Average Medicaid Emergency Room Visit Payments in Lebanon, TN: $117.54
Avg. Paid
$117.54
Range
$0.00 – $259.73
Total Claims
62,947
Providers
17
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 Lebanon, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey Fleming Livingston
1411 W Baddour Pkwy |
$164.22 | 15,726 | 14,236 |
|
Clark E Archer
1411 W Baddour Pkwy |
$153.82 | 14,143 | 12,475 |
|
Karen L Oldham
2395 Cedar Grove Rd |
$74.19 | 12,364 | 10,872 |
|
Keely Elaine Metzger
1430 W Baddour Pkwy |
$59.27 | 4,803 | 4,481 |
|
John Laurence Butcher
1411 W Baddour Pkwy |
$156.32 | 4,531 | 4,434 |
|
Brandon Saunders
1420 W Baddour Pkwy Ste 240 |
$59.07 | 2,845 | 2,614 |
|
Keith T Winfree
1407 W Baddour Pkwy |
$54.55 | 2,471 | 2,316 |
|
Margaret Hadley
1029 W Main St |
$84.75 | 1,951 | 1,819 |
|
Keri Lynn Raymond
1423 W Baddour Pkwy |
$62.90 | 1,371 | 1,316 |
|
Amanda Curtis
1411 W Baddour Pkwy |
$54.07 | 1,066 | 982 |
|
Angela Hanson
576 Nokes Rd |
$56.54 | 574 | 534 |
|
Nancye R. Haley
1411 W Baddour Pkwy |
$86.35 | 504 | 463 |
|
John David Baloun
1411 W Baddour Pkwy |
$39.68 | 430 | 416 |
|
Willard F Gailbreath
1420 W Baddour Pkwy Ste 100 |
$84.44 | 75 | 70 |
|
Lauren Uichanco
1411 W Baddour Pkwy |
$259.73 | 63 | 53 |
|
Rene Valiente Aguirre
1411 W Baddour Pkwy |
$0.00 | 17 | 13 |
|
Stephen Harmon Claycomb
1029 W Main St |
$222.67 | 13 | 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 Lebanon, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Lebanon, TN is $117.54 per claim, based on 62,947 claims from 17 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 Lebanon, TN?
There are 17 Medicaid providers offering Emergency Room Visit related services in Lebanon, TN according to public payment data.
What is the price range for Emergency Room Visit in Lebanon, TN?
Medicaid reimbursement for Emergency Room Visit in Lebanon, TN ranges from $0.00 to $259.73 per claim, with an average of $117.54. 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 Lebanon, TN
Office Visit
Avg $38.42
343,010 claims
Vaccines & Immunizations
Avg $13.12
136,090 claims
Dental Cleaning & Exam
Avg $29.97
103,308 claims
Physical Therapy
Avg $33.88
90,978 claims
Speech Therapy
Avg $39.74
87,857 claims
Blood Work & Lab Tests
Avg $3.15
81,997 claims
Ambulance Transport
Avg $44.61
62,162 claims
Non-Emergency Medical Transportation
Avg $4.83
42,341 claims