Average Medicaid Emergency Room Visit Payments in Nashville, TN: $115.01
Avg. Paid
$115.01
Range
$0.00 – $1,001
Total Claims
1,887,270
Providers
731
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 Nashville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher C. Rone
3601 The Vanderbilt Clinic |
$77.94 | 26,357 | 23,133 |
|
Mark Meredith
3601 Tvc |
$157.82 | 25,035 | 24,250 |
|
Swathi Eyyunni
2200 Childrens Way |
$147.78 | 20,907 | 19,600 |
|
Mark T. Byram
2300 Patterson St |
$151.24 | 18,667 | 16,588 |
|
Jonathan Caleb King
3441 Dickerson Pike |
$132.62 | 18,115 | 15,758 |
|
Nkemka Ezeamama
3443 Dickerson Pike |
$129.94 | 17,768 | 15,619 |
|
Rebecca Elaine Sokel Kidd
3601 The Vanderbilt Clinic |
$140.85 | 16,687 | 15,461 |
|
William Leon
3601 The Vanderbilt Clinic |
$87.16 | 16,496 | 14,357 |
|
Drew Flansbaum
3601 The Vanderbilt Clinic |
$151.50 | 16,443 | 14,775 |
|
James Andrew Cusser
1 Park Plz |
$117.55 | 16,407 | 15,585 |
|
Steven Katz
3601 The Vanderbilt Clinic |
$157.23 | 16,219 | 14,483 |
|
Evan Hawkins Allie
2220 Patterson Street |
$163.97 | 15,615 | 15,052 |
|
Heather Marie Barnett
3441 Dickerson Pike |
$138.72 | 15,611 | 13,589 |
|
Joshua Grahe
3601 The Vanderbilt Clinic |
$139.96 | 15,178 | 14,374 |
|
Daisy Adele Ciener
2200 Childrens Way Ste 1014 |
$146.46 | 15,086 | 14,032 |
|
Maxwell C Hill
2601 Tvc |
$116.24 | 14,854 | 14,124 |
|
Gary Duane Singer
2300 Patterson St |
$93.49 | 14,547 | 12,838 |
|
Nicholas Jesse Strane
3601 The Vanderbilt Clinic |
$138.16 | 14,121 | 12,681 |
|
Michael L Hasty
2300 Patterson St |
$135.57 | 14,091 | 12,080 |
|
Nicholas Edward Jones
2200 Childrens Way Ste 1025 |
$144.69 | 13,939 | 13,109 |
|
James Kyle Moore
5501B New York Ave |
$143.83 | 13,487 | 11,897 |
|
Jacob Richard Radford
3443 Dickerson Pike Ste 310 |
$139.96 | 13,422 | 11,645 |
|
David Joseph Pillus
2000 Church St |
$91.64 | 13,409 | 12,245 |
|
Kevin Bradbury Oothout
391 Wallace Rd |
$67.33 | 13,181 | 11,627 |
|
James Robert Myer
2000 Church St |
$79.58 | 13,150 | 11,716 |
|
William Bryan Glover
3441 Dickerson Pike |
$140.08 | 13,132 | 11,376 |
|
Michele M Walsh
3601 Tvc |
$129.18 | 12,852 | 12,159 |
|
Jaime Kaye Otillio
3601 The Vanderbilt Clinic |
$134.65 | 12,797 | 11,976 |
|
Tucker Anderson
3601 The Vanderbilt Clinic |
$147.75 | 12,686 | 11,961 |
|
Sheila Mcmorrow
3601 Tvc |
$152.25 | 12,364 | 11,871 |
|
Mary Lashanda Vanlier
2226A Cabin Hill Rd |
$164.47 | 12,308 | 11,027 |
|
Andrew Wheeler
3601 The Vanderbilt Clinic |
$78.43 | 12,214 | 10,895 |
|
Charles E Fredericks
2000 Church St |
$81.44 | 12,129 | 10,687 |
|
Emily N. Robinson
3601 The Vanderbilt Clinic |
$87.06 | 12,125 | 11,129 |
|
John D Pitt
3601 The Vanderbilt Clinic |
$114.83 | 11,995 | 10,644 |
|
Todd Arkava
3441 Dickerson Pike |
$148.62 | 11,889 | 10,445 |
|
Debra Leigh Holp
3441 Dickerson Pike |
$143.43 | 11,811 | 10,790 |
|
Jamie Nichole Deis
3601 Tvc |
$132.41 | 11,453 | 10,749 |
|
Ursula Denise Norfleet
1818 Albion St |
$102.38 | 11,354 | 9,419 |
|
Erik Byron Motsenbocker
341 Wallace Rd |
$94.95 | 11,330 | 9,441 |
|
Robert W Robinson
2000 Church St |
$81.25 | 11,278 | 9,964 |
|
Emily Fain
3601 The Vanderbilt Clinic |
$142.66 | 11,140 | 10,531 |
|
Kevin H Beier
1900 Church St |
$92.03 | 11,133 | 10,089 |
|
William C Wooster
3601 The Vanderbilt Clinic |
$144.13 | 11,035 | 9,728 |
|
Robert Scott Frankenfield
3601 The Vanderbilt Clinic |
$106.97 | 11,033 | 9,597 |
|
Nicholas Higby
2200 Childrens Way |
$126.15 | 10,859 | 10,155 |
|
Haley Marie Polhill
2200 Patterson St |
$158.83 | 10,769 | 10,294 |
|
David Christopher Adams-Chunn
4220 Harding Pike |
$78.41 | 10,749 | 9,349 |
|
Kelly W Woods
3441 Dickerson Pike |
$147.00 | 10,378 | 9,065 |
|
Megan Frances Malik
3601 Tvc |
$151.38 | 10,355 | 9,640 |
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 Nashville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Nashville, TN is $115.01 per claim, based on 1,887,270 claims from 731 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 Nashville, TN?
There are 731 Medicaid providers offering Emergency Room Visit related services in Nashville, TN according to public payment data.
What is the price range for Emergency Room Visit in Nashville, TN?
Medicaid reimbursement for Emergency Room Visit in Nashville, TN ranges from $0.00 to $1,001 per claim, with an average of $115.01. 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 Nashville, TN
Blood Work & Lab Tests
Avg $8.25
7,785,390 claims
Case Management Services
Avg $197.77
5,117,343 claims
Office Visit
Avg $46.51
4,188,840 claims
X-Ray
Avg $6.44
1,428,718 claims
Vaccines & Immunizations
Avg $12.95
1,374,325 claims
Urinalysis & Urine Tests
Avg $2.86
953,202 claims
Psychiatric Evaluation
Avg $58.51
924,083 claims
Non-Emergency Medical Transportation
Avg $4.97
909,897 claims