Sentara ER Visit Rates in Tri-Cities (Johnson City-Kingsport-Bristol)

Published Sentara Health Plans negotiated rates for ER Visit at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.

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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

$247.67

Hawkins County Memorial Hospital

all plan types

Highest Rate

$784.88

Holston Valley Medical Center

all plan types

Rate Spread

across all plan types

Hospitals

with Sentara Health Plans data

Why the range is so wide: Sentara Health Plans 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.

Sentara Health Plans ER Visit Rates by Hospital

Hospital	Lowest Sentara Health Plans Rate	Plan Type	Highest Rate	Plans
Hawkins County Memorial Hospital	$247.67	SENTARA MEDICARE	$784.88	6
Indian Path Community Hospital	$247.67	SENTARA MEDICARE	$1,049.45	6
Sycamore Shoals Hospital	$247.67	SENTARA MEDICARE	$846.01	6
Franklin Woods Community Hospital	$247.85	SENTARA MEDICARE	$880.98	6
Johnson City Medical Center	$254.73	SENTARA MEDICARE	$1,061	6
Bristol Regional Medical Center	$258.96	SENTARA MEDICARE	$784.88	6
Holston Valley Medical Center	$258.96	SENTARA MEDICARE	$784.88	6

Median of all 42 published Sentara Health Plans rates for ER Visit at these hospitals: $496.49

Rates shown are Sentara Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Sentara Health Plans 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 Sentara Health Plans Negotiated Rates

A negotiated rate is the price Sentara Health Plans 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 Sentara Health Plans 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)

Aetna $247.67 - $1,298.51 7 hospitals Ambetter $539.91 - $1,231.59 7 hospitals Amerigroup $60 - $587.55 7 hospitals BlueCross BlueShield of Tennessee $86 - $1,305 7 hospitals Cigna $260.05 - $2,427 7 hospitals Devoted Health $260.05 - $593.20 7 hospitals

View all ER Visit prices in Tri-Cities (Johnson City-Kingsport-Bristol) (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Sentara Health Plans ER Visit in Tri-Cities (Johnson City-Kingsport-Bristol)?

The lowest Sentara Health Plans negotiated rate for ER Visit in Tri-Cities (Johnson City-Kingsport-Bristol) is $247.67 at Hawkins County Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $784.88 at Holston Valley Medical Center, a 3x difference. Commercial plan rates typically fall between these extremes.

Is the Sentara Health Plans negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Sentara Health Plans 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 Sentara Health Plans for a pre-service cost estimate specific to your plan.

How many Tri-Cities (Johnson City-Kingsport-Bristol) hospitals have published Sentara Health Plans rates?

7 hospitals in the Tri-Cities (Johnson City-Kingsport-Bristol) area have published Sentara Health Plans 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 Sentara Health Plans directly.

Will Sentara Health Plans cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Sentara Health Plans 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 Sentara Health Plans 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 Sentara Health Plans 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 Sentara Health Plans website: www.sentarahealthplans.com