Average Medicaid Emergency Room Visit Payments in Oak Ridge, TN: $107.06
Avg. Paid
$107.06
Range
$0.00 – $195.11
Total Claims
77,770
Providers
18
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 Oak Ridge, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ryan Chris Moellenkamp
90 Vermont Ave Ste 300 |
$88.07 | 17,140 | 15,890 |
|
James Alex Eppert
990 Oak Ridge Tpke |
$107.84 | 12,298 | 10,980 |
|
Erik Christian Petersen
990 Oak Ridge Tpke |
$100.67 | 12,179 | 10,596 |
|
John Philip Mesmer
990 Oak Ridge Tpke |
$106.63 | 9,464 | 7,920 |
|
Jeffrey M. Zurosky
990 Oak Ridge Tpke |
$110.80 | 8,930 | 7,570 |
|
Elizabeth Ann Rees
990 Oak Ridge Tpke |
$195.11 | 8,538 | 7,457 |
|
Joel Hayes
801 Oak Ridge Tpke |
$51.77 | 4,069 | 3,772 |
|
John Michael Norman
990 Oak Ridge Tpke |
$72.52 | 1,507 | 1,313 |
|
Robert W. Cummings
990 Oak Ridge Tpke |
$61.34 | 1,316 | 1,229 |
|
David W Drum
160A W Tennessee Ave |
$83.17 | 674 | 646 |
|
Jacob Martin Agner
990 Oak Ridge Tpke |
$191.79 | 375 | 356 |
|
George Alden Swanson
990 Oak Ridge Tpke |
$58.96 | 332 | 79 |
|
Daniel F Niendorff
990 Oak Ridge Tpke |
$71.44 | 316 | 145 |
|
Charles J. Mascioli
990 Oak Ridge Tpke |
$46.25 | 310 | 146 |
|
Terry L Hallwachs
988 Oak Ridge Tpke |
$42.64 | 126 | 121 |
|
Jennifer A. Mozingo
990 Oak Ridge Tpke |
$49.88 | 123 | 107 |
|
Gordon Scott Shafer
116 E Division Rd |
$49.93 | 57 | 51 |
|
Ryan Conway Wassenaar
990 Oak Ridge Tpke |
$0.00 | 16 | 14 |
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 Oak Ridge, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Oak Ridge, TN is $107.06 per claim, based on 77,770 claims from 18 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 Oak Ridge, TN?
There are 18 Medicaid providers offering Emergency Room Visit related services in Oak Ridge, TN according to public payment data.
What is the price range for Emergency Room Visit in Oak Ridge, TN?
Medicaid reimbursement for Emergency Room Visit in Oak Ridge, TN ranges from $0.00 to $195.11 per claim, with an average of $107.06. 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 Oak Ridge, TN
Office Visit
Avg $40.42
437,896 claims
Behavioral & Mental Health Therapy
Avg $73.71
149,606 claims
Case Management Services
Avg $0.34
130,053 claims
Blood Work & Lab Tests
Avg $6.78
127,739 claims
Psychiatric Evaluation
Avg $50.51
97,308 claims
Durable Medical Equipment (DME)
Avg $18.70
80,429 claims
Dental Cleaning & Exam
Avg $25.00
76,660 claims
X-Ray
Avg $5.96
56,905 claims