Ambetter ER Visit Rates in Knoxville
Published Ambetter negotiated rates for ER Visit at 5 hospitals in Knoxville, TN. Data from CMS-mandated hospital transparency files.
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.
Lowest Rate
$983
Fort Loudoun Medical Center
all plan types
Highest Rate
$1,294
Roane Medical Center
all plan types
Rate Spread
1x
across all plan types
Hospitals
5
with Ambetter data
Ambetter ER Visit Rates by Hospital
| Hospital | Lowest Ambetter Rate |
|---|---|
| Fort Loudoun Medical Center | $983 |
| Fort Sanders Regional Medical Center | $983 |
| Methodist Medical Center of Oak Ridge | $983 |
| Parkwest Medical Center | $983 |
| Roane Medical Center | $983 |
Median of all 75 published Ambetter rates for ER Visit at these hospitals: $1,035
Rates shown are Ambetter's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Ambetter 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.
Understanding Ambetter Negotiated Rates
A negotiated rate is the price Ambetter 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 Ambetter 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
Frequently Asked Questions
Where is the lowest-cost Ambetter ER Visit in Knoxville?
The lowest Ambetter negotiated rate for ER Visit in Knoxville is $983 at Fort Loudoun Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,294 at Roane Medical Center. Commercial plan rates typically fall between these extremes.
Is the Ambetter negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Ambetter 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 Ambetter for a pre-service cost estimate specific to your plan.
How many Knoxville hospitals have published Ambetter rates?
5 hospitals in the Knoxville area have published Ambetter 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 Ambetter directly.
Will Ambetter cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Ambetter 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 Ambetter 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 Ambetter 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 Ambetter website: www.ambetterhealth.com