Amerigroup ER Visit Rates in Tri-Cities (Johnson City-Kingsport-Bristol)
Published Amerigroup negotiated rates for ER Visit at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), 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
$60
Franklin Woods Community Hospital
all plan types
Highest Rate
$587.55
Holston Valley Medical Center
all plan types
Rate Spread
10x
across all plan types
Hospitals
7
with Amerigroup data
Amerigroup's negotiated ER visit rates in the Tri-Cities range nearly 10x, from $60 at Franklin Woods Community Hospital to $587.55 at Holston Valley Medical Center. The median across seven hospitals is $257.57. Lower figures may reflect Medicaid or Medicare plan types rather than commercial coverage.
Amerigroup ER Visit Rates by Hospital
| Hospital | Lowest Amerigroup Rate |
|---|---|
| Franklin Woods Community Hospital | $60 |
| Indian Path Community Hospital | $60 |
| Johnson City Medical Center | $60 |
| Sycamore Shoals Hospital | $60 |
| Hawkins County Memorial Hospital | $257.57 |
| Bristol Regional Medical Center | $269.32 |
| Holston Valley Medical Center | $269.32 |
Median of all 33 published Amerigroup rates for ER Visit at these hospitals: $257.57
Rates shown are Amerigroup's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Amerigroup 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 Amerigroup ER Visit Rates in Tri-Cities (Johnson City-Kingsport-Bristol)
Where Amerigroup ER visit rates start and end in the Tri-Cities. The lowest published rate is $60, listed at Franklin Woods Community Hospital, Indian Path Community Hospital and Johnson City Medical Center. At the other end, Holston Valley Medical Center shows $587.55, and Hawkins County Memorial Hospital shows a high of $561.92.
How wide the Tri ER visit spread runs. The page shows a 10x spread across the 7 hospitals, with a median of $257.57 across all 33 published rates. The lowest rates here are tied to plan types labeled AMERIGROUP, while the lowest figures at Hawkins County Memorial Hospital, Bristol Regional Medical Center and Holston Valley Medical Center sit under Medicare Advantage style plans. Because the plan behind a rate is not always clear, a low figure may reflect a plan other than the one a member holds, so it may not match a commercial plan's rate.
What an Amerigroup member can ask about a Tri ER visit. These are facility rates, and professional fees are billed separately.
- Ask Amerigroup for your own plan's negotiated rate and estimated cost share at a named hospital, such as Johnson City Medical Center.
- Ask whether that hospital is in network for your plan.
- Ask the hospital for an estimate.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Amerigroup Negotiated Rates
A negotiated rate is the price Amerigroup 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 Amerigroup 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 Tri-Cities (Johnson City-Kingsport-Bristol)
Frequently Asked Questions
Where is the lowest-cost Amerigroup ER Visit in Tri-Cities (Johnson City-Kingsport-Bristol)?
The lowest Amerigroup negotiated rate for ER Visit in Tri-Cities (Johnson City-Kingsport-Bristol) is $60 at Franklin Woods Community Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $587.55 at Holston Valley Medical Center, a 10x difference. Commercial plan rates typically fall between these extremes.
Is the Amerigroup negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Amerigroup 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 Amerigroup for a pre-service cost estimate specific to your plan.
How many Tri-Cities (Johnson City-Kingsport-Bristol) hospitals have published Amerigroup rates?
7 hospitals in the Tri-Cities (Johnson City-Kingsport-Bristol) area have published Amerigroup 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 Amerigroup directly.
Will Amerigroup cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Amerigroup 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 Amerigroup 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 Amerigroup 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 Amerigroup website: www.amerigroup.com