ER Visit Cost in Nashville, TN

An emergency department (ER) visit is a hospital encounter in which a patient is evaluated by emergency physicians, nurses, and support staff in a dedicated treatment area. The facility fee is the charge the hospital bills for the room, equipment, and staff time, and it is separate from physician or professional fees billed by the clinicians themselves. Visits are billed under three evaluation and management codes: HCPCS 99283 (Level 3, Moderate), HCPCS 99284 (Level 4, High/Urgent), and HCPCS 99285 (Level 5, Critical). The prices below come from CMS-mandated hospital price transparency files published by each facility.

Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 7/10/2026

Data may be outdated

This hospital's pricing file has not been updated since 01/01/2026 (287 days ago). Prices may not reflect current charges. Contact the hospital directly for current pricing.

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If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.

Do not delay emergency care based on cost.

ER Visit Level 3 (Moderate) (HCPCS 99283)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Ascension Saint Thomas Rutherford	$2,450	$735	$56.40	$2,453	Schedule →
Ascension Saint Thomas West	$2,450	$735	$56.40	$2,453	Schedule →
HighPoint Health Sumner	$2,594.45	$596.72	$1,273	$1,885.77	Schedule →
Maury Regional	$1,840	$754.40	$103	$3,761	Schedule →
Nashville General	$1,095	$657	$248.79	$419.02	Schedule →
TriStar Centennial *	$2,205	$2,205 *	$111.63	$3,212	Schedule →
TriStar Hendersonville *	$2,241.51	$2,241.51 *	$126.51	$3,183	Schedule →
TriStar Horizon *	$2,753.08	$2,753.08 *	$119.07	$3,183	Schedule →
TriStar NorthCrest *	$2,072.92	$2,072.92 *	$145.10	$3,212	Schedule →
TriStar Skyline *	$1,920.27	$1,920.27 *	$107.91	$3,153	Schedule →
TriStar Southern Hills *	$2,162.32	$2,162.32 *	$127.77	$3,212	Schedule →
TriStar StoneCrest *	$2,557.36	$2,557.36 *	$104.19	$3,183	Schedule →
TriStar Summit *	$1,928.84	$1,928.84 *	$115.35	$3,183	Schedule →
Vanderbilt Wilson County	$2,092	$606.68	$101.73	$589.25	Schedule →

* Hospitals marked with * publish cash prices equal to their gross charges, meaning no separate self-pay discount appears in their transparency file. The insured rates shown are negotiated rates between the hospital and specific insurance plans. Uninsured patients may be able to negotiate lower rates by contacting the hospital directly.

ER Visit Level 4 (High/Urgent) (HCPCS 99284)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Ascension Saint Thomas Rutherford	$3,150	$945	$107.34	$4,291	Schedule →
Ascension Saint Thomas West	$3,150	$945	$107.34	$4,291	Schedule →
HighPoint Health Sumner	$3,569.50	$820.99	$1,710	$2,814	Schedule →
Maury Regional	$2,605	$1,068.05	$155.15	$4,650	Schedule →
Nashville General	$1,741	$1,044.60	$380.30	$640.50	Schedule →
TriStar Centennial *	$3,937.18	$3,937.18 *	$111.63	$3,937.18	Schedule →
TriStar Hendersonville *	$3,912.47	$3,912.47 *	$126.51	$3,599.47	Schedule →
TriStar Horizon *	$3,602.41	$3,602.41 *	$119.07	$3,350	Schedule →
TriStar NorthCrest *	$3,170.23	$3,170.23 *	$221.92	$3,350	Schedule →
TriStar Skyline *	$3,470.60	$3,470.60 *	$107.91	$3,401.19	Schedule →
TriStar Southern Hills *	$3,703.29	$3,703.29 *	$127.77	$3,350	Schedule →
TriStar StoneCrest *	$4,377.53	$4,377.53 *	$104.19	$4,027.33	Schedule →
TriStar Summit *	$3,688.90	$3,688.90 *	$115.35	$3,350	Schedule →
Vanderbilt Wilson County	$3,567	$1,034.43	$157.22	$900.70	Schedule →

ER Visit Level 5 (Critical) (HCPCS 99285)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Ascension Saint Thomas Rutherford	$3,200	$960	$158.13	$4,558	Schedule →
Ascension Saint Thomas West	$3,200	$960	$158.13	$4,558	Schedule →
HighPoint Health Sumner	$5,302.62	$1,219.60	$1,710	$2,814	Schedule →
Maury Regional	$3,900	$1,599	$301.77	$4,778	Schedule →
Nashville General	$2,398	$1,438.80	$542.77	$914.14	Schedule →
TriStar Centennial *	$5,113.56	$5,113.56 *	$324.72	$5,749	Schedule →
TriStar Hendersonville *	$5,418.13	$5,418.13 *	$367.99	$5,696	Schedule →
TriStar Horizon *	$5,400.69	$5,400.69 *	$346.37	$5,696	Schedule →
TriStar NorthCrest *	$5,070.25	$5,070.25 *	$354.92	$5,749	Schedule →
TriStar Skyline *	$4,807.54	$4,807.54 *	$313.90	$5,643	Schedule →
TriStar Southern Hills *	$4,813.26	$4,813.26 *	$371.67	$5,749	Schedule →
TriStar StoneCrest *	$5,310.42	$5,310.42 *	$303.07	$5,696	Schedule →
TriStar Summit *	$4,791.08	$4,791.08 *	$335.54	$5,696	Schedule →
Vanderbilt Wilson County	$14,937	$4,331.73	$295.93	$1,285.52	Schedule →

What These Prices Mean

Understanding the price columns
The gross charge is the hospital's full list price, also called the chargemaster rate. The cash price is the rate offered to patients paying without insurance. The insured range shows the lowest and highest negotiated rates across insurance plans. For Level 3 (99283), HighPoint Health Sumner lists a gross charge of $2,594.45 and a cash price of $596.72, a 77% discount from gross. Nashville General lists a gross of $1,095 and a cash price of $657, only a 40% discount. Even so, HighPoint Health Sumner's cash price is lower. TriStar Horizon's cash price equals its gross charge of $2,753.08. Patients on high-deductible plans who have not met their deductible owe the negotiated rate, not the gross charge.

Code variations
The three codes reflect the level of complexity and resources involved in a visit, with higher levels billed at higher rates. At Ascension Saint Thomas West, cash prices are $735 for 99283, $945 for 99284, and $960 for 99285, a $210 step and then a $15 step. At Nashville General, cash prices rise from $657 to $1,044.60 to $1,438.80. At TriStar Hendersonville, they rise from $2,241.51 to $3,912.47 to $5,418.13.

Why ER Visit Prices Vary

Hospital pricing structures
Gross charges for Level 3 (99283) range from $1,095 at Nashville General to $2,753.08 at TriStar Horizon, a gap of $1,658.08. Cash prices for the same code range from $596.72 to $2,753.08, a gap of $2,156.36, so the cash gap is wider than the gross gap here. The difference comes from discount policies. HighPoint Health Sumner's cash price is about 23% of gross, Vanderbilt Wilson County and Ascension Saint Thomas about 29% to 30%, Maury Regional about 41%, and Nashville General about 60%. All eight TriStar hospitals in the data list cash prices equal to gross charges, a ratio of 100%.

Facility type and alternatives
The hospitals in this dataset include academic-affiliated, community, regional, and municipal facilities, and the data show no consistent pattern by facility type. Cash prices across all three codes run from $596.72 to $5,418.13. Outpatient or freestanding facilities are not part of this dataset and may charge differently.

Paying cash? Health insurance could lower your ER Visit cost.

Published cash prices on this page range from $596.72 to $5,418.13 (including hospitals that publish cash equal to gross charge, marked with * in the table). The lowest insured rate in the price table is $56.40 (Ascension Saint Thomas Rutherford). Insured rates depend on the plan, and the lowest are often Medicaid, CHIP or Medicare Advantage plans, so they may not reflect what a commercial or marketplace plan pays. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Compare Health Insurance Plans → Get Free Plan Estimate →

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

Compare Insurer Rates for ER Visit in Nashville

How much does each insurance company pay for er visit at Nashville hospitals?

Insurer	Lowest Rate	At Hospital	Highest Rate	Hospitals
Oscar Health	$16.14	Vanderbilt University Medical Center	$2,769	15
UnitedHealthcare	$18.61	Vanderbilt University Medical Center	$2,814	15
BlueCross BlueShield of Tennessee	$22.05	Vanderbilt University Medical Center	$1,384	15
Amerigroup	$22.06	Vanderbilt University Medical Center	$622.76	6
Cigna	$24.76	Vanderbilt University Medical Center	$1,885.77	14
Aetna	$36.26	Vanderbilt University Medical Center	$3,350	15
WellCare	$42.66	Vanderbilt University Medical Center	$628.47	3
Humana	$55.01	Vanderbilt University Medical Center	$1,350.17	13

Rates shown are the lowest and highest negotiated rates each insurer has published across Nashville hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.

What Insurers Actually Pay

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Published negotiated rates for ER Visit Level 5 (Critical) (HCPCS 99285) at Vanderbilt University Medical Center, outpatient facility fee:

ER Visit Level 5 (Critical) (99285), Vanderbilt University Medical Center Payer Rates

Insurance Payer	Plan Type	Negotiated Rate
WellCare	KY Medicaid Managed Care Plan	$5.67
WellCare	Medicare Managed Care Plan	$7.41
WellCare	KY Medicaid Managed Care Plan	$8.22
UnitedHealthCare	Medicare Managed Care Plan	$31.97
Wellpoint	Amerivantage Government	$32.39
BCBS	Network S - Blue Select Other Commercial Plan	$37.04
BCBS	BlueCare Medicaid Managed Care Plan	$50
BCBS	TennCare Select Medicaid Managed Care Plan	$50
Wellpoint	AmeriGroup Community Care Government	$50
BCBS	Network P - Blue Preferred Other Commercial Plan	$51.69
Wellpoint	AmeriGroup Community Care Government	$58.61
BCBS	Network S - Blue Select Other Commercial Plan	$64.14
UnitedHealthCare	All Commercial Plans	$68.89
UnitedHealthCare	UHCCP KY Medicaid Managed Care Plan	$73.97
BCBS	Network P - Blue Preferred Other Commercial Plan	$75.08
Cigna	Local Plus Other Commercial Plan	$76.52
WellCare	KY Medicaid Managed Care Plan	$81.44
BCBS	Network P - Blue Preferred Other Commercial Plan	$84.02
UnitedHealthCare	All Commercial Plans	$85.63
BCBS	BlueCare Medicaid Managed Care Plan	$86.80
Molina	Passport KY Medicaid Managed Care Plan	$87.03
Oscar	Exchange	$89.43
PHCS	All Commercial Plans	$91.12
Wellpoint	AmeriGroup Community Care Government	$93.71
WellCare	KY Medicaid Managed Care Plan	$95.56
UnitedHealthCare	UHCCP KY Medicaid Managed Care Plan	$98.63
BCBS	BlueCare Medicaid Managed Care Plan	$102.11
WellCare	KY Medicaid Managed Care Plan	$104.44
BCBS	Network P - Blue Preferred Other Commercial Plan	$106.78
Cigna	OAP All Commercial Plans	$107.43
Ambetter	Exchange	$107.59
BCBS	TennCare Select Medicaid Managed Care Plan	$109.23
Ambetter	Exchange	$115.95
Molina	Passport KY Medicaid Managed Care Plan	$116.04
BCBS	BlueCare Medicaid Managed Care Plan	$117.34
Aetna	Better Health KY Medicaid Managed Care Plan	$118.36
BCBS	Network P - Blue Preferred Other Commercial Plan	$119.06
HealthSpring	Medicare Managed Care Plan	$120.38
Oscar	Exchange	$124.86
BCBS	Network P - Blue Preferred Other Commercial Plan	$126.35
BCBS	Network S - Blue Select Other Commercial Plan	$126.35
BCBS	TennCare Select Medicaid Managed Care Plan	$127.88
BCBS	TennCare Select Medicaid Managed Care Plan	$128.51
BCBS	TennCare Select Medicaid Managed Care Plan	$129.56
WellCare	KY Medicaid Managed Care Plan	$130.36
Wellpoint	AmeriGroup Community Care Government	$132.78
UnitedHealthCare	All Commercial Plans	$132.85
Wellpoint	AmeriGroup Community Care Government	$134.05
BCBS	BlueCare Medicaid Managed Care Plan	$134.77
BCBS	TennCare Select Medicaid Managed Care Plan	$134.77
BCBS	BlueCare Medicaid Managed Care Plan	$135.65
HealthSpring	Medicare Managed Care Plan	$135.87
Humana	Military Government	$135.87
WellCare	Medicare Managed Care Plan	$135.87
Aetna	Whole Health, Inc. Other Commercial Plan	$136.24
Oscar	Exchange	$137.56
Humana	Military Government	$137.66
WellCare	Medicare Managed Care Plan	$137.66
Wellpoint	AmeriGroup Community Care Government	$137.66
Wellpoint	Amerivantage Government	$137.66
Aetna	Medicare Managed Care Plan	$137.95
Aetna	Medicare Managed Care Plan	$138.35
WellCare	Medicare Managed Care Plan	$138.35
WellCare	KY Medicaid Managed Care Plan	$138.70
Wellpoint	AmeriGroup Community Care Government	$142.63
Wellpoint	Amerivantage Government	$142.63
Wellpoint	Amerivantage Government	$142.66
Cigna	OAP All Commercial Plans	$144.43
Wellpoint	Amerivantage Government	$144.54
Aetna	Medicare Managed Care Plan	$146.74
HealthSpring	Medicare Managed Care Plan	$146.74
BCBS	TennCare Select Medicaid Managed Care Plan	$146.75
Aetna	Medicare Managed Care Plan	$148.67
HealthSpring	Medicare Managed Care Plan	$148.67
HealthSpring	Medicare Managed Care Plan	$149.42
WellCare	Medicare Managed Care Plan	$149.46
BCBS	TennCare Select Medicaid Managed Care Plan	$151.20
WellCare	Medicare Managed Care Plan	$151.42
UnitedHealthCare	All Commercial Plans	$151.80
UnitedHealthCare	Community Plan Medicaid Managed Care Plan	$153.82
UnitedHealthCare	Community Plan Medicaid Managed Care Plan	$157.46
BCBS	Network P - Blue Preferred Other Commercial Plan	$159.34
BCBS	BlueCare Medicaid Managed Care Plan	$159.59
BCBS	TennCare Select Medicaid Managed Care Plan	$159.59
Wellpoint	Amerivantage Government	$159.81
Aetna	Medicare Managed Care Plan	$159.85
Cigna	IFP Connect Exchange	$159.85
HealthSpring	Medicare Managed Care Plan	$159.85
Humana	Military Government	$159.85
UnitedHealthCare	All Commercial Plans	$159.85
UnitedHealthCare	Medicare Managed Care Plan	$159.85
WellCare	Medicare Managed Care Plan	$159.85
Wellpoint	Amerivantage Government	$159.85
Cigna	OAP All Commercial Plans	$160.08
BCBS	Network P - Blue Preferred Other Commercial Plan	$160.16
WellCare	KY Medicaid Managed Care Plan	$160.80
Aetna	Medicare Managed Care Plan	$161.95
Humana	Military Government	$161.95
UnitedHealthCare	Medicare Managed Care Plan	$161.95
WellCare	Medicare Managed Care Plan	$161.95
Wellpoint	Amerivantage Government	$161.95
Aetna	Medicare Managed Care Plan	$162.29
Cigna	IFP Connect Exchange	$162.29
Cigna	OAP All Commercial Plans	$162.29
HealthSpring	Medicare Managed Care Plan	$162.29
Wellpoint	AmeriGroup Community Care Government	$162.45
Aetna	Medicare Managed Care Plan	$162.46
Cigna	OAP All Commercial Plans	$162.46
Aetna	Medicare Managed Care Plan	$162.76
WellCare	Medicare Managed Care Plan	$162.76
HealthSpring	Medicare Managed Care Plan	$163.05
UnitedHealthCare	Community Plan Medicaid Managed Care Plan	$163.13
Wellpoint	Amerivantage Government	$164.48
UnitedHealthCare	All Commercial Plans	$164.50
Oscar	Exchange	$166.94
Wellpoint	AmeriGroup Community Care Government	$167.80
Wellpoint	Amerivantage Government	$167.80
UnitedHealthCare	Community Plan (SNP) Medicare Managed Care Plan	$167.84
Wellpoint	Amerivantage Government	$167.84
UnitedHealthCare	Community Plan Medicaid Managed Care Plan	$169.12
HealthSpring	Medicare Managed Care Plan	$169.19
UnitedHealthCare	Community Plan (SNP) Medicare Managed Care Plan	$170.05
UnitedHealthCare	Medicare Managed Care Plan	$170.05
Wellpoint	AmeriGroup Community Care Government	$170.05
Wellpoint	Amerivantage Government	$170.05
WellCare	KY Medicaid Managed Care Plan	$170.92
HealthSpring	Medicare Managed Care Plan	$171.41
Aetna	Better Health KY Medicaid Managed Care Plan	$171.48
UnitedHealthCare	Community Plan Medicaid Managed Care Plan	$172.22
Aetna	Medicare Managed Care Plan	$172.64
HealthSpring	Medicare Managed Care Plan	$172.64
BCBS	TennCare Select Medicaid Managed Care Plan	$172.65
HealthSpring	Medicare Managed Care Plan	$174.24
Aetna	Medicare Managed Care Plan	$174.91
HealthSpring	Medicare Managed Care Plan	$174.91
HealthSpring	Medicare Managed Care Plan	$175.78
HealthSpring	Medicare Managed Care Plan	$175.79
WellCare	Medicare Managed Care Plan	$175.84
Aetna	Better Health KY Medicaid Managed Care Plan	$176.63
WellCare	Medicare Managed Care Plan	$178.15
Aetna	Better Health KY Medicaid Managed Care Plan	$178.47
Aetna	Better Health KY Medicaid Managed Care Plan	$178.95
WellCare	Medicare Managed Care Plan	$179.04
Cigna	Local Plus Other Commercial Plan	$179.52
WellCare	KY Medicaid Managed Care Plan	$181.77
WellCare	KY Medicaid Managed Care Plan	$181.78
BCBS	Network S - Blue Select Other Commercial Plan	$183.54
Aetna	Better Health KY Medicaid Managed Care Plan	$183.83
BCBS	BlueCare Medicaid Managed Care Plan	$184.46
BCBS	TennCare Select Medicaid Managed Care Plan	$184.46
WellCare	KY Medicaid Managed Care Plan	$185.17
Aetna	Better Health KY Medicaid Managed Care Plan	$186.24
WellCare	KY Medicaid Managed Care Plan	$189.18
PHCS	All Commercial Plans	$191.82
BCBS	Network S - Blue Select Other Commercial Plan	$191.88
PHCS	All Commercial Plans	$194.45
Cigna	OAP All Commercial Plans	$195.30
UnitedHealthCare	Community Plan Medicaid Managed Care Plan	$197.30
WellCare	KY Medicaid Managed Care Plan	$197.40
PHCS	All Commercial Plans	$199.61
WellCare	KY Medicaid Managed Care Plan	$201.08
UnitedHealthCare	Community Plan Medicaid Managed Care Plan	$201.74
Aetna	Better Health KY Medicaid Managed Care Plan	$201.75
HealthSpring	Medicare Managed Care Plan	$203.11
Aetna	Better Health KY Medicaid Managed Care Plan	$203.89
Ambetter	Exchange	$204.50
Molina	Passport KY Medicaid Managed Care Plan	$205.63
HealthSpring	Medicare Managed Care Plan	$205.77
HealthSpring	Medicare Managed Care Plan	$206.80
Aetna	Better Health KY Medicaid Managed Care Plan	$207.81
Cigna	Local Plus Other Commercial Plan	$208.10
Cigna	OAP All Commercial Plans	$208.10
UnitedHealthCare	All Commercial Plans	$208.82
UnitedHealthCare	UHCCP KY Medicaid Managed Care Plan	$209.34
Molina	Passport KY Medicaid Managed Care Plan	$209.46
BCBS	Network P - Blue Preferred Other Commercial Plan	$209.91
BCBS	Network S - Blue Select Other Commercial Plan	$209.91
Aetna	Better Health KY Medicaid Managed Care Plan	$210.54
BCBS	BlueCare Medicaid Managed Care Plan	$210.63
BCBS	Network P - Blue Preferred Other Commercial Plan	$210.63
UnitedHealthCare	Community Plan Medicaid Managed Care Plan	$210.67
UnitedHealthCare	Community Plan Medicaid Managed Care Plan	$213.23
Cigna	Local Plus Other Commercial Plan	$213.61
Cigna	OAP All Commercial Plans	$213.61
BCBS	Network P - Blue Preferred Other Commercial Plan	$213.81
BCBS	Network S - Blue Select Other Commercial Plan	$213.81
WellCare	KY Medicaid Managed Care Plan	$213.85
BCBS	TennCare Select Medicaid Managed Care Plan	$214.37
Wellpoint	AmeriGroup Community Care Government	$217.71
Aetna	Better Health KY Medicaid Managed Care Plan	$217.84
WellCare	KY Medicaid Managed Care Plan	$217.84
Ambetter	Exchange	$218.92
BCBS	Network P - Blue Preferred Other Commercial Plan	$219.67
BCBS	Network S - Blue Select Other Commercial Plan	$219.67
Ambetter	Exchange	$220.40
BCBS	Network P - Blue Preferred Other Commercial Plan	$220.64
BCBS	Network S - Blue Select Other Commercial Plan	$220.64
UnitedHealthCare	Community Plan (SNP) Medicare Managed Care Plan	$221.06
Wellpoint	AmeriGroup Community Care Government	$221.06
BCBS	Network P - Blue Preferred Other Commercial Plan	$223.58
Molina	Passport KY Medicaid Managed Care Plan	$230.30
BCBS	Network P - Blue Preferred Other Commercial Plan	$231.39
BCBS	Network S - Blue Select Other Commercial Plan	$231.39
UnitedHealthCare	UHCCP KY Medicaid Managed Care Plan	$234.46
Molina	Passport KY Medicaid Managed Care Plan	$234.60
Cigna	IFP Connect Exchange	$238.13
PHCS	All Commercial Plans	$239.77
PHCS	All Commercial Plans	$242.93
Cigna	Local Plus Other Commercial Plan	$244.64
BCBS	Network P - Blue Preferred Other Commercial Plan	$246.95
BCBS	Network S - Blue Select Other Commercial Plan	$246.95
Cigna	IFP Connect Exchange	$250.28
Cigna	OAP All Commercial Plans	$250.28
PHCS	All Commercial Plans	$251.02
BCBS	Network P - Blue Preferred Other Commercial Plan	$251.54
BCBS	Network S - Blue Select Other Commercial Plan	$251.54
Cigna	IFP Connect Exchange	$255.29
Cigna	Local Plus Other Commercial Plan	$255.29
Cigna	OAP All Commercial Plans	$255.29
UnitedHealthCare	All Commercial Plans	$255.29
Cigna	OAP All Commercial Plans	$258.31
BCBS	Network P - Blue Preferred Other Commercial Plan	$258.44
BCBS	Network S - Blue Select Other Commercial Plan	$258.44
BCBS	Network P - Blue Preferred Other Commercial Plan	$259.58
BCBS	Network S - Blue Select Other Commercial Plan	$259.58
UnitedHealthCare	All Commercial Plans	$259.70
UnitedHealthCare	Limited Network Other Commercial Plan	$259.70
BCBS	Network P - Blue Preferred Other Commercial Plan	$263.03
BCBS	Network S - Blue Select Other Commercial Plan	$263.03
UnitedHealthCare	Limited Network Other Commercial Plan	$263.35
UnitedHealthCare	All Commercial Plans	$265.53
UnitedHealthCare	Limited Network Other Commercial Plan	$265.53
BCBS	Network P - Blue Preferred Other Commercial Plan	$272.22
BCBS	Network S - Blue Select Other Commercial Plan	$272.22
Oscar	Exchange	$283.79
Cigna	OAP All Commercial Plans	$286.61
BCBS	BlueCare Medicaid Managed Care Plan	$295.93
Oscar	Exchange	$297.58
BCBS	Network P - Blue Preferred Other Commercial Plan	$302.08
BCBS	Network S - Blue Select Other Commercial Plan	$302.08
Ambetter	Exchange	$302.22
BCBS	Network P - Blue Preferred Other Commercial Plan	$304.38
BCBS	Network S - Blue Select Other Commercial Plan	$304.38
BCBS	Network P - Blue Preferred Other Commercial Plan	$304.92
BCBS	Network S - Blue Select Other Commercial Plan	$304.92
UnitedHealthCare	All Commercial Plans	$305.53
BCBS	Network P - Blue Preferred Other Commercial Plan	$306.68
BCBS	Network S - Blue Select Other Commercial Plan	$306.68
BCBS	Network P - Blue Preferred Other Commercial Plan	$308.97
Cigna	Local Plus Other Commercial Plan	$309.96
BCBS	Network P - Blue Preferred Other Commercial Plan	$310.59
BCBS	Network S - Blue Select Other Commercial Plan	$310.59
PHCS	All Commercial Plans	$311.03
Cigna	OAP All Commercial Plans	$316.64
UnitedHealthCare	All Commercial Plans	$316.85
BCBS	Network S - Blue Select Other Commercial Plan	$318.16
BCBS	Network P - Blue Preferred Other Commercial Plan	$319.10
BCBS	Network S - Blue Select Other Commercial Plan	$319.10
PHCS	All Commercial Plans	$319.70
BCBS	Network P - Blue Preferred Other Commercial Plan	$320.46
BCBS	Network S - Blue Select Other Commercial Plan	$320.46
BCBS	Network P - Blue Preferred Other Commercial Plan	$320.52
BCBS	Network S - Blue Select Other Commercial Plan	$320.52
Cigna	OAP All Commercial Plans	$324.16
BCBS	Network P - Blue Preferred Other Commercial Plan	$324.78
Ambetter	Exchange	$325.73
BCBS	Network S - Blue Select Other Commercial Plan	$327.67
Oscar	Exchange	$333.87
BCBS	TennCare Select Medicaid Managed Care Plan	$333.94
BCBS	Network P - Blue Preferred Other Commercial Plan	$336.12
BCBS	Network P - Blue Preferred Other Commercial Plan	$337.87
UnitedHealthCare	Limited Network Other Commercial Plan	$338.78
Cigna	OAP All Commercial Plans	$342.42
UnitedHealthCare	Limited Network Other Commercial Plan	$344.45
Cigna	Local Plus Other Commercial Plan	$348.27
Oscar	Exchange	$349.81
Cigna	IFP Connect Exchange	$350
Oscar	Exchange	$350.09
Cigna	OAP All Commercial Plans	$354.01
UnitedHealthCare	All Commercial Plans	$354.28
BCBS	Network P - Blue Preferred Other Commercial Plan	$358.73
BCBS	Network S - Blue Select Other Commercial Plan	$358.73
PHCS	All Commercial Plans	$359.66
UnitedHealthCare	All Commercial Plans	$363.91
UnitedHealthCare	Limited Network Other Commercial Plan	$363.91
BCBS	Network P - Blue Preferred Other Commercial Plan	$365.40
BCBS	Network S - Blue Select Other Commercial Plan	$365.40
BCBS	Network P - Blue Preferred Other Commercial Plan	$375.41
BCBS	Network S - Blue Select Other Commercial Plan	$375.41
UnitedHealthCare	All Commercial Plans	$376.43
UnitedHealthCare	Limited Network Other Commercial Plan	$376.43
BCBS	Network P - Blue Preferred Other Commercial Plan	$377.08
BCBS	Network S - Blue Select Other Commercial Plan	$377.08
Cigna	OAP All Commercial Plans	$379.77
BCBS	Network P - Blue Preferred Other Commercial Plan	$382.09
BCBS	Network S - Blue Select Other Commercial Plan	$382.09
UnitedHealthCare	Limited Network Other Commercial Plan	$385.31
BCBS	Network P - Blue Preferred Other Commercial Plan	$395.43
PHCS	All Commercial Plans	$395.85
UnitedHealthCare	Limited Network Other Commercial Plan	$398.57
Oscar	Exchange	$399.63
Aetna	Vanderbilt Health Affiliated Network (VHAN) Other Commercial Plan	$400.64
Aetna	Whole Health, Inc. Other Commercial Plan	$400.64
UnitedHealthCare	All Commercial Plans	$403.87
UnitedHealthCare	Limited Network Other Commercial Plan	$413.33
Ambetter	Exchange	$417.45
Cigna	IFP Connect Exchange	$425.04
Cigna	Local Plus Other Commercial Plan	$425.04
Cigna	OAP All Commercial Plans	$425.04
Oscar	Exchange	$425.04
Cigna	Local Plus Other Commercial Plan	$426.20
UnitedHealthCare	All Commercial Plans	$428.13
UnitedHealthCare	Limited Network Other Commercial Plan	$428.13
Cigna	OAP All Commercial Plans	$432.71
BCBS	Network P - Blue Preferred Other Commercial Plan	$438.82
BCBS	Network S - Blue Select Other Commercial Plan	$438.82
BCBS	Network P - Blue Preferred Other Commercial Plan	$442.15
UnitedHealthCare	All Commercial Plans	$442.85
UnitedHealthCare	Limited Network Other Commercial Plan	$442.85
BCBS	Network P - Blue Preferred Other Commercial Plan	$445.49
BCBS	Network S - Blue Select Other Commercial Plan	$445.49
Oscar	Exchange	$446.98
BCBS	Network P - Blue Preferred Other Commercial Plan	$448.83
BCBS	Network S - Blue Select Other Commercial Plan	$448.83
UnitedHealthCare	All Commercial Plans	$449.99
UnitedHealthCare	Limited Network Other Commercial Plan	$449.99
Oscar	Exchange	$453.27
Cigna	OAP All Commercial Plans	$455.40
UnitedHealthCare	All Commercial Plans	$459.26
UnitedHealthCare	Limited Network Other Commercial Plan	$459.26
BCBS	Network P - Blue Preferred Other Commercial Plan	$462.17
BCBS	Network S - Blue Select Other Commercial Plan	$462.17
BCBS	Network P - Blue Preferred Other Commercial Plan	$465.51
Aetna	Vanderbilt Health Affiliated Network (VHAN) Other Commercial Plan	$471.34
Aetna	Whole Health, Inc. Other Commercial Plan	$471.34
Oscar	Exchange	$472.93
Cigna	OAP All Commercial Plans	$478.95
UnitedHealthCare	TN CoverKids Medicaid Managed Care Plan	$486.13
Cigna	OAP All Commercial Plans	$486.32
Ambetter	Exchange	$508.53
Oscar	Exchange	$508.53
UnitedHealthCare	All Commercial Plans	$508.53
UnitedHealthCare	Community Plan (SNP) Medicare Managed Care Plan	$508.53
UnitedHealthCare	Limited Network Other Commercial Plan	$508.53
UnitedHealthCare	Medicare Managed Care Plan	$508.53
Cigna	OAP All Commercial Plans	$516.25
PHCS	All Commercial Plans	$520.83
Oscar	Exchange	$529.57
Cigna	Local Plus Other Commercial Plan	$535.60
Cigna	OAP All Commercial Plans	$535.60
Cigna	Local Plus Other Commercial Plan	$545.61
Cigna	OAP All Commercial Plans	$545.61
Aetna	Vanderbilt Health Affiliated Network (VHAN) Other Commercial Plan	$555.59
Aetna	Whole Health, Inc. Other Commercial Plan	$555.59
PHCS	All Commercial Plans	$558.92
Cigna	Local Plus Other Commercial Plan	$575.65
Cigna	OAP All Commercial Plans	$575.65
HeathSpring	Vision Medicare Managed Care Plan	$584.59
Cigna	Local Plus Other Commercial Plan	$587.33
Cigna	OAP All Commercial Plans	$587.33
Cigna	IFP Connect Exchange	$595.67
Cigna	Local Plus Other Commercial Plan	$595.67
Cigna	OAP All Commercial Plans	$595.67
Cigna	Local Plus Other Commercial Plan	$607.35
Cigna	OAP All Commercial Plans	$607.35
PHCS	All Commercial Plans	$607.35
Humana	Medicare Managed Care - Behavioral Health	$613.82
Oscar	Exchange	$618.64
HealthSpring	Medicare Managed Care Plan	$631.36
Wellpoint	TennCare Medicaid Managed Care Plan	$637.20
Cigna	Local Plus Other Commercial Plan	$639.05
Cigna	OAP All Commercial Plans	$639.05
Wellcare	Medicare Managed Care - Behavioral Health	$643.05
Cigna	OAP All Commercial Plans	$645.15
Aetna	Commercial/TN Preferred All Commercial Plans	$649.47
Cigna	OAP All Commercial Plans	$652.40
Aetna	Medicare Managed Care - Behavioral Health	$654.74
Aetna	Commercial/TN Preferred All Commercial Plans	$658
Aetna	Commercial/TN Preferred All Commercial Plans	$675.29
Oscar	Exchange	$689.47
Aetna	Commercial/TN Preferred All Commercial Plans	$759
Aetna	Whole Health, Inc. Other Commercial Plan	$759
Ambetter	Exchange	$759
BCBS	Network P - Blue Preferred Other Commercial Plan	$759
Cigna	IFP Connect Exchange	$759
HealthSpring	Medicare Managed Care Plan	$759
Oscar	Exchange	$759
Ambetter Health	Exchange	$992.57
Cigna	IFP Connect Exchange	$1,000.55
Cigna	IFP Connect Exchange	$1,083.01
Ambetter Health	Behavioral Health Plan	$1,233.49
Oscar	Exchange	$1,263.71
Direct to Employer	City of Springfield Other Commercial Plan	$1,315.33

Key finding: Level 3 (99283) payer rates run from $18.61 (UnitedHealthCare, Vanderbilt University Medical Center) to $3,761 (Aetna Whole Health & VHAN, Maury Regional), a 202x difference.

What to Do With These ER Visit Prices

Check the level on the bill. After a visit, find the code the hospital charged: 99283, 99284 or 99285. The level is set after the visit, based on the care given, so no one can pick it in advance. If you see 99285 and the visit felt routine, you can ask the billing office to explain how that level was assigned and request a review.

Ask for the itemized bill. Request a line-by-line statement that lists the facility charge, plus any tests, imaging and medication as separate lines. Quote the code when you call, and ask for the cash or self-pay price for that same code so you can compare it with what you were billed.

Hold your bill up against these figures. The insured range for 99285 runs up to $5,749 at TriStar Centennial Medical Center, and its cash price is $5,113.56, the same as its gross charge. Eight of the 14 hospitals here publish cash equal to gross. At Metro Nashville General Hospital, by contrast, the 99283 cash price of $657 sits above the highest insured rate of $419.02. A cash figure is not automatically the lower one, so compare both columns.

Expect more than one bill.

The hospital's facility fee for the ER visit itself.
A separate bill from the ER physician group, which often bills on its own.
Possible separate bills for radiology reads or lab work.

These prices cover facility charges only, so professional fees will be additional. This page has a cash price for all 42 rows and no missing gross charges, so a blank or $0 elsewhere should be treated as missing data, not a free service.

Financial assistance and discounts. Nonprofit hospitals are required to publish a financial assistance policy, and the billing office can send it with an application. Some hospitals also offer prompt-pay or self-pay discounts; these vary by hospital and are not included in this data. Assistance applications and discount requests can be made after the visit.

General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology · Medical Disclaimer

What Patients Ask About ER Visit Costs

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

Cash prices for Level 3 (99283) range from $596.72 at HighPoint Health Sumner to $2,753.08 at TriStar Horizon. Level 4 (99284) ranges from $820.99 at HighPoint Health Sumner to $4,377.53 at TriStar StoneCrest. Level 5 (99285) ranges from $960 at Ascension Saint Thomas to $5,418.13 at TriStar Hendersonville. Across all codes, cash prices run from $596.72 to $5,418.13. Higher visit levels cost more at every hospital. These are facility fees; 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, and almost no one pays it. Cash prices are typically a fraction of it: about 23% at HighPoint Health Sumner, 29% at Vanderbilt Wilson County, 30% at Ascension Saint Thomas, 41% at Maury Regional, and 60% at Nashville General. TriStar hospitals list cash prices equal to gross. A larger discount does not always mean a lower price. For 99283, HighPoint Health Sumner's gross is $2,594.45 against Nashville General's $1,095, yet its cash price is lower ($596.72 versus $657).

Does insurance cover a er visit?

Coverage depends on the plan and on whether the visit meets the plan's definition of medical necessity. Negotiated rates vary widely. For Level 4 (99284), rates range from $16.14 (Oscar Exchange, Vanderbilt University Medical Center) to $4,650 (BCBS of Tennessee Commercial Network P, Maury Regional). Prior authorization requirements generally apply to non-emergency services rather than emergency visits. Patients on high-deductible plans who have not met their deductible owe the negotiated rate for their plan, not the gross charge, until the deductible is satisfied.

Are there additional fees beyond the er visit facility charge?

Yes. The facility fee covers the hospital's room, equipment, and staff, but emergency physicians bill separately for their professional services. Tests and services performed during the visit, such as imaging, laboratory work, or procedures, are also billed separately, and each may carry its own facility fee and its own professional fee, such as a radiologist's reading fee for imaging. Ambulance transport, if used, is billed by the transport provider. These charges are not included in the prices listed here, and dollar amounts for them are not part of the source data.

What is the cash price for a level 3 ER visit at Metro Nashville General Hospital?

Metro Nashville General Hospital lists a cash price of $657 for ER Visit Level 3 (99283), which is 60% of its $1,095 gross charge. Its published insured rates for that code run from $248.79 to $419.02. These are facility charges only and do not include physician or other separate bills.

Which Nashville hospitals publish a cash price equal to the gross charge for ER visits?

Eight of the 14 hospitals on this page list cash equal to gross for all three ER codes: TriStar Centennial, Hendersonville, Horizon, NorthCrest, Skyline, Southern Hills, StoneCrest and Summit Medical Centers. For example, TriStar Centennial Medical Center shows $2,205 for 99283 with no self-pay discount published. All figures are facility charges only.

How much does Vanderbilt Wilson County Hospital charge for a level 5 ER visit?

Vanderbilt Wilson County Hospital lists a gross charge of $14,937 for ER Visit Level 5 (99285) and a cash price of $4,331.73, which is 29% of gross. Its published insured rates for that code run from $295.93 to $1,285.52. These are facility charges only, not physician fees.

What is the range of insured rates for ER visits at Nashville hospitals?

Across the Nashville-area hospitals on this page, published insured rates run from $56.40 at Ascension Saint Thomas Rutherford (99283) to $5,749 at TriStar Centennial Medical Center (99285). All 14 hospitals publish at least one insured rate. These are facility charges only, and the amount a given plan pays can differ.

How many published rates are there for a level 5 ER visit at Vanderbilt University Medical Center?

The page's payer table lists 393 published rates for ER Visit Level 5 (99285) at Vanderbilt University Medical Center. They run from $5.67 for a WellCare KY Medicaid Managed Care Plan to $1,315.33 for a Direct to Employer plan, with the highest about 232x the lowest. These are facility charges only.

Compare Other Procedures in Nashville

Echocardiogram Cost in Nashville

Cash prices from $796.89 to $7,892.54.

Colonoscopy Cost in Nashville

Cash prices from $1,049.51 to $1,849.20.

MRI Cost in Nashville

Cash prices from $326.16 to $13,177.64.

Data Sources

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Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.

Ascension Saint Thomas Midtown

File updated: 01/01/2026 · Accessed by us: 2026-10-15

Attested by: Shubhada Jagasia

We are not affiliated with Ascension Saint Thomas Midtown. Published prices may not reflect your actual cost. Disclaimer

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