Emergency visit, highest (level 5) at Jefferson Memorial Hospital. CPT 99285.
What Jefferson Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$878cash price (self-pay)
$3,967list price
$160–$3,967range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $160 |
| BlueCare | BCBS TN BlueCare | $216 |
| BlueCare | BCBS TN TennCare Select | $216 |
| BlueCare | BCBS TN CoverKids | $235 |
| Amerigroup | Amerigroup Community Care | $415 |
| NODE Tricare | NODE Tricare | $513 |
| Humana | NODE Humana MCR ADV | $532 |
| NODE Medicare Non Par | NODE Medicare Non Par | $532 |
| NODE Medicare Traditional | NODE Medicare Traditional | $532 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $532 |
| NODE ChampVA | NODE ChampVA | $540 |
| NODE BlueCare Plus TN MCR ADV | NODE BlueCare Plus TN MCR ADV | $540 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $540 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $540 |
| Node Va | Node Va | $540 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $542 |
| NODE Farm Bureau MCR ADV | NODE Farm Bureau MCR ADV | $542 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $548 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $548 |
| NODE Healthspring MCR ADV | NODE Healthspring MCR ADV | $548 |
| NODE Amerigroup MCR ADV | NODE Amerigroup MCR ADV | $558 |
| United Healthcare | NODE UHC MCR Dual ADV | $558 |
| NODE Wellcare MCR ADV | NODE Wellcare MCR ADV | $562 |
| Node Nhc Mcr Adv | Node Nhc Mcr Adv | $585 |
| NODE US Dept of Labor | NODE US Dept of Labor | $675 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $805 |
| Self Pay | Self Pay | $878 |
| NovaNet Work Comp TN | NovaNet Work Comp TN | $910 |
| Occunet Work Comp TN | Occunet Work Comp TN | $920 |
| NODE Ambetter Health Exchange | NODE Ambetter Health Exchange | $1,000 |
Inpatient
$878cash price (self-pay)
$3,967list price
$805–$3,967range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $805 |
| Multiplan Complementary | Multiplan Complementary | $3,134 |
| United Healthcare | UHC APA | $3,967 |
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