CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Erlanger Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$109
about 0.9× the $118 Medicare rate · typically $81–$125
modeled estimate · not a bill or quote
What this hospital charges insurers
$125
About the fair price
about $16 over the fair price · 1.1× Medicare
Medicare pays $118 Fair price $109 This hospital $125 Cash price $120 Hospital's list price $228

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 $42 Priciest $125

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

A fair price for a New patient office visit (30-44 min) is about $109 (about 0.9× the $118 Medicare rate). Erlanger Medical Center charges insurers about $125, or about $120 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 $65 - $284 55%
Blue Cross Blue Shieldmajor $78 - $247 66%
Aetnamajor $111 - $141 94%
Cignamajor $90 - $164 77%
Humanamajor $87 - $153 74%
Ambetter (Centene) $138 117%
Amerigroup $77 - $207 65%
CareSource $77 - $275 65%
Clover Health $110 94%
Devoted Health $100 - $115 85%
UPMC Health Plan $110 94%
+ 13 smaller / regional plans $71 - $327
Government programs also on file: Medicare, Medicaid.

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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