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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Gallatin, TN: $100.84

Avg. Paid

$100.84

Range

$1.26 – $188.36

Total Claims

101,829

Providers

32

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 Gallatin, TN

Provider Avg. Paid Claims Patients
Steven T Riley

648 Hartsville Pike

 $157.42 19,154 18,466
Scott M Bradley

555 Hartsville Pike

 $80.63 11,086 10,518
Aubrey Delk

555 Hartsville Pike

 $91.79 10,262 9,035
Laura Kristen Lyons

555 Hartsville Pike

 $95.90 8,069 7,317
Christopher C Findley

555 Hartsville Pike

 $62.03 7,093 5,850
Susan Braunlin Geiger

555 Hartsville Pike

 $91.95 7,053 6,271
David Ludwell Lanier

555 Hartsville Pike

 $92.00 6,854 6,219
James Andrew Parnell

555 Hartsville Pike

 $96.28 6,807 6,150
Kimberly Plourde

555 Hartsville Pike

 $86.96 4,977 4,450
Eryn Calder Mahoney

555 Hartsville Pike

 $94.92 3,006 2,713
Maddison Gowder

555 Hartsville Pike

 $98.91 2,825 2,469
Geoffrey D Lifferth

555 Hartsville Pike

 $86.38 2,809 2,419
Taylor Walker

941 Bluejay Way

 $49.44 2,263 1,987
Jill Lawton Heavrin

555 Hartsville Pike

 $80.92 1,558 1,379
Lisa Cates

1156 Nashville Pike

 $188.36 1,255 1,146
Anna Marie Ferris

1483 Nashville Pike

 $37.85 1,247 1,107
Jessica Noelle Colon

1156 Nashville Pike

 $158.59 1,069 970
Christine Coleman

555 Hartsville Pike

 $89.51 887 788
Jason Andrew Adams

1156 Nashville Pike

 $52.96 653 270
Donald O. Ezuteh

300 Steam Plant Rd.

 $103.66 508 395
Robert Relic

110 Saint Blaise Rd Ste 200

 $48.02 470 444
Mohan Gounder

710 Nashville Pike Ste 103

 $123.43 365 287
Hermogenes P Battad

300 Steam Plant Rd

 $87.33 327 256
Jarrod Franklin Craig

300 Steam Plant Rd Ste 300

 $95.57 314 247
Madeline Elizabeth Clyde

555 Hartsville Pike

 $83.11 243 226
Emergency Physicians At Sumner Pllc

555 Hartsville Pike

 $1.26 231 183
Suzette Ann Denise Kilgore

555 Hartsville Pike

 $69.12 145 79
Matthew S King

555 Hartsville Pike

 $57.24 97 42
Kevin Childers

1156 Nashville Pike

 $49.76 85 64
Lauren Baughman Swartwood

253 W Main St Ste 731

 $36.27 64 57
Andrea Carolina Schaale

438 N Water Ave

 $56.30 31 31
Nichelle Irene Davey

1156 Nashville Pike

 $6.95 22 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 Gallatin, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Gallatin, TN is $100.84 per claim, based on 101,829 claims from 32 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 Gallatin, TN?

There are 32 Medicaid providers offering Emergency Room Visit related services in Gallatin, TN according to public payment data.

What is the price range for Emergency Room Visit in Gallatin, TN?

Medicaid reimbursement for Emergency Room Visit in Gallatin, TN ranges from $1.26 to $188.36 per claim, with an average of $100.84. 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 Gallatin, TN

Office Visit

Avg $40.54

388,382 claims

Dental Cleaning & Exam

Avg $30.26

153,814 claims

Vaccines & Immunizations

Avg $18.16

126,457 claims

Blood Work & Lab Tests

Avg $3.76

91,320 claims

Ambulance Transport

Avg $50.71

88,640 claims

Psychiatric Evaluation

Avg $70.81

75,442 claims

Nursing Facility Care

Avg $10.56

58,672 claims

Physical Therapy

Avg $21.85

55,556 claims