Emergency Department Visit with High Level of Medical Decision Making Cost in Tennessee
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 81 Tennessee hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $646
📉 Low $130
📈 High $21,242
🏥 81 hospitals
🏛️ 69 with insurance contracts
🇺🇸 Medicare $162
Hospital comparison — Tennessee
Sorted by cash price (lowest first). Showing top 60 of 81 hospitals.
Billed more than $646 for this? That gap is evidence.
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| Hospital | Cash | Aetna | Cigna | BCBS | UHC | Humana | Centene | Medicare | Devoted |
|---|---|---|---|---|---|---|---|---|---|
| HARDIN MEDICAL CENTER SAVANNAH |
$130 | $596 | $654 | $579 | $136 | — | $868 | — | — |
| SWEETWATER HOSPITAL ASSOCIATION SWEETWATER |
$182 | — | — | — | — | — | — | — | — |
| HENDERSON COUNTY COMMUNITY HOSPITAL LEXINGTON |
$200 | $156 | $131 | $136 | $50.00 | $160 | $261 | — | — |
| HOUSTON COUNTY COMMUNITY HOSPITAL ERIN |
$200 | $156 | $131 | $136 | $50.00 | $160 | $261 | — | — |
| HAYWOOD COUNTY COMMUNITY HOSPITAL BROWNSVILLE |
$200 | $156 | $131 | $136 | $50.00 | $160 | $261 | — | — |
| VANDERBILT WILSON COUNTY HOSPITAL LEBANON |
$220 | $131 | $131 | — | — | $121 | $133 | — | — |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL TULLAHOMA |
$220 | $131 | $131 | — | — | $121 | $133 | — | — |
| VANDERBILT BEDFORD HOSPITAL SHELBYVILLE |
$220 | $131 | $131 | — | — | $121 | $133 | — | — |
| WILLIAMSON MEDICAL CENTER FRANKLIN |
$282 | $173 | $173 | $173 | $173 | $173 | $173 | — | $173 |
| THE UNIVERSITY OF TENNESSEE MEDICAL CENTER KNOXVILLE |
$286 | $57.80 | $165 | $139 | $138 | $164 | $160 | $593 | $582 |
| UNITY MEDICAL CENTER MANCHESTER |
$331 | — | — | $724 | $414 | — | — | $159 | — |
| PARKWEST MEDICAL CENTER KNOXVILLE |
$343 | $588 | $588 | $588 | $577 | $577 | $588 | — | $588 |
| FORT SANDERS REGIONAL MEDICAL CENTER KNOXVILLE |
$355 | $588 | $588 | $588 | $577 | $577 | $588 | — | $588 |
| LECONTE MEDICAL CENTER SEVIERVILLE |
$355 | $630 | $630 | $630 | $618 | $618 | $630 | — | $630 |
| MORRISTOWN-HAMBLEN HEALTHCARE SYSTEM MORRISTOWN |
$355 | $588 | $588 | $588 | $577 | $577 | $588 | — | $588 |
| METHODIST MEDICAL CENTER OF OAK RIDGE OAK RIDGE |
$355 | $588 | $588 | $588 | $577 | $577 | $588 | — | $588 |
| CUMBERLAND MEDICAL CENTER CROSSVILLE |
$355 | $630 | $630 | $630 | $618 | $618 | $630 | — | $630 |
| ROANE MEDICAL CENTER HARRIMAN |
$355 | $588 | $588 | $588 | $577 | $577 | $588 | — | $588 |
| RHEA MEDICAL CENTER DAYTON |
$363 | — | $427 | $171 | — | $169 | — | — | — |
| FORT LOUDOUN MEDICAL CENTER LENOIR CITY |
$366 | $588 | $588 | $588 | $577 | $577 | $588 | — | $588 |
| MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT NASHVILLE |
$410 | $174 | $174 | $175 | $161 | $167 | $177 | — | — |
| MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT NASHVILLE |
$410 | $174 | $174 | $175 | $161 | $167 | $177 | — | — |
| JOHNSON COUNTY COMMUNITY HOSPITAL MOUNTAIN CITY |
$448 | $564 | $593 | $253 | $51.00 | $573 | $564 | $564 | $593 |
| HANCOCK COUNTY HOSPITAL SNEEDVILLE |
$448 | $1,382 | $1,448 | $253 | $50.00 | $1,404 | $1,382 | $1,382 | $1,451 |
| HANCOCK COUNTY HOSPITAL SNEEDVILLE |
$448 | $1,382 | $1,448 | $253 | $50.00 | $1,404 | $1,382 | $1,382 | $1,451 |
| FRANKLIN WOODS COMMUNITY HOSPITAL JOHNSON CITY |
$456 | $541 | $568 | $306 | $51.00 | $541 | $573 | $541 | $568 |
| HOLSTON VALLEY MEDICAL CENTER KINGSPORT |
$456 | $565 | $593 | $253 | $51.00 | $565 | $599 | $565 | $593 |
| HAWKINS COUNTY MEMORIAL HOSPITAL ROGERSVILLE |
$456 | $540 | $567 | $253 | $50.00 | $540 | $573 | $540 | $567 |
| JOHNSON CITY MEDICAL CENTER JOHNSON CITY |
$456 | $556 | $584 | $253 | $50.00 | $556 | $589 | $556 | $584 |
| BRISTOL REGIONAL MEDICAL CENTER BRISTOL |
$456 | $565 | $593 | $253 | $51.00 | $565 | $599 | $565 | $593 |
| SYCAMORE SHOALS HOSPITAL ELIZABETHTON |
$456 | $540 | $567 | $253 | $50.00 | $540 | $573 | $540 | $567 |
| INDIAN PATH COMMUNITY HOSPITAL KINGSPORT |
$456 | $540 | $567 | $253 | $50.00 | $540 | $573 | $540 | $567 |
| GREENEVILLE COMMUNITY HOSPITAL GREENEVILLE |
$456 | $556 | $584 | $253 | $37.00 | $556 | $589 | $556 | $584 |
| BIG SOUTH FORK MEDICAL CENTER ALBERTA ST ONEDIA |
$479 | $1,596 | — | — | — | — | — | — | — |
| PATHWAYS BEHAVIORAL HEALTH SERVICES JACKSON |
$489 | — | — | $147 | $74.00 | — | — | — | — |
| PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE |
$546 | — | — | — | — | — | — | — | — |
| METHODIST NORTH HOSPITAL MEMPHIS |
$589 | — | — | — | — | — | — | — | — |
| METHODIST SOUTH HOSPITAL MEMPHIS |
$589 | — | — | — | — | — | — | — | — |
| METHODIST LE BONHEUR GERMANTOWN HOSPITAL GERMANTOWN |
$589 | — | — | — | — | — | — | — | — |
| METHODIST UNIVERSITY HOSPITAL MEMPHIS |
$589 | — | — | — | — | — | — | — | — |
| VANDERBILT CLARKSVILLE HOSPITAL CLARKSVILLE |
$596 | $626 | $584 | $281 | $610 | $610 | $620 | $610 | $620 |
| LINCOLN MEDICAL CENTER FAYETTEVILLE |
$646 | — | $565 | — | — | — | — | — | — |
| NASHVILLE GENERAL HOSPITAL NASVILLE |
$720 | $161 | $161 | $170 | $88.74 | $161 | $161 | $161 | — |
| SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY NASHVILLE |
$745 | — | — | $584 | — | — | — | — | — |
| STARR REGIONAL MEDICAL CENTER ETOWAH ETOWAH |
$757 | — | — | — | — | — | — | — | — |
| STARR REGIONAL MEDICAL CENTER ATHENS |
$757 | $51.00 | $52.20 | $74.00 | $40.40 | $74.00 | $300 | $100 | $103 |
| CHI MEMORIAL HOSPITAL HIXSON HIXSON |
$790 | $1,734 | $577 | $322 | $794 | $582 | $534 | — | — |
| MARSHALL MEDICAL CENTER LEWISBURG |
$842 | $3,821 | $2,998 | $302 | $898 | $90.00 | — | — | — |
| LE BONHEUR CHILDREN'S HOSPITAL MEMPHIS |
$847 | — | — | — | — | — | — | — | — |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG | $858 | $52.00 | $52.20 | $74.00 | $40.40 | $74.00 | — | $100 | $103 |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM SEWANEE HOSPITAL ROAD WINCHESTER |
$925 | $52.00 | $52.20 | $74.00 | $40.40 | $74.00 | — | $100 | $103 |
| WAYNE MEDICAL CENTER WAYNESBORO |
$949 | $670 | $651 | $302 | $651 | $90.00 | $651 | $651 | — |
| ASCENSION SAINT THOMAS RUTHERFORD HOSPITAL MEDICAL CENTER PKWY MURFREESBORO |
$960 | — | — | — | — | — | — | — | — |
| ASCENSION SAINT THOMAS WEST HOSPITAL HARDING PK NASHVILLE |
$960 | $599 | — | $611 | $587 | $587 | $763 | $552 | — |
| ASCENSION SAINT THOMAS STONES RIVER HOSPITAL DOOLITTLE RD WOODBURY |
$960 | $158 | $2,043 | $255 | $587 | $587 | $763 | $587 | — |
| ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL SEWELL DR SPARTA |
$960 | $158 | $2,043 | $255 | $579 | $579 | $752 | $579 | — |
| ASCENSION SAINT THOMAS RIVER PARK HOSPITAL SPARTA RD MCMINNVILLE |
$960 | $158 | $2,043 | $255 | $579 | $579 | $752 | $579 | — |
| ASCENSION SAINT THOMAS DEKALB W MAIN ST SMITHVILLE |
$960 | $158 | $2,043 | $216 | $579 | $579 | $752 | $579 | — |
| HIGHPOINT HEALTH - SUMNER WITH ASCENSION SAINT THOMAS GALLATIN |
$1,080 | $31.10 | $52.20 | $65.00 | $102 | $100 | $215 | $100 | $103 |
| MACON COMMUNITY HOSPITAL LAFAYETTE |
$1,104 | $1,563 | $533 | $533 | $341 | $533 | $533 | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $646 for this?
That is the median of what the 81 Tennessee hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in Tennessee, Medicare reimburses about $162 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Tennessee range from $130 to $21,242 — that means hospital cash prices are typically 4.0x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Tennessee?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Tennessee range from $130 to $21,242, with a median of $646. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Tennessee?
- The cheapest Tennessee hospital published cash price for this procedure is $130. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
Other procedures in Tennessee
Methodology. Cash prices and insurance-negotiated rates published by each Tennessee facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.