Skip to content
Based on public Medicaid payment data.

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

Other Procedures in Nashville, TN