CMS Price Transparency Data

X-ray, lower back

Facility: Erlanger Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $43
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 0.40x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Erlanger Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.40x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $49 (46%)
Insurance Median: $43 (40%)
Cash: $49 (46% of Medicare)
Ins. Median: $43 (40% 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 $11 - $252 10%
Amerigroup $12 - $127 11%
Aetna $14 - $281 13%
Caresource $14 - $195 13%
Cigna $14 - $258 13%
Peach State Hlth Plan $14 - $45 13%
Bluecare $15 - $138 14%
Devoted Health $16 - $101 15%
Humana $17 - $98 16%
Atrio Health $19 - $107 18%
Point Comfort Underwriters $19 - $126 18%
Alexian $20 - $97 19%
Pruitthealth Premier $22 - $75 21%
Blue Cross Blue Shield $44 - $459 41%
Clover $70 - $98 66%
Medicare (plans) $70 66%
Upmc $70 - $98 66%
American Health $72 - $100 67%
Nhc $74 - $102 69%
Simpra Advantage $77 72%
Ambetter / Centene $88 - $122 82%
Pnoa $92 - $244 86%
Occunet $93 - $123 87%
Wellpoint $100 94%
Caresource Ga $101 - $182 95%
Caresource Tn $101 - $182 95%
Olympus $105 - $430 98%
Alliant $112 - $430 105%
Caresource Nc $122 - $182 114%
First Health $459 - $488 430%

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