CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Erlanger Medical Center

Billing Code: 76700 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$127

about 1.2× the $107 Medicare rate · typically $111–$130

modeled estimate · not a bill or quote

What this hospital charges insurers

$124

About the fair price

about $3 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $127 This hospital $124 Cash price $152 Hospital's list price $289

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 $35 Priciest $124

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

A fair price for a Ultrasound, abdomen (complete) is about $127 (about 1.2× the $107 Medicare rate). Erlanger Medical Center charges insurers about $124, or about $152 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	$31 - $252	29%
Blue Cross Blue Shieldmajor	$100 - $1,306	94%
Aetnamajor	$44 - $800	41%
Cignamajor	$40 - $734	37%
Humanamajor	$49 - $194	46%
Ambetter (Centene)	$122 - $197	114%
Amerigroup	$36 - $341	34%
CareSource	$36 - $399	34%
Clover Health	$98 - $158	92%
Devoted Health	$44 - $164	41%
UPMC Health Plan	$98 - $158	92%
+ 11 smaller / regional plans	$40 - $1,224

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 152), 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: 76700.

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 76700.
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: Ultrasound, abdomen (complete) at other TN hospitals

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