CMS Price Transparency Data

CT scan, sinuses

Facility: Erlanger Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$155

about 1.4× the $107 Medicare rate · typically $119–$175

modeled estimate · not a bill or quote

What this hospital charges insurers

$162

About the fair price

about $7 over the fair price · 1.5× Medicare

Medicare pays $107 Fair price $155 This hospital $162 Cash price $153 Hospital's list price $290

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $38 Priciest $162

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, sinuses is about $155 (about 1.4× the $107 Medicare rate). Erlanger Medical Center charges insurers about $162, or about $153 in cash — about the fair price. Located in Chattanooga, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$33 - $252	31%
Blue Cross Blue Shieldmajor	$100 - $1,646	94%
Aetnamajor	$72 - $1,008	67%
Cignamajor	$42 - $926	39%
Humanamajor	$51 - $500	48%
Ambetter (Centene)	$122 - $225	114%
Amerigroup	$37 - $430	35%
CareSource	$51 - $453	48%
Clover Health	$98 - $180	92%
Devoted Health	$46 - $187	43%
UPMC Health Plan	$98 - $180	92%
+ 11 smaller / regional plans	$56 - $1,543

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 153), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70486.

Insurance Before you use insurance

Call your insurance company to confirm Erlanger Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70486.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Erlanger Medical Center

Compare: CT scan, sinuses at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.