CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Erlanger Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$117
about 0.9× the $136 Medicare rate · typically $84–$144
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
Above the fair price
about $21 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $117 This hospital $138 Cash price $121 Hospital's list price $229

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 $138

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

A fair price for a Office visit, established patient (30-39 min) is about $117 (about 0.9× the $136 Medicare rate). Erlanger Medical Center charges insurers about $138, or about $121 in cash — above the fair price. Located in Chattanooga, TN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $117. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $68 - $289 50%
Blue Cross Blue Shieldmajor $68 - $286 50%
Aetnamajor $132 - $164 97%
Cignamajor $90 - $190 66%
Humanamajor $87 - $154 64%
Ambetter (Centene) $164 121%
Amerigroup $63 - $217 46%
CareSource $63 - $329 46%
Clover Health $131 97%
Devoted Health $100 - $136 74%
UPMC Health Plan $131 97%
+ 13 smaller / regional plans $60 - $379
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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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