CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Erlanger Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $159
  • Cash Discount Price: $196
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Erlanger Medical Center is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.49x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$196

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $196 (184%)
Insurance Median: $159 (149%)
Cash: $196 (184% of Medicare)
Ins. Median: $159 (149% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $39 - $260 37%
Amerigroup $45 - $495 42%
Cigna $50 - $1,066 47%
Caresource $52 - $495 49%
Peach State Hlth Plan $52 - $253 49%
Devoted Health $56 - $191 52%
Bluecare $57 - $475 53%
Humana $62 - $500 58%
Atrio Health $67 - $202 63%
Point Comfort Underwriters $67 - $331 63%
Aetna $72 - $1,161 67%
Alexian $73 - $184 68%
Pruitthealth Premier $78 - $188 73%
Occunet $93 - $322 87%
Clover $98 - $184 92%
Upmc $98 - $184 92%
American Health $100 - $189 94%
Wellpoint $100 94%
Nhc $102 - $193 95%
Ambetter / Centene $122 - $230 114%
Blue Cross Blue Shield $124 - $1,895 116%
Medicare (plans) $184 172%
Simpra Advantage $202 189%
Pnoa $244 - $372 228%
Caresource Ga $259 - $464 242%
Caresource Tn $259 - $464 242%
Olympus $276 - $1,777 258%
Alliant $294 - $1,777 275%
Caresource Nc $312 - $464 292%
First Health $1,895 - $2,014 1774%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 E 3Rd St, Chattanooga, TN 37403
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals