BlueCare TN ER Visit Rates in Memphis

Published BlueCare Tennessee negotiated rates for ER Visit at 5 hospitals in Memphis, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$253.55

Le Bonheur Children's Hospital

all plan types

Highest Rate

$10,136

Methodist University Hospital

all plan types

Rate Spread

40x

across all plan types

Hospitals

5

with BlueCare Tennessee data

Why the range is so wide: BlueCare Tennessee 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.

BlueCare Tennessee ER Visit Rates by Hospital

Hospital Lowest BlueCare Tennessee Rate
Le Bonheur Children's Hospital $253.55
Methodist Le Bonheur Germantown Hospital $253.55
Methodist North Hospital $253.55
Methodist South Hospital $253.55
Methodist University Hospital $253.55

Median of all 44 published BlueCare Tennessee rates for ER Visit at these hospitals: $7,951

Rates shown are BlueCare Tennessee's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all BlueCare 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.

Understanding BlueCare Tennessee Negotiated Rates

A negotiated rate is the price BlueCare 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 BlueCare 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 Memphis

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

Frequently Asked Questions

Where is the lowest-cost BlueCare Tennessee ER Visit in Memphis?

The lowest BlueCare Tennessee negotiated rate for ER Visit in Memphis is $253.55 at Le Bonheur Children's Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $10,136 at Methodist University Hospital, a 40x difference. Commercial plan rates typically fall between these extremes.

Is the BlueCare Tennessee negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what BlueCare 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 BlueCare Tennessee for a pre-service cost estimate specific to your plan.

How many Memphis hospitals have published BlueCare Tennessee rates?

5 hospitals in the Memphis area have published BlueCare 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 BlueCare Tennessee directly.

Will BlueCare Tennessee cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. BlueCare 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 BlueCare 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 BlueCare 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 BlueCare Tennessee website: www.bcbst.com/members/bluecare-tennessee