Level 4 ER visit cost in Nashville, TN — inpatient
In Nashville-Davidson--Murfreesboro--Franklin, TN, 4 hospitals list a cash price for emergency room visit, level 4 of 5, moderate-complexity problem as an inpatient: from $151.67 to $945.00, with a median of $613.71. The lowest listed price is at Vanderbilt Wilson County Hospital — $462.04 less than the median here. Across Tennessee, the median is $330.00 at 43 hospitals.
Cash prices at 4 facilities across 4 cities for code 99284, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 1, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Nashville-Davidson--Murfreesboro--Franklin, TN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY | $151.67 | $523.00 | $23.06–$523.00 | 71% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY | $282.42 | $523.00 | $23.06–$523.00 | 46% | Oct 1, 2025 source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 EMER RM CARE IV | $945.00 | $3,150.00 | $107.34–$3,150.00 | 70% | — source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 EMER RM CARE IV | $945.00 | $3,150.00 | $107.34–$3,150.00 | 70% | — source file |
Inpatient: lowest $151.67, median $613.71, highest $945.00 — a 6.2× difference within the same market.
As an outpatient, the same code is billed by 4 facilities here, median $613.71 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 4 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
This is the fourth of five emergency department visit levels, used for a problem of moderate complexity, often one that needs several tests, imaging or medicines. The level is assigned after the visit: doctors pick it by the complexity of their medical decision making, and hospitals pick the facility level by the care and resources used, so a patient cannot choose it in advance.
What the price covers
The hospital price for this code is the facility fee for the ER visit. The emergency physician bills separately, and lab tests, imaging, medicines and procedures are added on top.