CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Erlanger Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $109
Cash Discount Price: $152
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Erlanger Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $152 (142%)

Insurance Median: $109 (102%)

Cash: $152 (142% of Medicare)

Ins. Median: $109 (102% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$31 - $252	29%
Amerigroup	$36 - $341	34%
Caresource	$36 - $341	34%
Peach State Hlth Plan	$36 - $103	34%
Bluecare	$40 - $353	37%
Cigna	$40 - $734	37%
Aetna	$44 - $800	41%
Devoted Health	$44 - $164	41%
Humana	$49 - $194	46%
Atrio Health	$53 - $173	50%
Point Comfort Underwriters	$53 - $284	50%
Alexian	$58 - $158	54%
Pruitthealth Premier	$62 - $161	58%
Occunet	$93 - $276	87%
Clover	$98 - $158	92%
Upmc	$98 - $158	92%
American Health	$100 - $162	94%
Wellpoint	$100	94%
Blue Cross Blue Shield	$102 - $1,306	95%
Nhc	$102 - $166	95%
Ambetter / Centene	$122 - $197	114%
Medicare (plans)	$158	148%
Simpra Advantage	$173	162%
Caresource Ga	$222 - $399	208%
Caresource Tn	$222 - $399	208%
Olympus	$236 - $1,224	221%
Pnoa	$244 - $321	228%
Alliant	$252 - $1,224	236%
Caresource Nc	$268 - $399	251%
First Health	$1,306 - $1,387	1223%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $152.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Erlanger Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.