ER Visit Cost in Morristown, TN

How much does a er visit cost without insurance in Morristown?

Cash prices for the self-pay patient vary by hospital and visit level. At Morristown-Hamblen, Level 3 is $225, Level 4 is $300, and Level 5 is $343.20. At Tennova Jefferson Memorial, Level 3 is $372.86, Level 4 is $565.50, and Level 5 is $877.83. Across both hospitals and all three codes, cash prices range from $225 to $877.83. Within each hospital, the higher visit levels cost more than Level 3. These figures are facility fees only, meaning the hospital's charge for the room, equipment, and staff. Physician and professional fees are billed separately.

Why is the gross charge so much higher than the cash price?

The gross charge, or chargemaster price, is a hospital's full list price before any discounts or negotiated rates. Almost no one pays it. At Morristown-Hamblen, the cash price is 30% of the gross charge across all three codes; for example, $343.20 against $1,144 for Level 5. At Tennova Jefferson Memorial, cash is 22% of gross; for example, $877.83 against $3,966.68 for Level 5. Tennova's discount percentage is larger, but its cash price is still higher than Morristown-Hamblen's because its gross charge starts much higher. Insurers negotiate their own rates, which are also typically far below the gross charge.

Does insurance cover a er visit?

Coverage depends on your plan and on whether the visit meets the plan's definition of medical necessity. Negotiated rates vary widely: for Level 3, the 178 payer rates range from $64.71 to $2,130, and for Level 5, the 225 payer rates run from $159.85 to $3,966.68. Prior authorization requirements generally apply to scheduled, non-emergency services, so check your plan's rules for any non-emergency use. If you have a high-deductible plan and have not met your deductible, you owe the negotiated rate for your plan, not the gross charge, until the deductible is met.

Are there additional fees beyond the er visit facility charge?

Yes. The prices on this page are facility fees, which cover the hospital's room, equipment, and staff. Physicians who evaluate and treat patients in the emergency department bill separately for their professional services. Any tests or procedures performed during the visit, such as imaging, laboratory work, or other treatments, are also billed separately from the visit-level facility fee. If imaging is performed, a radiologist bills a separate fee to interpret the images. Dollar amounts for these additional charges are not included in the source data, so they are not listed here.

What is the cash price for a level 3 ER visit at Morristown-Hamblen Hospital?

The published cash price for ER Visit Level 3 (99283) at Morristown-Hamblen Hospital is $225, against a gross charge of $750. The page shows cash as 30% of gross for this hospital. These figures are facility charges only and do not include separate physician or other professional billing.

What is the self-pay price for a level 5 ER visit at Tennova Jefferson Memorial Hospital?

Tennova Jefferson Memorial Hospital lists a cash price of $877.83 for ER Visit Level 5 (99285), compared with a gross charge of $3,966.68. The page shows cash at 22% of gross. This is the highest cash price on the page and covers the facility charge only.

What are the lowest and highest ER visit cash prices in Morristown, TN?

Cash prices on this page run from $225 at Morristown-Hamblen Hospital (99283) to $877.83 at Tennova Jefferson Memorial Hospital (99285). The highest is about 4x the lowest. All 6 price rows have a published cash price, and these are facility charges only.

What does BCBS TN pay for a level 3 ER visit at Morristown-Hamblen Hospital?

In the payer table for ER Visit Level 3 (99283) at Morristown-Hamblen Hospital, BCBS TN Blue Care is listed at $227, the lowest entry among 131 published rates. United Healthcare Options PPO is listed at $2,130, the highest. These are facility rates only.

How do ER visit insured rates compare with cash prices at Tennova Jefferson Memorial Hospital?

At Tennova Jefferson Memorial Hospital, insured rates for ER Visit Level 3 (99283) run from $64.71 to $1,684.88, while the cash price is $372.86. Cash is not below every insured rate there. These are facility charges only, and no figure is missing for this hospital.