BCBS Tennessee ER Visit Rates in Knoxville
Published BlueCross BlueShield of Tennessee negotiated rates for ER Visit at 9 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
$57.54
The University of Tennessee Medical Center
all plan types
Highest Rate
$1,467
Roane Medical Center
all plan types
Rate Spread
25x
across all plan types
Hospitals
9
with BlueCross BlueShield of Tennessee data
BlueCross BlueShield of Tennessee ER visit rates in Knoxville span a 25x range, from $57.54 at The University of Tennessee Medical Center to $1,467 at Roane Medical Center. The median across nine hospitals is $567.33. The lowest figure reflects a CoverKids PCP plan, and rates at the low end often come from Medicaid or Medicare products rather than commercial plans.
BlueCross BlueShield of Tennessee ER Visit Rates by Hospital
| Hospital | Lowest BlueCross BlueShield of Tennessee Rate |
|---|---|
| The University of Tennessee Medical Center | $57.54 |
| Tennova North Knoxville Medical Center | $97.09 |
| Tennova Turkey Creek Medical Center | $97.09 |
| LaFollette Medical Center | $106.36 |
| Fort Loudoun Medical Center | $227 |
| Fort Sanders Regional Medical Center | $227 |
| Methodist Medical Center of Oak Ridge | $227 |
| Parkwest Medical Center | $227 |
| Roane Medical Center | $227 |
Median of all 575 published BlueCross BlueShield of Tennessee rates for ER Visit at these hospitals: $567.33
Rates shown are BlueCross BlueShield of Tennessee's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee ER Visit Rates in Knoxville
Where Knoxville ER visit rates start and top out for BlueCross BlueShield of Tennessee. The lowest published rates in the table are $57.54 at The University of Tennessee Medical Center and $97.09 at both Tennova North Knoxville Medical Center and Tennova Turkey Creek Medical Center. At the top, the page's highest rate is $1,467 at Roane Medical Center, which matches Fort Loudoun Medical Center's highest. The University of Tennessee Medical Center also lists a highest rate of $9,988.80 among its 131 plans.
How wide the Knoxville ER visit spread runs. The page shows a 25x spread, and the median of all 575 published rates is $567.33. The plan types beside the lowest rates, such as CoverKids and BlueCare, look like children's coverage or Medicaid-related plans, so the low end likely reflects those plans rather than commercial plans. Treat the lowest figures with that in mind.
What BlueCross BlueShield of Tennessee members can ask in Knoxville. These are facility rates, and professional fees are billed separately. Members can ask:
- BlueCross BlueShield of Tennessee for their own plan's negotiated rate and estimated cost share at a named hospital
- The insurer whether that hospital is in network for their plan
- The hospital for an estimate
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding BlueCross BlueShield of Tennessee Negotiated Rates
A negotiated rate is the price BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee ER Visit in Knoxville?
The lowest BlueCross BlueShield of Tennessee negotiated rate for ER Visit in Knoxville is $57.54 at The University of Tennessee Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,467 at Roane Medical Center, a 25x difference. Commercial plan rates typically fall between these extremes.
Is the BlueCross BlueShield of Tennessee negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee for a pre-service cost estimate specific to your plan.
How many Knoxville hospitals have published BlueCross BlueShield of Tennessee rates?
9 hospitals in the Knoxville area have published BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee directly.
Will BlueCross BlueShield of Tennessee cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee website: www.bcbst.com