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 |
|---|---|---|---|
|
William Travis Mccall
3601 The Vanderbilt Clinic |
$157.22 | 12 | 12 |
|
Margaret V. Lunde
3601 The Vanderbilt Clinic |
$208.05 | 12 | 12 |
|
Edward Oliver Parrella
3443 Dickerson Pike |
$246.83 | 12 | 12 |
|
Lauren B Widner
1211 Medical Center Dr |
$28.62 | 12 | 12 |
|
Annette E Kyzer
300 20Th Ave N |
$74.22 | 13 | 12 |
|
Lydia Dennis
3601 The Vanderbilt Clinic |
$114.49 | 13 | 12 |
|
David Paul Johnson
2200 Childrens Way |
$608.24 | 13 | 13 |
|
Jan Alexander Niec
2300 Patterson St |
$433.77 | 13 | 12 |
|
Edward Jeff Dinkins
4230 Harding Pike Ste 900 |
$356.85 | 13 | 12 |
|
James Eric Myers
222 22Nd Ave N |
$191.93 | 13 | 13 |
|
Alana James
2000 Church St |
$465.20 | 13 | 12 |
|
Kelsey Black Gastineau
3601 The Vanderbilt Clinic |
$1,001 | 13 | 12 |
|
Derek J Williams
2200 Childrens Way |
$581.79 | 13 | 12 |
|
Judson Robert Smith
2300 Patterson St |
$73.58 | 14 | 13 |
|
Navin Roger Prasad
2300 Patterson St |
$234.41 | 14 | 13 |
|
Peter Odell Kimbrell
2300 Patterson St |
$47.17 | 14 | 12 |
|
Robert Fitch
3601 Tvc |
$124.11 | 14 | 12 |
|
Frances Sf Thomason
3601 The Vanderbilt Clinic |
$56.53 | 14 | 14 |
|
Lynea Ibidun Bull
3601 The Vanderbilt Clinic |
$122.28 | 14 | 14 |
|
Daniel William Carmody
3601 The Vanderbilt Clinic |
$0.00 | 14 | 12 |
|
Matthew Aaron Solomon
3601 The Vanderbilt Clinic |
$223.02 | 14 | 12 |
|
James Antoon
3601 The Vanderbilt Clinic |
$226.60 | 14 | 13 |
|
Daniel J Milam
4230 Harding Pike |
$11.38 | 14 | 12 |
|
Angela Vu
391 Wallace Rd |
$257.08 | 14 | 14 |
|
Zachary David Hoy
330 23Rd Ave N |
$145.02 | 14 | 12 |
|
Barry S Grimm
3601 The Vanderbilt Clinic |
$459.79 | 14 | 12 |
|
Nicholas Andrew Flynn
2000 Church St Box 102 Ip Hospitalist Box 102Ip |
$302.58 | 15 | 13 |
|
Bryan K Ward
2010 Church St |
$142.64 | 15 | 12 |
|
Nicole L Schlechter
300 20Th Ave N |
$76.38 | 15 | 12 |
|
Bunyan Stephens Dudley
507 Sandpiper Cir |
$54.40 | 15 | 12 |
|
Laveil M Allen
3601 The Vanderbilt Clinic |
$296.37 | 15 | 14 |
|
Serena Vayda
2312 Elliston Pl |
$59.06 | 15 | 12 |
|
Jennifer Lynn Osborne
2221 Murphy Ave |
$301.34 | 15 | 15 |
|
Whitney Browning
3601 Tvc |
$613.29 | 15 | 15 |
|
Abigail Jones
601 Benton Ave |
$43.79 | 15 | 12 |
|
Matthew Thomas Grover
2000 Church St |
$68.22 | 16 | 15 |
|
Bryan Scott Overcarsh
3443 Dickerson Pike Ste 680 |
$0.00 | 16 | 13 |
|
Emma Jane Guidry
3601 The Vanderbilt Clinic |
$62.45 | 16 | 16 |
|
Thomas E Brittingham
300 20Th Ave N |
$500.99 | 17 | 12 |
|
Katelyn Stalter
3443 Dickerson Pike |
$72.79 | 17 | 15 |
|
Meral K El Ramahi
3601 The Vanderbilt Clinic |
$38.62 | 17 | 13 |
|
Lindsay Green
3601 The Vanderbilt Clinic |
$129.34 | 18 | 13 |
|
Brent Vaziri
3443 Dickerson Pike Ste 680 |
$81.26 | 18 | 12 |
|
Laura Ruth Garon
719 Thompson Ln Ste 30330 |
$41.84 | 18 | 15 |
|
Josie Lorraine Willis
3601 The Vanderbilt Clinic |
$182.33 | 19 | 18 |
|
Ryszard Dworski
3601 Tvc |
$124.07 | 19 | 13 |
|
Brian T Tinch
3601 The Vanderbilt Clinic |
$224.60 | 19 | 12 |
|
Lindsay Trantum
3601 The Vanderbilt Clinic |
$106.19 | 19 | 12 |
|
Ryan Patrick Hammond
510 Recovery Rd |
$235.79 | 19 | 17 |
|
Ayodeji Ayoola Oso
1005 Dr. D. B. Todd Blvd |
$20.23 | 19 | 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 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