CMS Price Transparency Data

X-ray, hip

Facility: Erlanger Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $40
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 0.45x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Erlanger Medical Center is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.45x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $41 (46%)
Insurance Median: $40 (45%)
Cash: $41 (46% of Medicare)
Ins. Median: $40 (45% 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 $8 - $180 9%
Amerigroup $10 - $119 11%
Caresource $10 - $162 11%
Peach State Hlth Plan $10 - $35 11%
Bluecare $11 - $128 12%
Cigna $11 - $160 12%
Aetna $12 - $95 13%
Devoted Health $12 - $84 13%
Humana $13 - $81 15%
Atrio Health $14 - $89 16%
Point Comfort Underwriters $14 - $116 16%
Alexian $16 - $79 18%
Pruitthealth Premier $17 - $70 19%
Blue Cross Blue Shield $36 - $155 40%
Clover $64 - $81 72%
Medicare (plans) $64 72%
Upmc $64 - $81 72%
American Health $66 - $83 74%
Nhc $68 - $85 76%
Simpra Advantage $71 80%
Pnoa $72 - $194 81%
Occunet $77 - $113 87%
Ambetter / Centene $81 - $101 91%
Wellpoint $82 92%
Caresource Ga $93 - $167 105%
Caresource Tn $93 - $167 105%
Olympus $97 - $146 109%
Alliant $103 - $146 116%
Caresource Nc $112 - $167 126%
First Health $155 - $165 174%

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