Cost of a ER Visit (Moderate) Visit
in Tennessee
Reviewed by Momentary Medical Group West PC
Tennessee's healthcare market features approximately 3,022 active ER Visit (Moderate) providers across the state, reflecting the region's robust emergency care infrastructure. Patients seeking a moderate-severity ER Visit typically pay between $85 and $187, with a median out-of-pocket cost of $114 based on negotiated insurance rates. With Tennessee's costs running about 4% below national averages, patients can browse all providers throughout the state to find quality emergency care at competitive rates.
Average
$128
Median
$114
Lowest
$85
Highest
$187
Providers
3,022
10% below national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Tennessee?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $51 | $69 | $105 | 2,966 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $85 | $168 | $259 | 2,999 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99284 — Emergency department visit, moderate severity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99284 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99284 (Emergency department visit, moderate severity), as mandated by the CMS Price Transparency Rule.
What CPT 99284 covers: the provider's professional fee for er visit (moderate severity). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top-Rated Hospitals in Tennessee
These hospitals in Tennessee are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
MOUNTAIN HOME, TN
MANCHESTER, TN
HUNTINGDON, TN
FRANKLIN, TN
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why ER Visit (Moderate) Visit Costs Vary Across Tennessee
Tennessee's healthcare costs run approximately 4% below national averages, reflecting the state's lower cost of living and competitive provider market across both urban centers and rural communities. The state's mix of major metropolitan areas like Nashville and Memphis alongside extensive rural regions creates distinct pricing patterns for emergency care services.
Urban vs. Rural Provider Availability
Tennessee's emergency care access varies significantly between metropolitan Nashville and Memphis versus rural counties in East and West Tennessee, where fewer facilities serve larger geographic areas. Urban emergency departments typically handle higher volumes and may offer specialized services, while rural hospitals often operate smaller emergency departments with different cost structures. This geographic distribution affects both availability and pricing, with rural areas sometimes facing higher per-visit costs due to lower patient volumes.
Facility Type and Overhead Costs
Hospital-based emergency departments in Tennessee generally carry higher facility fees compared to independent urgent care centers that handle moderate-severity cases. Major health systems like Vanderbilt University Medical Center, HCA Healthcare facilities, and Methodist Le Bonheur Healthcare operate numerous emergency departments with varying cost structures throughout the state. These large systems often have higher overhead costs but may offer more comprehensive emergency services and specialized capabilities.
Insurance Market Competition in Tennessee
Tennessee's insurance market features moderate competition among BlueCross BlueShield of Tennessee, UnitedHealthcare, and Cigna, with BCBS Tennessee maintaining significant market share as the dominant regional insurer. This competitive landscape helps keep emergency care costs relatively controlled, as insurers negotiate rates with the state's major health systems. The presence of multiple insurers creates opportunities for patients to compare coverage options and find plans with favorable emergency room benefits.
Physician Supply and Demand in Tennessee
With approximately 3,022 active ER Visit (Moderate) providers throughout Tennessee, the state maintains adequate emergency physician coverage relative to its population of 6.9 million residents. This provider supply suggests a balanced market without significant shortages that might drive up emergency care costs. The concentration of emergency medicine residency programs at institutions like Vanderbilt and University of Tennessee helps maintain a steady pipeline of trained emergency physicians for the state's needs.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — ER Visit (Moderate) Costs in Tennessee
What is the average cost of a ER Visit (Moderate) visit in Tennessee without insurance?
Does Tennessee Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Tennessee?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a ER Visit (Moderate) visit in Tennessee?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Tennessee?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99284)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $647 | $311 |
| 2 | Illinois Range: $80 – $431 | $223 |
| 3 | Iowa Range: $80 – $371 | $205 |
| 4 | New Hampshire Range: $102 – $307 | $202 |
| 5 | Pennsylvania Range: $55 – $431 | $191 |
| 6 | New York Range: $67 – $374 | $183 |
| 7 | Rhode Island Range: $62 – $374 | $177 |
| 8 | Maine Range: $116 – $233 | $172 |
| 9 | Massachusetts Range: $62 – $368 | $170 |
| 10 | Nebraska Range: $83 – $291 | $165 |
| 11 | Washington Range: $80 – $259 | $161 |
| 12 | Michigan Range: $80 – $291 | $158 |
| 13 | New Mexico Range: $85 – $266 | $158 |
| 14 | Wyoming Range: $85 – $262 | $157 |
| 15 | Colorado Range: $80 – $267 | $157 |
| 16 | Vermont Range: $80 – $257 | $156 |
| 17 | Georgia Range: $84 – $246 | $151 |
| 18 | California Range: $80 – $258 | $142 |
| 19 | Indiana Range: $80 – $258 | $142 |
| 20 | Kentucky Range: $70 – $246 | $140 |
| 21 | North Carolina Range: $80 – $231 | $139 |
| 22 | District of Columbia Range: $80 – $217 | $138 |
| 23 | West Virginia Range: $62 – $174 | $137 |
| 24 | Utah Range: $80 – $228 | $135 |
| 25 | Maryland Range: $80 – $206 | $132 |
| 26 | New Jersey Range: $60 – $237 | $131 |
| 27 | Hawaii Range: $80 – $217 | $130 |
| 28 | Arkansas Range: $80 – $194 | $130 |
| 29 | Virginia Range: $81 – $202 | $129 |
| 30 | Tennessee Range: $85 – $187 | $128 |
| 31 | South Carolina Range: $80 – $206 | $128 |
| 32 | Ohio Range: $75 – $197 | $127 |
| 33 | Missouri Range: $85 – $167 | $124 |
| 34 | Alabama Range: $80 – $195 | $124 |
| 35 | Oklahoma Range: $85 – $169 | $123 |
| 36 | Kansas Range: $86 – $167 | $123 |
| 37 | Texas Range: $80 – $196 | $122 |
| 38 | Arizona Range: $80 – $187 | $122 |
| 39 | Mississippi Range: $86 – $165 | $121 |
| 40 | Idaho Range: $80 – $194 | $121 |
| 41 | Delaware Range: $80 – $157 | $120 |
| 42 | Minnesota Range: $62 – $233 | $119 |
| 43 | Nevada Range: $84 – $184 | $119 |
| 44 | Connecticut Range: $55 – $211 | $118 |
| 45 | Alaska Range: $80 – $194 | $118 |
| 46 | Louisiana Range: $62 – $150 | $104 |
| 47 | Oregon Range: $62 – $183 | $102 |
| 48 | Montana Range: $62 – $145 | $96 |
| 49 | Florida Range: $35 – $190 | $95 |
| 50 | North Dakota Range: $62 – $121 | $82 |
| 51 | South Dakota Range: $62 – $121 | $82 |