CMS Price Transparency Data

X-ray, pelvis

Facility: Erlanger Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $25
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Erlanger Medical Center is $25. 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 $106.81, this hospital’s rate is 0.23x 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
$25

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: $29 (27%)
Insurance Median: $25 (23%)
Cash: $29 (27% of Medicare)
Ins. Median: $25 (23% 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 $6 - $252 6%
Amerigroup $7 - $75 7%
Caresource $8 - $195 7%
Cigna $8 - $193 7%
Devoted Health $8 - $101 7%
Peach State Hlth Plan $8 - $25 7%
Bluecare $9 - $81 8%
Humana $9 - $98 8%
Aetna $10 - $149 9%
Atrio Health $10 - $107 9%
Point Comfort Underwriters $10 - $68 9%
Alexian $11 - $97 10%
Pruitthealth Premier $12 - $39 11%
Blue Cross Blue Shield $24 - $244 22%
Clover $38 - $98 36%
Medicare (plans) $38 36%
Upmc $38 - $98 36%
American Health $39 - $100 37%
Nhc $40 - $102 37%
Simpra Advantage $42 39%
Ambetter / Centene $47 - $122 44%
Caresource Ga $54 - $96 51%
Caresource Tn $54 - $96 51%
Olympus $57 - $229 53%
Pnoa $57 - $244 53%
Alliant $60 - $229 56%
Caresource Nc $65 - $96 61%
Occunet $66 - $93 62%
Wellpoint $100 94%
First Health $244 - $259 228%

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