Average Medicaid Emergency Room Visit Payments in Sevierville, TN: $116.03
Avg. Paid
$116.03
Range
$30.23 – $539.07
Total Claims
161,635
Providers
26
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 Sevierville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anthony Heath Trent
709 Middle Creek Rd |
$113.70 | 29,124 | 25,171 |
|
Jerry Wayne Bradley
709 Middle Creek Rd |
$139.60 | 24,489 | 21,937 |
|
Elizabeth J Hull
742 Middle Creek Rd |
$118.73 | 15,444 | 13,681 |
|
Zeke Oliver
742 Middle Creek Rd |
$92.02 | 12,363 | 11,114 |
|
Steven C. Dronen
709 Middle Creek Rd |
$119.12 | 12,363 | 10,941 |
|
Mary Frances Dukes
742 Middle Creek Rd |
$174.79 | 9,231 | 8,479 |
|
Kenneth Neil Shaw
709 Middle Creek Rd |
$111.05 | 8,607 | 7,675 |
|
Benjamin Huston Murphy
742 Middle Creek Rd |
$163.91 | 7,707 | 7,058 |
|
Edmund Joseph Timpano
742 Middle Creek Rd |
$179.18 | 7,213 | 6,628 |
|
Charles J. Kochert
709 Middle Creek Rd |
$77.39 | 5,737 | 5,219 |
|
Carol R. Parks
3158 Smokies Edge Road |
$46.01 | 4,479 | 4,088 |
|
Jason Lynn Fee
742 Middle Creek Rd |
$57.77 | 4,116 | 3,921 |
|
Leconte Medical Center
742 Middle Creek Rd |
$99.83 | 3,393 | 2,865 |
|
Brian Douglas Clayton
742 Middle Creek Rd |
$55.25 | 3,241 | 3,099 |
|
Casey Oliver
742 Middle Creek Rd |
$58.94 | 2,889 | 2,632 |
|
Derek Wiggins
713 Winfield Dunn Pkwy Ste 9 |
$97.42 | 2,728 | 2,514 |
|
Taska L Morelock
742 Middle Creek Rd |
$57.69 | 2,626 | 2,426 |
|
Jill Suzanne Wall
742 Middlecreek Rd |
$54.09 | 1,963 | 1,580 |
|
James M Koerten
1102 Foxwood Dr |
$149.72 | 948 | 828 |
|
Shannon Ann Makin
1229 Fox Meadows Blvd Ste 2 |
$57.13 | 826 | 808 |
|
Renee Michelle Girouard
675 Middle Creek Rd |
$113.57 | 641 | 570 |
|
Robin A Swaggerty
1124 Fox Meadows Blvd |
$61.36 | 572 | 474 |
|
Cynthia M. Hutchins
709 Middle Creek Rd |
$60.91 | 568 | 508 |
|
David Wayne Sanford
502 Winfield Dunn Pkwy |
$52.05 | 244 | 239 |
|
Jennifer Dania Loveday
208 Prince St |
$30.23 | 109 | 73 |
|
John Busigin
742 Middle Creek Rd |
$539.07 | 14 | 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 Sevierville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sevierville, TN is $116.03 per claim, based on 161,635 claims from 26 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 Sevierville, TN?
There are 26 Medicaid providers offering Emergency Room Visit related services in Sevierville, TN according to public payment data.
What is the price range for Emergency Room Visit in Sevierville, TN?
Medicaid reimbursement for Emergency Room Visit in Sevierville, TN ranges from $30.23 to $539.07 per claim, with an average of $116.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Philadelphia, PA
Avg $135.52
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Other Procedures in Sevierville, TN
Office Visit
Avg $41.69
296,351 claims
Blood Work & Lab Tests
Avg $4.40
129,519 claims
Vaccines & Immunizations
Avg $17.59
82,534 claims
Ambulance Transport
Avg $41.88
80,259 claims
Dental Cleaning & Exam
Avg $29.79
74,855 claims
Physical Therapy
Avg $17.34
67,946 claims
Urinalysis & Urine Tests
Avg $2.42
63,354 claims
Durable Medical Equipment (DME)
Avg $15.92
55,857 claims