CMS Price Transparency Data

X-ray, foot

Facility: Erlanger Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $27
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Erlanger Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.30x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $29 (33%)
Insurance Median: $27 (30%)
Cash: $29 (33% of Medicare)
Ins. Median: $27 (30% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 $6 - $180 7%
Amerigroup $7 - $86 8%
Caresource $8 - $162 9%
Cigna $8 - $160 9%
Devoted Health $8 - $84 9%
Peach State Hlth Plan $8 - $26 9%
Aetna $9 - $138 10%
Bluecare $9 - $93 10%
Humana $9 - $81 10%
Atrio Health $10 - $89 11%
Point Comfort Underwriters $10 - $84 11%
Alexian $11 - $79 12%
Pruitthealth Premier $12 - $51 13%
Blue Cross Blue Shield $25 - $225 28%
Clover $47 - $81 53%
Medicare (plans) $47 53%
Upmc $47 - $81 53%
American Health $48 - $83 54%
Nhc $49 - $85 55%
Simpra Advantage $52 58%
Pnoa $55 - $202 62%
Ambetter / Centene $59 - $101 66%
Caresource Ga $67 - $120 75%
Caresource Tn $67 - $120 75%
Olympus $70 - $211 79%
Alliant $75 - $211 84%
Occunet $77 - $82 87%
Caresource Nc $80 - $120 90%
Wellpoint $82 92%
First Health $225 - $239 253%

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