CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Erlanger Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $169
  • Cash Discount Price: $177
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Erlanger Medical Center is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.94x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$177

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $177 (99%)
Insurance Median: $169 (94%)
Cash: $177 (99% of Medicare)
Ins. Median: $169 (94% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 $43 - $410 24%
Amerigroup $50 - $432 28%
Caresource $50 - $351 28%
Peach State Hlth Plan $50 - $243 28%
Bluecare $56 - $468 31%
Cigna $56 - $756 31%
Devoted Health $62 - $213 35%
Humana $68 - $500 38%
Aetna $72 - $823 40%
Atrio Health $74 - $226 41%
Point Comfort Underwriters $74 - $370 41%
Alexian $81 - $205 45%
Pruitthealth Premier $87 - $210 49%
Blue Cross Blue Shield $139 - $1,343 78%
Occunet $155 - $359 86%
Clover $163 - $205 91%
Upmc $163 - $205 91%
American Health $168 - $211 94%
Wellpoint $169 94%
Nhc $171 - $216 95%
Ambetter / Centene $204 - $257 114%
Medicare (plans) $205 114%
Simpra Advantage $226 126%
Caresource Ga $290 - $520 162%
Caresource Tn $290 - $520 162%
Olympus $308 - $1,259 172%
Alliant $328 - $1,259 183%
Pnoa $336 - $408 188%
Caresource Nc $350 - $520 195%
First Health $1,343 - $1,427 749%

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