Aetna ER Visit Rates in Knoxville

Published Aetna negotiated rates for ER Visit at 9 hospitals in Knoxville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$66.01

The University of Tennessee Medical Center

all plan types

Highest Rate

$2,944

Tennova Turkey Creek Medical Center

all plan types

Rate Spread

45x

across all plan types

Hospitals

9

with Aetna data

Aetna's negotiated ER visit rates in Knoxville range 45x, from $66.01 at The University of Tennessee Medical Center to $2,944 at Tennova Turkey Creek Medical Center. The lowest figure is a Medicare Advantage rate, and low rates often reflect Medicaid or Medicare plans rather than commercial ones. Across 9 hospitals, the median rate is $1,312.50.

Why the range is so wide: Aetna negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Aetna ER Visit Rates by Hospital

Hospital Lowest Aetna Rate
The University of Tennessee Medical Center $66.01
Fort Loudoun Medical Center $260.05
Fort Sanders Regional Medical Center $260.05
Methodist Medical Center of Oak Ridge $260.05
Parkwest Medical Center $260.05
Roane Medical Center $260.05
LaFollette Medical Center $421.22
Tennova North Knoxville Medical Center $1,113
Tennova Turkey Creek Medical Center $1,169

Median of all 142 published Aetna rates for ER Visit at these hospitals: $1,312.50

Rates shown are Aetna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Aetna plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Reading Aetna ER Visit Rates in Knoxville

Aetna ER visit rates in Knoxville, low to high. Across 9 hospitals, the lowest published rate is $66.01 at The University of Tennessee Medical Center. Fort Loudoun Medical Center and Fort Sanders Regional Medical Center follow at $260.05 each. At the other end, Tennova Turkey Creek Medical Center shows $2,944, Tennova North Knoxville Medical Center shows $2,804, and LaFollette Medical Center shows $2,467.27.

The 45x spread and what sits behind it. The spread between lowest and highest is 45x, and the median of all 142 published Aetna rates is $1,312.50. The plan type beside the lowest rate at most hospitals is Medicare Advantage, so the low end likely reflects those plans rather than commercial plans. Treat the lowest figures with that in mind.

What an Aetna member can ask before an ER visit in Knoxville. A member can ask Aetna for their own plan's negotiated rate and estimated cost share at a named hospital, such as Parkwest Medical Center, and whether that hospital is in network for their plan. The hospital can also be asked for an estimate. These are facility rates, and professional fees are billed separately.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding Aetna Negotiated Rates

A negotiated rate is the price Aetna has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Aetna plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for ER Visit in Knoxville

View all ER Visit prices in Knoxville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna ER Visit in Knoxville?

The lowest Aetna negotiated rate for ER Visit in Knoxville is $66.01 at The University of Tennessee Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,944 at Tennova Turkey Creek Medical Center, a 45x difference. Commercial plan rates typically fall between these extremes.

Is the Aetna negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Aetna has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Aetna for a pre-service cost estimate specific to your plan.

How many Knoxville hospitals have published Aetna rates?

9 hospitals in the Knoxville area have published Aetna negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.

Will Aetna cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Aetna cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.

We are not affiliated with Aetna or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Aetna or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official Aetna website: www.aetna.com