,427 | 2,873 |
|
Tanner S Boyd
4321 Carothers Pkwy |
$101.05 | 2,856 | 2,555 |
|
James E Cleveland
2021 N Carothers Rd |
$113.74 | 2,415 | 2,161 |
|
Kristin Marie Orban
3000 Edward Curd Ln |
$47.68 | 2,179 | 1,948 |
|
Swati Greenfield
4321 Carothers Pkwy |
$91.54 | 2,172 | 1,950 |
|
Kathleen M Dodd
9040 Carothers Pkwy |
$98.21 | 2,042 | 1,741 |
|
Reagen Nolan Robinson
112 E Fowlkes St |
$182.44 | 1,687 | 1,588 |
|
Todd M Gee
3000 Edward Curd Ln |
$55.25 | 1,501 | 1,398 |
|
Jennifer Landis Ruff
4601 Carothers Pkwy Ste 375 |
$42.98 | 999 | 936 |
|
George J Cooper
4321 Carothers Pkwy |
$93.12 | 952 | 828 |
|
Kelly Lombardo
155 Covey Dr |
$50.56 | 674 | 604 |
|
Edward Elliott Iii
9039 Tarrington Ln |
$43.45 | 567 | 476 |
|
Janice Callahan
321 Billingsly Ct Ste 6 |
$42.80 | 551 | 440 |
|
Erin J. Leffel
4085 Mallory Ln Ste 200 |
$37.66 | 350 | 319 |
|
Frank P Molnar
2021 N Carothers Rd |
$52.39 | 117 | 101 |
|
Jon A Russell
2021 N Carothers Rd |
$135.03 | 102 | 97 |
|
Lucas E Wilmore
143 Se Parkway Ct |
$69.04 | 85 | 75 |
|
Tim G Scholl
4231 Carothers Parkway |
$64.16 | 40 | 37 |
|
Stephen Karim Lutzak
4323 Carothers Parkway |
$61.39 | 26 | 25 |
|
Christopher Adam Ruckman
311 White Moss Pl |
$33.27 | 15 | 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 Franklin, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Franklin, TN is $96.27 per claim, based on 106,621 claims from 31 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 Franklin, TN?
There are 31 Medicaid providers offering Emergency Room Visit related services in Franklin, TN according to public payment data.
What is the price range for Emergency Room Visit in Franklin, TN?
Medicaid reimbursement for Emergency Room Visit in Franklin, TN ranges from $33.27 to $182.44 per claim, with an average of $96.27. 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 Franklin, TN
Behavioral & Mental Health Therapy
Avg $92.87
1,141,017 claims
Case Management Services
Avg $20.09
930,698 claims
Office Visit
Avg $44.55
343,086 claims
Psychiatric Evaluation
Avg $68.99
272,378 claims
Speech Therapy
Avg $39.28
152,610 claims
Physical Therapy
Avg $34.84
136,334 claims
Blood Work & Lab Tests
Avg $3.63
121,647 claims
Dental Cleaning & Exam
Avg $29.23
118,480 claims