CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Erlanger Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $96
  • Cash Discount Price: $115
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Erlanger Medical Center is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$115

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $115 (108%)
Insurance Median: $96 (90%)
Cash: $115 (108% of Medicare)
Ins. Median: $96 (90% 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.

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 $23 - $252 22%
Amerigroup $26 - $241 24%
Caresource $26 - $200 24%
Peach State Hlth Plan $26 - $75 24%
Bluecare $29 - $262 27%
Cigna $29 - $431 27%
Devoted Health $32 - $124 30%
Aetna $33 - $469 31%
Humana $36 - $145 34%
Atrio Health $39 - $131 37%
Point Comfort Underwriters $39 - $214 37%
Alexian $42 - $119 39%
Pruitthealth Premier $46 - $122 43%
Blue Cross Blue Shield $74 - $766 69%
Occunet $93 - $208 87%
Clover $98 - $119 92%
Upmc $98 - $119 92%
American Health $100 - $122 94%
Wellpoint $100 94%
Nhc $102 - $125 95%
Medicare (plans) $119 111%
Ambetter / Centene $122 - $149 114%
Simpra Advantage $131 123%
Caresource Ga $167 - $299 156%
Caresource Tn $167 - $299 156%
Olympus $178 - $718 167%
Alliant $190 - $718 178%
Pnoa $191 - $244 179%
Caresource Nc $201 - $299 188%
First Health $766 - $813 717%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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