Average Medicaid Emergency Room Visit Payments in Hermitage, TN: $136.86
Avg. Paid
$136.86
Range
$5.85 – $233.17
Total Claims
69,500
Providers
27
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 Hermitage, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roderick Bahner
5655 Frist Blvd |
$160.71 | 14,075 | 12,557 |
|
John M Pope
5225 Old Hickory Boulevard |
$133.55 | 13,493 | 11,886 |
|
Brandon Davis Lokey
5655 Frist Blvd |
$158.24 | 8,826 | 7,886 |
|
Leslie Lenning
5655 Frist Blvd |
$159.43 | 8,722 | 7,706 |
|
Chelsea Douglas
5565 Frist Boulevard |
$60.63 | 5,858 | 5,358 |
|
William Jackson Taylor
5655 Frist Blvd |
$129.36 | 4,982 | 4,314 |
|
Bradley Hoover
5655 Frist Blvd |
$162.33 | 2,038 | 1,876 |
|
Bryan Sharpe
5655 Frist Blvd |
$167.56 | 1,942 | 1,751 |
|
David Lien
5655 Frist Blvd |
$179.16 | 1,794 | 1,642 |
|
Barrett D Conner
5651 Frist Blvd Ste 213 |
$58.80 | 1,692 | 549 |
|
Jeff Greenlee
5655 Frist Blvd |
$163.29 | 1,531 | 1,376 |
|
Jeremy Krider
5655 Frist Blvd |
$48.66 | 1,386 | 1,170 |
|
Charles Reed Burk
5655 Frist Blvd |
$94.53 | 676 | 610 |
|
Leonard Anderson Walker
5655 Frist Blvd |
$82.09 | 599 | 532 |
|
Hca Health Services Of Tennessee, Inc.
5655 Frist Blvd |
$184.57 | 366 | 283 |
|
Alma Victoria Sellers
1426 Riverbrook Dr |
$49.95 | 318 | 285 |
|
Cynthia Renee' Williams
3901 Central Pike Ste 500 |
$38.26 | 284 | 260 |
|
Rene Massaro
4402 Lebanon Pike |
$20.57 | 277 | 188 |
|
Janet Loch-Donahue
5655 Frist Blvd |
$133.40 | 197 | 138 |
|
Angela Lyn Collins
5651 Frist Blvd |
$5.85 | 175 | 173 |
|
Daniel Todd Penick
5651 Frist Blvd Ste 309 |
$68.30 | 105 | 94 |
|
Arman M Hakimian
5653 Frist Blvd |
$233.17 | 43 | 39 |
|
Demeka Yvette Campbell
5655 Frist Blvd |
$105.36 | 35 | 26 |
|
Two Rivers Emergency Physicians Pllc
5655 Frist Blvd |
$29.05 | 29 | 12 |
|
Ronald C Rentuza
5653 Frist Blvd |
$77.28 | 26 | 17 |
|
Ronak Navin Shah
5653 Frist Blvd Ste 236 |
$62.67 | 16 | 12 |
|
Tommy Albert Wood
5651 Frist Blvd Ste 309 |
$83.13 | 15 | 13 |
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 Hermitage, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Hermitage, TN is $136.86 per claim, based on 69,500 claims from 27 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 Hermitage, TN?
There are 27 Medicaid providers offering Emergency Room Visit related services in Hermitage, TN according to public payment data.
What is the price range for Emergency Room Visit in Hermitage, TN?
Medicaid reimbursement for Emergency Room Visit in Hermitage, TN ranges from $5.85 to $233.17 per claim, with an average of $136.86. 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 Hermitage, TN
Office Visit
Avg $39.12
250,984 claims
Blood Work & Lab Tests
Avg $2.10
97,053 claims
Vaccines & Immunizations
Avg $20.37
80,954 claims
Dental Cleaning & Exam
Avg $34.26
67,780 claims
Physical Therapy
Avg $18.23
66,357 claims
Home Health Visit
Avg $85.83
60,669 claims
Personal Care Services
Avg $134.36
55,918 claims
EKG / ECG (Electrocardiogram)
Avg $3.82
53,397 claims