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Acute Care Hospital

Erlanger Medical Center

Chattanooga, Tennessee · Hamilton County · Emergency services listed

Summary

Erlanger Medical Center is an acute care hospital in Chattanooga, Tennessee. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 21 services, specialties and programs. Medicare lists 1,039 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(423) 778‑7000 Directions Website Medicare profile
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Exterior of Erlanger Medical Center
Photo: Erlangerhealth, CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
1,039Doctors and clinicians
21Services listed

Quick answers

Does Erlanger Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Erlanger Medical Center. In a medical emergency, call 911.
Where is Erlanger Medical Center?
975 E 3rd St, Chattanooga, TN 37403, in Hamilton County, Tennessee.
What is the phone number of Erlanger Medical Center?
(423) 778-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Erlanger Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][8][9][10]

  • Obstetrics
  • Maternal-fetal medicine
  • Labor and delivery
  • Adult intensive care
  • Emergency medicine
  • Surgery (inpatient)
  • Orthopaedic surgery
  • Hand surgery
  • Wound care
  • Gastroenterology and interventional radiology
  • Cancer care
  • Palliative care
  • Eye care (Miller Eye Center)

Conditions treated[8]

Treatments[8]

  • Cesarean delivery
  • Labor epidural anesthesia

Programs and centers[4][8][9]

  • Breastfeeding support
  • Never Forgotten Bereavement Program
  • Level I Trauma Center for adults
  • Teaching hospital affiliated with the University of Tennessee Health Science Center
  • Mother-Baby Unit

Emergency care (hospital website)[6][7]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel I

Visiting and practical information

VisitingInpatient visiting 5 a.m.-9 p.m.; photo visitor badge required; ICU, maternity and other units have their own limits[9]
ParkingCentralized parking serves the main campus; short-term parking for ER patients and companions[4][6]
Interpreters and languagesFree interpreters (ASL, phone, video); Spanish interpreters on site at Baroness weekdays 8 a.m.-4 p.m., phone service after hours[11]
Patient portalMyChart

Recognition[4]

  • Level I Trauma Center (adult)

Doctors and clinicians (1,039)

1,039 doctors and other clinicians list Erlanger Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (1,039)

And 1,015 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Erlanger Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1067%National average: 72%
Would definitely recommend the hospital67%National average: 71%
Nurses “always” communicated well75%National average: 80%
Doctors “always” communicated well80%National average: 80%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean64%National average: 74%
Area around the room “always” quiet at night55%National average: 60%
Completed surveys800Response rate: 19%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)1.166No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.301Better than the national benchmark
Surgical site infections after colon surgery2.013Worse than the national benchmark
Surgical site infections after abdominal hysterectomy1.804No different from the national benchmark
MRSA bloodstream infections2.217Worse than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.301Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients14.8%
Deaths within 30 days: heart failure patients12.4%
Deaths within 30 days: pneumonia patients13.1%
Deaths within 30 days: COPD patients8.7%
Deaths within 30 days: stroke patients11.7%
Deaths within 30 days: coronary bypass surgery (CABG)2.3%
Serious complications (patient safety indicator PSI-90)0.95No different from the national rate
Complications after hip or knee replacement2.9%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.3%
Readmitted within 30 days: heart failure20.5%
Readmitted within 30 days: pneumonia16.1%
Readmitted within 30 days: COPD18.8%
Readmitted within 30 days: coronary bypass surgery9.9%
Readmitted within 30 days: hip or knee replacement4%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)169 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)78%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in ChattanoogaBest hospitals in Chattanooga

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Erlanger Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES $228 $120.38 $99.14 – $274.98
New patient office visit (about 30–44 minutes): 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $141.22
  • AETNA — HMO: $131.13
  • AETNA — Medicare Advantage: $110.68
  • ALEXIAN — All Products: $110.15
  • ALLIANT — Alliant Solo Care- All Other Specialists: $176.24
  • AMBETTER — AMBETTER GA: $137.69
  • AMBETTER — AMBETTER TN: $137.69
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $113.45
  • AMERIGROUP — AMERIGROUP GA: $76.53
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $110.15
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN Not listed in the file Not listed in the file $70.54 – $160.45
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • BLUECARE — TENNCARE SELECT-ADULT: $70.54
  • BLUECARE — TENNCARE SELECT-CHILDREN: $160.45
  • HUMANA — HUMANACHOICE: $123.35
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES $199 $105.07 $69.65 – $199
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • ALEXIAN — All Products: $129.35
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $79.60
  • AMERIGROUP — TNCARE SELECT-ADULT: $79.60
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $79.60
  • ATRIO HEALTH — Medicare Advantage: $119.40
  • CIGNA — Cigna IFP Mid-level: $99.50
  • CIGNA — Cigna IFP Physician: $99.50
  • CIGNA — Cigna Local Plus Mid-level: $99.50
  • CIGNA — Cigna Local Plus Physician: $99.50
  • CIGNA — Cigna OAP: $99.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES $350 $184.80 $160.42 – $448.11
New patient office visit (about 45–59 minutes): 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $211.90
  • AETNA — HMO: $196.77
  • AETNA — Medicare Advantage: $179.11
  • ALEXIAN — All Products: $178.24
  • ALLIANT — Alliant Solo Care- All Other Specialists: $285.18
  • AMBETTER — AMBETTER GA: $222.80
  • AMBETTER — AMBETTER TN: $222.80
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $183.59
  • AMERIGROUP — AMERIGROUP GA: $110.51
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $178.24
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file $104.46 – $237.58
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • BLUECARE — TENNCARE SELECT-ADULT: $104.46
  • BLUECARE — TENNCARE SELECT-CHILDREN: $237.58
  • HUMANA — HUMANACHOICE: $208.99
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES $306 $161.57 $107.10 – $306
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • ALEXIAN — All Products: $198.90
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $122.40
  • AMERIGROUP — TNCARE SELECT-ADULT: $122.40
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $122.40
  • ATRIO HEALTH — Medicare Advantage: $183.60
  • CIGNA — Cigna IFP Mid-level: $153
  • CIGNA — Cigna IFP Physician: $153
  • CIGNA — Cigna Local Plus Mid-level: $153
  • CIGNA — Cigna Local Plus Physician: $153
  • CIGNA — Cigna OAP: $153
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES $440 $232.32 $217.49 – $608.09
New patient office visit (about 60–74 minutes): 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $280.01
  • AETNA — HMO: $260.01
  • AETNA — Medicare Advantage: $242.82
  • ALEXIAN — All Products: $241.65
  • ALLIANT — Alliant Solo Care- All Other Specialists: $386.64
  • AMBETTER — AMBETTER GA: $302.06
  • AMBETTER — AMBETTER TN: $302.06
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $248.90
  • AMERIGROUP — AMERIGROUP GA: $137.12
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $241.65
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file $131.41 – $298.87
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • BLUECARE — TENNCARE SELECT-ADULT: $131.41
  • BLUECARE — TENNCARE SELECT-CHILDREN: $298.87
  • HUMANA — HUMANACHOICE: $272.88
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES $400 $211.20 $140 – $400
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • ALEXIAN — All Products: $260
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $160
  • AMERIGROUP — TNCARE SELECT-ADULT: $160
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $160
  • ATRIO HEALTH — Medicare Advantage: $240
  • CIGNA — Cigna IFP Mid-level: $200
  • CIGNA — Cigna IFP Physician: $200
  • CIGNA — Cigna Local Plus Mid-level: $200
  • CIGNA — Cigna Local Plus Physician: $200
  • CIGNA — Cigna OAP: $200
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN $154 $81.31 $79.77 – $222.59
Established patient office visit (about 20–29 minutes): 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $115.21
  • AETNA — HMO: $106.98
  • AETNA — Medicare Advantage: $89.05
  • ALEXIAN — All Products: $88.63
  • ALLIANT — Alliant Solo Care- All Other Specialists: $141.81
  • AMBETTER — AMBETTER GA: $110.79
  • AMBETTER — AMBETTER TN: $110.79
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $91.29
  • AMERIGROUP — AMERIGROUP GA: $40.70
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $88.63
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN Not listed in the file Not listed in the file $47.39 – $107.78
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • BLUECARE — TENNCARE SELECT-ADULT: $47.39
  • BLUECARE — TENNCARE SELECT-CHILDREN: $107.78
  • HUMANA — HUMANACHOICE: $83.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN $134 $70.75 $46.90 – $134
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
  • ALEXIAN — All Products: $87.10
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $53.60
  • AMERIGROUP — TNCARE SELECT-ADULT: $53.60
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $53.60
  • ATRIO HEALTH — Medicare Advantage: $80.40
  • CIGNA — Cigna IFP Mid-level: $67
  • CIGNA — Cigna IFP Physician: $67
  • CIGNA — Cigna Local Plus Mid-level: $67
  • CIGNA — Cigna Local Plus Physician: $67
  • CIGNA — Cigna OAP: $67
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN $229 $120.91 $117.92 – $328.64
Established patient office visit (about 30–39 minutes): 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $163.87
  • AETNA — HMO: $152.17
  • AETNA — Medicare Advantage: $131.66
  • ALEXIAN — All Products: $131.02
  • ALLIANT — Alliant Solo Care- All Other Specialists: $209.63
  • AMBETTER — AMBETTER GA: $163.78
  • AMBETTER — AMBETTER TN: $163.78
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $134.95
  • AMERIGROUP — AMERIGROUP GA: $62.71
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $131.02
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN Not listed in the file Not listed in the file $60.84 – $138.37
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • BLUECARE — TENNCARE SELECT-ADULT: $60.84
  • BLUECARE — TENNCARE SELECT-CHILDREN: $138.37
  • HUMANA — HUMANACHOICE: $127.68
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN $199 $105.07 $69.65 – $199
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • ALEXIAN — All Products: $129.35
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $79.60
  • AMERIGROUP — TNCARE SELECT-ADULT: $79.60
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $79.60
  • ATRIO HEALTH — Medicare Advantage: $119.40
  • CIGNA — Cigna IFP Mid-level: $99.50
  • CIGNA — Cigna IFP Physician: $99.50
  • CIGNA — Cigna Local Plus Mid-level: $99.50
  • CIGNA — Cigna Local Plus Physician: $99.50
  • CIGNA — Cigna OAP: $99.50
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $299 $157.87 $104.65 – $299
Office consultation with a specialist (moderate): 10 of 70 insurance plan rates
  • AETNA — ERLANGER: $163.83
  • AETNA — HMO: $152.13
  • ALEXIAN — All Products: $194.35
  • AMERIGROUP — AMERIGROUP GA: $100.50
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $119.60
  • AMERIGROUP — TNCARE SELECT-ADULT: $119.60
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $119.60
  • ATRIO HEALTH — Medicare Advantage: $179.40
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $101.22
  • BCBST — BLUECARE-CHILDREN - Primary Care 21-999: $103.17
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $93.75 – $225.95
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • BLUECARE — TENNCARE SELECT-ADULT: $99.34
  • BLUECARE — TENNCARE SELECT-CHILDREN: $225.95
  • HUMANA — HUMANACHOICE: $155.89
  • UHC — UHC COMMUNITY-ADULT: $113.48
  • UHC — UHC COMMUNITY-CHILDREN: $93.75
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $446 $235.49 $156.10 – $446
Office consultation with a specialist (moderate to high): 10 of 70 insurance plan rates
  • AETNA — ERLANGER: $246.11
  • AETNA — HMO: $228.53
  • ALEXIAN — All Products: $289.90
  • AMERIGROUP — AMERIGROUP GA: $139.12
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $178.40
  • AMERIGROUP — TNCARE SELECT-ADULT: $178.40
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $178.40
  • ATRIO HEALTH — Medicare Advantage: $267.60
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $144.02
  • BCBST — BLUECARE-CHILDREN - Primary Care 21-999: $146.79
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $142.16 – $323.34
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • BLUECARE — TENNCARE SELECT-ADULT: $142.16
  • BLUECARE — TENNCARE SELECT-CHILDREN: $323.34
  • HUMANA — HUMANACHOICE: $250.49
  • UHC — UHC COMMUNITY-ADULT: $179.69
  • UHC — UHC COMMUNITY-CHILDREN: $148.44
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $252 $133.06 $88.20 – $252
Preventive checkup, new patient, age 18–39: 10 of 70 insurance plan rates
  • AETNA — ERLANGER: $169.75
  • AETNA — HMO: $157.63
  • ALEXIAN — All Products: $163.80
  • AMERIGROUP — AMERIGROUP GA: $75.38
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $100.80
  • AMERIGROUP — TNCARE SELECT-ADULT: $100.80
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $100.80
  • ATRIO HEALTH — Medicare Advantage: $151.20
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $101.63
  • BCBST — BLUECARE-CHILDREN - Primary Care 21-999: $103.58
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $57.32 – $159.94
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • BLUECARE — TENNCARE SELECT-ADULT: $57.32
  • BLUECARE — TENNCARE SELECT-CHILDREN: $130.37
  • HUMANA — HUMANACHOICE: $159.94
  • UHC — UHC COMMUNITY-ADULT: $114.72
  • UHC — UHC COMMUNITY-CHILDREN: $94.77
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $284 $149.95 $99.40 – $284
Preventive checkup, new patient, age 40–64: 10 of 70 insurance plan rates
  • AETNA — ERLANGER: $196.73
  • AETNA — HMO: $182.68
  • ALEXIAN — All Products: $184.60
  • AMERIGROUP — AMERIGROUP GA: $75.38
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $113.60
  • AMERIGROUP — TNCARE SELECT-ADULT: $113.60
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $113.60
  • ATRIO HEALTH — Medicare Advantage: $170.40
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $121.12
  • BCBST — BLUECARE-CHILDREN - Primary Care 21-999: $123.45
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $69.96 – $194.41
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans
  • BLUECARE — TENNCARE SELECT-ADULT: $69.96
  • BLUECARE — TENNCARE SELECT-CHILDREN: $159.11
  • HUMANA — HUMANACHOICE: $194.41
  • UHC — UHC COMMUNITY-ADULT: $138.98
  • UHC — UHC COMMUNITY-CHILDREN: $114.81
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM $134 $70.75 $88.25 – $244.19
Emergency room visit (moderate): 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $92.25
  • AETNA — HMO: $85.66
  • AETNA — Medicare Advantage: $98.53
  • ALEXIAN — All Products: $98.05
  • ALLIANT — Alliant Solo Care- All Other Specialists: $156.88
  • AMBETTER — AMBETTER GA: $122.56
  • AMBETTER — AMBETTER TN: $122.56
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $100.99
  • AMERIGROUP — AMERIGROUP GA: $54.80
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $98.05
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Care III-Limited $1,313 $693.26 $274.55 – $1,116.05
Emergency room visit (moderate): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $261.62
  • AETNA — EPO: $407.03
  • AETNA — HMO: $407.03
  • AETNA — PPO: $407.03
  • ALEXIAN — Medicare: $92.93
  • ALLIANT — PPO: $984.75
  • AMBETTER — AMBETTER TN: $317.50
  • AMERICAN HEALTH — ERLANGER ACUTE: $261.62
  • AMERIGROUP — AMERIGROUP GA: $274.55
  • ATRIO HEALTH — Medicare Advantage: $279.40
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Emergency Care III-Limited $1,313 $693.26 $274.55 – $1,116.05
Emergency room visit (moderate): rates for 3 insurance plans
  • AETNA — EPO: $643.37
  • AETNA — HMO: $643.37
  • AETNA — PPO: $643.37
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM $255 $134.64 $149.44 – $416.05
Emergency room visit (moderately high): 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $156.83
  • AETNA — HMO: $145.63
  • AETNA — Medicare Advantage: $166.85
  • ALEXIAN — All Products: $166.04
  • ALLIANT — Alliant Solo Care- All Other Specialists: $265.66
  • AMBETTER — AMBETTER GA: $207.55
  • AMBETTER — AMBETTER TN: $207.55
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $171.02
  • AMERIGROUP — AMERIGROUP GA: $84.21
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $166.04
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Care IV-Intermediate $2,090 $1,103.52 $437.02 – $1,776.50
Emergency room visit (moderately high): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $402.33
  • AETNA — EPO: $647.90
  • AETNA — HMO: $647.90
  • AETNA — PPO: $647.90
  • ALEXIAN — Medicare: $158.43
  • ALLIANT — PPO: $1,567.50
  • AMBETTER — AMBETTER TN: $488.27
  • AMERICAN HEALTH — ERLANGER ACUTE: $402.33
  • AMERIGROUP — AMERIGROUP GA: $437.02
  • ATRIO HEALTH — Medicare Advantage: $429.67
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Emergency Care IV-Intermediate $2,090 $1,103.52 $437.02 – $1,776.50
Emergency room visit (moderately high): rates for 3 insurance plans
  • AETNA — EPO: $1,024.10
  • AETNA — HMO: $1,024.10
  • AETNA — PPO: $1,024.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM $377 $199.06 $217.22 – $603.77
Emergency room visit (high): 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $228.17
  • AETNA — HMO: $211.87
  • AETNA — Medicare Advantage: $242.53
  • ALEXIAN — All Products: $241.35
  • ALLIANT — Alliant Solo Care- All Other Specialists: $386.16
  • AMBETTER — AMBETTER GA: $301.69
  • AMBETTER — AMBETTER TN: $301.69
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $248.59
  • AMERIGROUP — AMERIGROUP GA: $132.41
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $241.35
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Care V-Extended $2,551 $1,346.93 $533.41 – $2,168.35
Emergency room visit (high): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $579.28
  • AETNA — EPO: $790.81
  • AETNA — HMO: $790.81
  • AETNA — PPO: $790.81
  • ALEXIAN — Medicare: $229.94
  • ALLIANT — PPO: $1,913.25
  • AMBETTER — AMBETTER TN: $703.01
  • AMERICAN HEALTH — ERLANGER ACUTE: $579.28
  • AMERIGROUP — AMERIGROUP GA: $533.41
  • ATRIO HEALTH — Medicare Advantage: $618.65
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Emergency Care V-Extended $2,551 $1,346.93 $533.41 – $2,168.35
Emergency room visit (high): rates for 3 insurance plans
  • AETNA — EPO: $1,249.99
  • AETNA — HMO: $1,249.99
  • AETNA — PPO: $1,249.99

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL $44 $23.23 $8.40 – $14.70
Basic metabolic panel (blood test): 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $11.84
  • AETNA — HMO: $8.80
  • ALEXIAN — All Products: $13.65
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $3.81
  • AMERIGROUP — TNCARE SELECT-ADULT: $3.81
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $8.40
  • ATRIO HEALTH — Medicare Advantage: $12.60
  • BCBST — BLUE ADVANTAGE: $8.46
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $9.48
  • BCBST — BLUECARE PLUS: $8.71
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel,Elec P/G $367 $193.78 $113.77 – $311.95
Basic metabolic panel (blood test): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.71
  • AETNA — EPO: $113.77
  • AETNA — HMO: $113.77
  • AETNA — PPO: $113.77
  • ALEXIAN — Medicaid: $8.46
  • ALEXIAN — Medicare: $8.46
  • ALLIANT — PPO: $275.25
  • AMBETTER — AMBETTER TN: $10.58
  • AMERICAN HEALTH — ERLANGER ACUTE: $8.71
  • AMERIGROUP — AMERIGROUP GA: $10.65
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel,Elec P/G $367 $193.78 $113.77 – $311.95
Basic metabolic panel (blood test): rates for 3 insurance plans
  • AETNA — EPO: $179.83
  • AETNA — HMO: $179.83
  • AETNA — PPO: $179.83
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL $26 $13.73 $10.40 – $18.20
Comprehensive metabolic panel (blood test): 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $14.78
  • AETNA — HMO: $10.99
  • ALEXIAN — All Products: $16.90
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $4.75
  • AMERIGROUP — TNCARE SELECT-ADULT: $4.75
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $10.40
  • ATRIO HEALTH — Medicare Advantage: $15.60
  • BCBST — BLUE ADVANTAGE: $10.56
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $11.86
  • BCBST — BLUECARE PLUS: $10.88
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Comp Metabolic Pnl $437 $230.74 $135.47 – $371.45
Comprehensive metabolic panel (blood test): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $10.88
  • AETNA — EPO: $135.47
  • AETNA — HMO: $135.47
  • AETNA — PPO: $135.47
  • ALEXIAN — Medicaid: $10.56
  • ALEXIAN — Medicare: $10.56
  • ALLIANT — PPO: $327.75
  • AMBETTER — AMBETTER TN: $13.20
  • AMERICAN HEALTH — ERLANGER ACUTE: $10.88
  • AMERIGROUP — AMERIGROUP GA: $13.29
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comprehen Metabolic Panel $437 $230.74 $135.47 – $371.45
Comprehensive metabolic panel (blood test): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $10.88
  • AETNA — EPO: $135.47
  • AETNA — HMO: $135.47
  • AETNA — PPO: $135.47
  • ALEXIAN — Medicaid: $10.56
  • ALEXIAN — Medicare: $10.56
  • ALLIANT — PPO: $327.75
  • AMBETTER — AMBETTER TN: $13.20
  • AMERICAN HEALTH — ERLANGER ACUTE: $10.88
  • AMERIGROUP — AMERIGROUP GA: $13.29
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG OBSTETRIC PANEL $171 $90.29 $68.40 – $119.70
Obstetric blood test panel: 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $66.93
  • AETNA — HMO: $49.73
  • ALEXIAN — All Products: $111.15
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $21.51
  • AMERIGROUP — TNCARE SELECT-ADULT: $21.51
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $68.40
  • ATRIO HEALTH — Medicare Advantage: $102.60
  • BCBST — BLUE ADVANTAGE: $47.81
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $11.55
  • BCBST — BLUECARE PLUS: $49.24
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $47.81 – $119.53
Obstetric blood test panel: 10 of 41 insurance plan rates
  • AETNA — AETNA MEDICARE: $49.24
  • ALEXIAN — Medicaid: $47.81
  • ALEXIAN — Medicare: $47.81
  • AMBETTER — AMBETTER TN: $59.76
  • AMERICAN HEALTH — ERLANGER ACUTE: $49.24
  • AMERIGROUP — AMERIGROUP GA: $28.08
  • ATRIO HEALTH — Medicare Advantage: $52.59
  • BCBST — BLUE ADVANTAGE: $47.81
  • BCBST — NETWORK P: $111.38
  • BCBST — NETWORK S: $102.43
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG LIPID PANEL $68 $35.90 $17.20 – $30.10
Cholesterol panel (lipid panel): 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $18.75
  • AETNA — HMO: $13.92
  • ALEXIAN — All Products: $27.95
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $6.03
  • AMERIGROUP — TNCARE SELECT-ADULT: $6.03
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $17.20
  • ATRIO HEALTH — Medicare Advantage: $25.80
  • BCBST — BLUE ADVANTAGE: $13.39
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $28.68
  • BCBST — BLUECARE PLUS: $13.79
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lipid Panel $408 $215.42 $126.48 – $346.80
Cholesterol panel (lipid panel): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $13.79
  • AETNA — EPO: $126.48
  • AETNA — HMO: $126.48
  • AETNA — PPO: $126.48
  • ALEXIAN — Medicaid: $13.39
  • ALEXIAN — Medicare: $13.39
  • ALLIANT — PPO: $306
  • AMBETTER — AMBETTER TN: $16.74
  • AMERICAN HEALTH — ERLANGER ACUTE: $13.79
  • AMERIGROUP — AMERIGROUP GA: $16.85
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Lipid Panel $408 $215.42 $126.48 – $346.80
Cholesterol panel (lipid panel): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $13.79
  • AETNA — EPO: $126.48
  • AETNA — HMO: $126.48
  • AETNA — PPO: $126.48
  • ALEXIAN — Medicaid: $13.39
  • ALEXIAN — Medicare: $13.39
  • ALLIANT — PPO: $306
  • AMBETTER — AMBETTER TN: $16.74
  • AMERICAN HEALTH — ERLANGER ACUTE: $13.79
  • AMERIGROUP — AMERIGROUP GA: $16.85
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG RENAL FUNCTION PANEL $42 $22.18 $16.80 – $29.40
Kidney function panel: 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $12.15
  • AETNA — HMO: $9.02
  • ALEXIAN — All Products: $27.30
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $3.91
  • AMERIGROUP — TNCARE SELECT-ADULT: $3.91
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $16.80
  • ATRIO HEALTH — Medicare Advantage: $25.20
  • BCBST — BLUE ADVANTAGE: $8.68
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $9.48
  • BCBST — BLUECARE PLUS: $8.94
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Renal Function Panel $90 $47.52 $27.90 – $76.50
Kidney function panel: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.94
  • AETNA — EPO: $27.90
  • AETNA — HMO: $27.90
  • AETNA — PPO: $27.90
  • ALEXIAN — Medicaid: $8.68
  • ALEXIAN — Medicare: $8.68
  • ALLIANT — PPO: $67.50
  • AMBETTER — AMBETTER TN: $10.85
  • AMERICAN HEALTH — ERLANGER ACUTE: $8.94
  • AMERIGROUP — AMERIGROUP GA: $10.92
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Renal Function Panel $90 $47.52 $27.90 – $76.50
Kidney function panel: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.94
  • AETNA — EPO: $27.90
  • AETNA — HMO: $27.90
  • AETNA — PPO: $27.90
  • ALEXIAN — Medicaid: $8.68
  • ALEXIAN — Medicare: $8.68
  • ALLIANT — PPO: $67.50
  • AMBETTER — AMBETTER TN: $10.85
  • AMERICAN HEALTH — ERLANGER ACUTE: $8.94
  • AMERIGROUP — AMERIGROUP GA: $10.92
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG HEPATIC FUNCTION PANEL $26 $13.73 $10.40 – $18.20
Liver function panel: 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $11.44
  • AETNA — HMO: $8.50
  • ALEXIAN — All Products: $16.90
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $3.68
  • AMERIGROUP — TNCARE SELECT-ADULT: $3.68
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $10.40
  • ATRIO HEALTH — Medicare Advantage: $15.60
  • BCBST — BLUE ADVANTAGE: $8.17
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $9.48
  • BCBST — BLUECARE PLUS: $8.42
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Hepatic Function Pnl $344 $181.63 $106.64 – $292.40
Liver function panel: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.42
  • AETNA — EPO: $106.64
  • AETNA — HMO: $106.64
  • AETNA — PPO: $106.64
  • ALEXIAN — Medicaid: $8.17
  • ALEXIAN — Medicare: $8.17
  • ALLIANT — PPO: $258
  • AMBETTER — AMBETTER TN: $10.21
  • AMERICAN HEALTH — ERLANGER ACUTE: $8.42
  • AMERIGROUP — AMERIGROUP GA: $10.28
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hepatic Function Panel $344 $181.63 $106.64 – $292.40
Liver function panel: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.42
  • AETNA — EPO: $106.64
  • AETNA — HMO: $106.64
  • AETNA — PPO: $106.64
  • ALEXIAN — Medicaid: $8.17
  • ALEXIAN — Medicare: $8.17
  • ALLIANT — PPO: $258
  • AMBETTER — AMBETTER TN: $10.21
  • AMERICAN HEALTH — ERLANGER ACUTE: $8.42
  • AMERIGROUP — AMERIGROUP GA: $10.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY $9 $4.75 $3.60 – $6.30
Urine test (automated, with microscope): 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $4.44
  • AETNA — HMO: $3.30
  • ALEXIAN — All Products: $5.85
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $1.43
  • AMERIGROUP — TNCARE SELECT-ADULT: $1.43
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $3.60
  • ATRIO HEALTH — Medicare Advantage: $5.40
  • BCBST — BLUE ADVANTAGE: $3.17
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $3.91
  • BCBST — BLUECARE PLUS: $3.27
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis W/ Micro $82 $43.30 $25.42 – $69.70
Urine test (automated, with microscope): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $3.27
  • AETNA — EPO: $25.42
  • AETNA — HMO: $25.42
  • AETNA — PPO: $25.42
  • ALEXIAN — Medicaid: $3.17
  • ALEXIAN — Medicare: $3.17
  • ALLIANT — PPO: $61.50
  • AMBETTER — AMBETTER TN: $3.96
  • AMERICAN HEALTH — ERLANGER ACUTE: $3.27
  • AMERIGROUP — AMERIGROUP GA: $3.99
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Urinalysis W/ Micro $82 $43.30 $25.42 – $69.70
Urine test (automated, with microscope): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $3.27
  • AETNA — EPO: $25.42
  • AETNA — HMO: $25.42
  • AETNA — PPO: $25.42
  • ALEXIAN — Medicaid: $3.17
  • ALEXIAN — Medicare: $3.17
  • ALLIANT — PPO: $61.50
  • AMBETTER — AMBETTER TN: $3.96
  • AMERICAN HEALTH — ERLANGER ACUTE: $3.27
  • AMERIGROUP — AMERIGROUP GA: $3.99
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $15 $7.92 $2.80 – $4.90
Urine test (manual, without microscope): 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $4.87
  • AETNA — HMO: $3.61
  • ALEXIAN — All Products: $4.55
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $1.57
  • AMERIGROUP — TNCARE SELECT-ADULT: $1.57
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $2.80
  • ATRIO HEALTH — Medicare Advantage: $4.20
  • BCBST — BLUE ADVANTAGE: $3.48
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $3.95
  • BCBST — BLUECARE PLUS: $3.58
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Non Auto, Without Micro $21 $11.09 $6.51 – $17.85
Urine test (manual, without microscope): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $3.58
  • AETNA — EPO: $6.51
  • AETNA — HMO: $6.51
  • AETNA — PPO: $6.51
  • ALEXIAN — Medicaid: $3.48
  • ALEXIAN — Medicare: $3.48
  • ALLIANT — PPO: $15.75
  • AMBETTER — AMBETTER TN: $4.35
  • AMERICAN HEALTH — ERLANGER ACUTE: $3.58
  • AMERIGROUP — AMERIGROUP GA: $3.21
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Urinalysis Non Auto, Without Micro $21 $11.09 $6.51 – $17.85
Urine test (manual, without microscope): rates for 3 insurance plans
  • AETNA — EPO: $10.29
  • AETNA — HMO: $10.29
  • AETNA — PPO: $10.29
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY $17 $8.98 $2.80 – $4.90
Urine test (automated, without microscope): 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $3.15
  • AETNA — HMO: $2.34
  • ALEXIAN — All Products: $4.55
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $1.01
  • AMERIGROUP — TNCARE SELECT-ADULT: $1.01
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $2.80
  • ATRIO HEALTH — Medicare Advantage: $4.20
  • BCBST — BLUE ADVANTAGE: $2.25
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $2.78
  • BCBST — BLUECARE PLUS: $2.32
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Auto Without Micro $19 $10.03 $5.89 – $16.15
Urine test (automated, without microscope): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $2.32
  • AETNA — EPO: $5.89
  • AETNA — HMO: $5.89
  • AETNA — PPO: $5.89
  • ALEXIAN — Medicaid: $2.25
  • ALEXIAN — Medicare: $2.25
  • ALLIANT — PPO: $14.25
  • AMBETTER — AMBETTER TN: $2.81
  • AMERICAN HEALTH — ERLANGER ACUTE: $2.32
  • AMERIGROUP — AMERIGROUP GA: $2.83
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Urinalysis Auto Without Micro $19 $10.03 $5.89 – $16.15
Urine test (automated, without microscope): rates for 3 insurance plans
  • AETNA — EPO: $9.31
  • AETNA — HMO: $9.31
  • AETNA — PPO: $9.31
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $56 $29.57 $22.40 – $39.20
PSA (prostate specific antigen) blood test: 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $25.75
  • AETNA — HMO: $19.12
  • ALEXIAN — All Products: $36.40
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $8.28
  • AMERIGROUP — TNCARE SELECT-ADULT: $8.28
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $22.40
  • ATRIO HEALTH — Medicare Advantage: $33.60
  • BCBST — BLUE ADVANTAGE: $18.39
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $22.74
  • BCBST — BLUECARE PLUS: $18.94
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prostatic Specific Ag $503 $265.58 $155.93 – $427.55
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $18.94
  • AETNA — EPO: $155.93
  • AETNA — HMO: $155.93
  • AETNA — PPO: $155.93
  • ALEXIAN — Medicaid: $18.39
  • ALEXIAN — Medicare: $18.39
  • ALLIANT — PPO: $377.25
  • AMBETTER — AMBETTER TN: $22.99
  • AMERICAN HEALTH — ERLANGER ACUTE: $18.94
  • AMERIGROUP — AMERIGROUP GA: $23.13
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Prostatic Specific Ag $503 $265.58 $155.93 – $427.55
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $18.94
  • AETNA — EPO: $155.93
  • AETNA — HMO: $155.93
  • AETNA — PPO: $155.93
  • ALEXIAN — Medicaid: $18.39
  • ALEXIAN — Medicare: $18.39
  • ALLIANT — PPO: $377.25
  • AMBETTER — AMBETTER TN: $22.99
  • AMERICAN HEALTH — ERLANGER ACUTE: $18.94
  • AMERIGROUP — AMERIGROUP GA: $23.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG ASSAY OF THYROID STIMULATING HORMONE TSH $68 $35.90 $27.20 – $47.60
Thyroid stimulating hormone (TSH) test: 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $23.52
  • AETNA — HMO: $17.47
  • ALEXIAN — All Products: $44.20
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $7.56
  • AMERIGROUP — TNCARE SELECT-ADULT: $7.56
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $27.20
  • ATRIO HEALTH — Medicare Advantage: $40.80
  • BCBST — BLUE ADVANTAGE: $16.80
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $25.99
  • BCBST — BLUECARE PLUS: $17.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Tsh $557 $294.10 $172.67 – $473.45
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $17.30
  • AETNA — EPO: $172.67
  • AETNA — HMO: $172.67
  • AETNA — PPO: $172.67
  • ALEXIAN — Medicaid: $16.80
  • ALEXIAN — Medicare: $16.80
  • ALLIANT — PPO: $417.75
  • AMBETTER — AMBETTER TN: $21
  • AMERICAN HEALTH — ERLANGER ACUTE: $17.30
  • AMERIGROUP — AMERIGROUP GA: $21.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Tsh $557 $294.10 $172.67 – $473.45
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $17.30
  • AETNA — EPO: $172.67
  • AETNA — HMO: $172.67
  • AETNA — PPO: $172.67
  • ALEXIAN — Medicaid: $16.80
  • ALEXIAN — Medicare: $16.80
  • ALLIANT — PPO: $417.75
  • AMBETTER — AMBETTER TN: $21
  • AMERICAN HEALTH — ERLANGER ACUTE: $17.30
  • AMERIGROUP — AMERIGROUP GA: $21.12
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $24 $12.67 $9.60 – $16.80
Complete blood count (CBC) with differential: 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $10.88
  • AETNA — HMO: $8.09
  • ALEXIAN — All Products: $15.60
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $3.50
  • AMERIGROUP — TNCARE SELECT-ADULT: $3.50
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $9.60
  • ATRIO HEALTH — Medicare Advantage: $14.40
  • BCBST — BLUE ADVANTAGE: $7.77
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $11.93
  • BCBST — BLUECARE PLUS: $8
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc W/Auto Diff $250 $132 $77.50 – $212.50
Complete blood count (CBC) with differential: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $8
  • AETNA — EPO: $77.50
  • AETNA — HMO: $77.50
  • AETNA — PPO: $77.50
  • ALEXIAN — Medicaid: $7.77
  • ALEXIAN — Medicare: $7.77
  • ALLIANT — PPO: $187.50
  • AMBETTER — AMBETTER TN: $9.71
  • AMERICAN HEALTH — ERLANGER ACUTE: $8
  • AMERIGROUP — AMERIGROUP GA: $9.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Cbc W/Auto Diff $250 $132 $77.50 – $212.50
Complete blood count (CBC) with differential: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $8
  • AETNA — EPO: $77.50
  • AETNA — HMO: $77.50
  • AETNA — PPO: $77.50
  • ALEXIAN — Medicaid: $7.77
  • ALEXIAN — Medicare: $7.77
  • ALLIANT — PPO: $187.50
  • AMBETTER — AMBETTER TN: $9.71
  • AMERICAN HEALTH — ERLANGER ACUTE: $8
  • AMERIGROUP — AMERIGROUP GA: $9.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTOMATED $32 $16.90 $8 – $14
Complete blood count (CBC), automated: 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $9.06
  • AETNA — HMO: $6.73
  • ALEXIAN — All Products: $13
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $2.91
  • AMERIGROUP — TNCARE SELECT-ADULT: $2.91
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $8
  • ATRIO HEALTH — Medicare Advantage: $12
  • BCBST — BLUE ADVANTAGE: $6.47
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $10
  • BCBST — BLUECARE PLUS: $6.66
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc W/Man Diff $250 $132 $77.50 – $212.50
Complete blood count (CBC), automated: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $6.66
  • AETNA — EPO: $77.50
  • AETNA — HMO: $77.50
  • AETNA — PPO: $77.50
  • ALEXIAN — Medicaid: $6.47
  • ALEXIAN — Medicare: $6.47
  • ALLIANT — PPO: $187.50
  • AMBETTER — AMBETTER TN: $8.09
  • AMERICAN HEALTH — ERLANGER ACUTE: $6.66
  • AMERIGROUP — AMERIGROUP GA: $8.14
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Cbc W/Man Diff $250 $132 $77.50 – $212.50
Complete blood count (CBC), automated: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $6.66
  • AETNA — EPO: $77.50
  • AETNA — HMO: $77.50
  • AETNA — PPO: $77.50
  • ALEXIAN — Medicaid: $6.47
  • ALEXIAN — Medicare: $6.47
  • ALLIANT — PPO: $187.50
  • AMBETTER — AMBETTER TN: $8.09
  • AMERICAN HEALTH — ERLANGER ACUTE: $6.66
  • AMERIGROUP — AMERIGROUP GA: $8.14
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME $13 $6.86 $5.20 – $9.10
Blood clotting time test (prothrombin time, PT): 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $6.01
  • AETNA — HMO: $4.46
  • ALEXIAN — All Products: $8.45
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $1.93
  • AMERIGROUP — TNCARE SELECT-ADULT: $1.93
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $5.20
  • ATRIO HEALTH — Medicare Advantage: $7.80
  • BCBST — BLUE ADVANTAGE: $4.29
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $6.09
  • BCBST — BLUECARE PLUS: $4.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time $86 $45.41 $26.66 – $73.10
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $4.42
  • AETNA — EPO: $26.66
  • AETNA — HMO: $26.66
  • AETNA — PPO: $26.66
  • ALEXIAN — Medicaid: $4.29
  • ALEXIAN — Medicare: $4.29
  • ALLIANT — PPO: $64.50
  • AMBETTER — AMBETTER TN: $5.36
  • AMERICAN HEALTH — ERLANGER ACUTE: $4.42
  • AMERIGROUP — AMERIGROUP GA: $4.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Prothrombin Time $86 $45.41 $26.66 – $73.10
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $4.42
  • AETNA — EPO: $26.66
  • AETNA — HMO: $26.66
  • AETNA — PPO: $26.66
  • ALEXIAN — Medicaid: $4.29
  • ALEXIAN — Medicare: $4.29
  • ALLIANT — PPO: $64.50
  • AMBETTER — AMBETTER TN: $5.36
  • AMERICAN HEALTH — ERLANGER ACUTE: $4.42
  • AMERIGROUP — AMERIGROUP GA: $4.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD $18 $9.50 $7.20 – $12.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 88 insurance plan rates
  • AETNA — ERLANGER: $8.41
  • AETNA — HMO: $6.25
  • ALEXIAN — All Products: $11.70
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $2.70
  • AMERIGROUP — TNCARE SELECT-ADULT: $2.70
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $7.20
  • ATRIO HEALTH — Medicare Advantage: $10.80
  • BCBST — BLUE ADVANTAGE: $6.01
  • BCBST — BlueCare - Specialty Primary Care - 0-20: $9.28
  • BCBST — BLUECARE PLUS: $6.19
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ptt Part Thromboplastin $170 $89.76 $52.70 – $144.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $6.19
  • AETNA — EPO: $52.70
  • AETNA — HMO: $52.70
  • AETNA — PPO: $52.70
  • ALEXIAN — Medicaid: $6.01
  • ALEXIAN — Medicare: $6.01
  • ALLIANT — PPO: $127.50
  • AMBETTER — AMBETTER TN: $7.51
  • AMERICAN HEALTH — ERLANGER ACUTE: $6.19
  • AMERIGROUP — AMERIGROUP GA: $7.54
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Ptt $170 $89.76 $52.70 – $144.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $6.19
  • AETNA — EPO: $52.70
  • AETNA — HMO: $52.70
  • AETNA — PPO: $52.70
  • ALEXIAN — Medicaid: $6.01
  • ALEXIAN — Medicare: $6.01
  • ALLIANT — PPO: $127.50
  • AMBETTER — AMBETTER TN: $7.51
  • AMERICAN HEALTH — ERLANGER ACUTE: $6.19
  • AMERIGROUP — AMERIGROUP GA: $7.54

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL $242 $127.78 $64.34 – $385
CT scan of the head or brain, without contrast: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $385
  • AETNA — HMO: $357.50
  • AETNA — Medicare Advantage: $147.43
  • ALEXIAN — All Products: $146.72
  • ALLIANT — Alliant Solo Care- All Other Specialists: $234.75
  • AMBETTER — AMBETTER GA: $183.40
  • AMBETTER — AMBETTER TN: $183.40
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $151.12
  • AMERIGROUP — AMERIGROUP GA: $198.27
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $146.72
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Brain W/O Contrast $1,432 $756.10 $299.43 – $1,217.20
CT scan of the head or brain, without contrast: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.47
  • AETNA — EPO: $443.92
  • AETNA — HMO: $443.92
  • AETNA — PPO: $443.92
  • ALEXIAN — Medicaid: $97.34
  • ALEXIAN — Medicare: $140.23
  • ALLIANT — PPO: $1,074
  • AMBETTER — AMBETTER TN: $121.93
  • AMERICAN HEALTH — ERLANGER ACUTE: $100.47
  • AMERIGROUP — AMERIGROUP GA: $299.43
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT Brain W/O Contrast $1,432 $756.10 $299.43 – $1,217.20
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • AETNA — EPO: $701.68
  • AETNA — HMO: $701.68
  • AETNA — PPO: $701.68
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $781 $412.37 $200.13 – $1,045.70
MRI of the brain, before and after contrast: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $684.18
  • AETNA — HMO: $635.31
  • AETNA — Medicare Advantage: $448.63
  • ALEXIAN — All Products: $446.93
  • ALLIANT — Alliant Solo Care- All Other Specialists: $715.09
  • AMBETTER — AMBETTER GA: $558.66
  • AMBETTER — AMBETTER TN: $558.66
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $460.34
  • AMERIGROUP — AMERIGROUP GA: $951.71
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $446.93
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Brain W/WO Contrast $4,824 $2,547.07 $1,008.70 – $4,100.40
MRI of the brain, before and after contrast: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $337.43
  • AETNA — EPO: $1,495.44
  • AETNA — HMO: $1,495.44
  • AETNA — PPO: $1,495.44
  • ALEXIAN — Medicaid: $335.56
  • ALEXIAN — Medicare: $421.37
  • ALLIANT — PPO: $3,618
  • AMBETTER — AMBETTER TN: $409.50
  • AMERICAN HEALTH — ERLANGER ACUTE: $337.43
  • AMERIGROUP — AMERIGROUP GA: $1,008.70
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI Brain W/WO Contrast $4,824 $2,547.07 $1,008.70 – $4,100.40
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • AETNA — EPO: $2,363.76
  • AETNA — HMO: $2,363.76
  • AETNA — PPO: $2,363.76
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS $62 $32.74 $17.09 – $97
Chest X-ray, 2 views: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $39.13
  • AETNA — HMO: $36.34
  • AETNA — Medicare Advantage: $45.57
  • ALEXIAN — All Products: $45.34
  • ALLIANT — Alliant Solo Care- All Other Specialists: $72.54
  • AMBETTER — AMBETTER GA: $56.68
  • AMBETTER — AMBETTER TN: $56.68
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $46.70
  • AMERIGROUP — AMERIGROUP GA: $26.19
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $45.34
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Chest 2 Views $564 $297.79 $117.93 – $479.40
Chest X-ray, 2 views: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $83.19
  • AETNA — EPO: $174.84
  • AETNA — HMO: $174.84
  • AETNA — PPO: $174.84
  • ALEXIAN — Medicaid: $79.13
  • ALEXIAN — Medicare: $43.93
  • ALLIANT — PPO: $423
  • AMBETTER — AMBETTER TN: $100.96
  • AMERICAN HEALTH — ERLANGER ACUTE: $83.19
  • AMERIGROUP — AMERIGROUP GA: $117.93
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Chest 2 Views $564 $297.79 $117.93 – $479.40
Chest X-ray, 2 views: rates for 3 insurance plans
  • AETNA — EPO: $276.36
  • AETNA — HMO: $276.36
  • AETNA — PPO: $276.36
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $101 $53.33 $27.85 – $145
X-ray of the lower spine, at least 4 views: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $58.93
  • AETNA — HMO: $54.72
  • AETNA — Medicare Advantage: $70.57
  • ALEXIAN — All Products: $70.23
  • ALLIANT — Alliant Solo Care- All Other Specialists: $112.37
  • AMBETTER — AMBETTER GA: $87.79
  • AMBETTER — AMBETTER TN: $87.79
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $72.34
  • AMERIGROUP — AMERIGROUP GA: $45.08
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $70.23
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Spine,Lumbar Min 4 Views $574 $303.07 $120.02 – $487.90
X-ray of the lower spine, at least 4 views: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.47
  • AETNA — EPO: $177.94
  • AETNA — HMO: $177.94
  • AETNA — PPO: $177.94
  • ALEXIAN — Medicaid: $97.34
  • ALEXIAN — Medicare: $69.03
  • ALLIANT — PPO: $430.50
  • AMBETTER — AMBETTER TN: $121.93
  • AMERICAN HEALTH — ERLANGER ACUTE: $100.47
  • AMERIGROUP — AMERIGROUP GA: $120.02
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Spine,Lumbar Min 4 Views $574 $303.07 $120.02 – $487.90
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • AETNA — EPO: $281.26
  • AETNA — HMO: $281.26
  • AETNA — PPO: $281.26
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $461 $243.41 $119.56 – $623.92
MRI of the lower back (lumbar spine), without contrast: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $408.73
  • AETNA — HMO: $379.54
  • AETNA — Medicare Advantage: $266.98
  • ALEXIAN — All Products: $266.16
  • ALLIANT — Alliant Solo Care- All Other Specialists: $425.86
  • AMBETTER — AMBETTER GA: $332.70
  • AMBETTER — AMBETTER TN: $332.70
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $274.14
  • AMERIGROUP — AMERIGROUP GA: $489.04
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $266.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Spine Lumbar W/O Contrast $3,020 $1,594.56 $631.48 – $2,567
MRI of the lower back (lumbar spine), without contrast: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $228.39
  • AETNA — EPO: $936.20
  • AETNA — HMO: $936.20
  • AETNA — PPO: $936.20
  • ALEXIAN — Medicaid: $212.69
  • ALEXIAN — Medicare: $251.56
  • ALLIANT — PPO: $2,265
  • AMBETTER — AMBETTER TN: $277.17
  • AMERICAN HEALTH — ERLANGER ACUTE: $228.39
  • AMERIGROUP — AMERIGROUP GA: $631.48
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI Spine Lumbar W/O Contrast $3,020 $1,594.56 $631.48 – $2,567
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • AETNA — EPO: $1,479.80
  • AETNA — HMO: $1,479.80
  • AETNA — PPO: $1,479.80
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG CT PELVIS W/CONTRAST MATERIAL $465 $245.52 $131.39 – $690.42
CT scan of the pelvis, with contrast: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $385
  • AETNA — HMO: $357.50
  • AETNA — Medicare Advantage: $330.43
  • ALEXIAN — All Products: $328.83
  • ALLIANT — Alliant Solo Care- All Other Specialists: $526.13
  • AMBETTER — AMBETTER GA: $411.04
  • AMBETTER — AMBETTER TN: $411.04
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $338.69
  • AMERIGROUP — AMERIGROUP GA: $284.55
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $328.83
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pelvis,CT,W/Cont $2,005 $1,058.64 $419.25 – $1,704.25
CT scan of the pelvis, with contrast: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $168.20
  • AETNA — EPO: $621.55
  • AETNA — HMO: $621.55
  • AETNA — PPO: $621.55
  • ALEXIAN — Medicaid: $164.25
  • ALEXIAN — Medicare: $305.73
  • ALLIANT — PPO: $1,503.75
  • AMBETTER — AMBETTER TN: $204.13
  • AMERICAN HEALTH — ERLANGER ACUTE: $168.20
  • AMERIGROUP — AMERIGROUP GA: $419.25
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Pelvis,CT,W/Cont $2,005 $1,058.64 $419.25 – $1,704.25
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • AETNA — EPO: $982.45
  • AETNA — HMO: $982.45
  • AETNA — PPO: $982.45
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $625 $330 $256.08 – $718.35
MRI of a leg joint (such as the knee), without contrast: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $430
  • AETNA — HMO: $399.28
  • AETNA — Medicare Advantage: $285.92
  • ALEXIAN — All Products: $284.53
  • ALLIANT — Alliant Solo Care- All Other Specialists: $455.25
  • AMBETTER — AMBETTER GA: $355.66
  • AMBETTER — AMBETTER TN: $355.66
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $293.07
  • AMERIGROUP — AMERIGROUP GA: $443.03
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $284.53
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Lower Ext Any Jnt W/O Con $2,733 $1,443.02 $571.47 – $2,323.05
MRI of a leg joint (such as the knee), without contrast: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $228.39
  • AETNA — EPO: $847.23
  • AETNA — HMO: $847.23
  • AETNA — PPO: $847.23
  • ALEXIAN — Medicaid: $212.69
  • ALEXIAN — Medicare: $270.15
  • ALLIANT — PPO: $2,049.75
  • AMBETTER — AMBETTER TN: $277.17
  • AMERICAN HEALTH — ERLANGER ACUTE: $228.39
  • AMERIGROUP — AMERIGROUP GA: $571.47
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI Lower Ext Any Jnt W/O Con $2,733 $1,443.02 $571.47 – $2,323.05
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • AETNA — EPO: $1,339.17
  • AETNA — HMO: $1,339.17
  • AETNA — PPO: $1,339.17
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $645 $340.56 $388.80 – $1,080.95
CT scan of the abdomen and pelvis, with contrast: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $385
  • AETNA — HMO: $357.50
  • AETNA — Medicare Advantage: $434.10
  • ALEXIAN — All Products: $432
  • ALLIANT — Alliant Solo Care- All Other Specialists: $691.20
  • AMBETTER — AMBETTER GA: $540
  • AMBETTER — AMBETTER TN: $540
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $444.96
  • AMERIGROUP — AMERIGROUP GA: $289.24
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $432
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abd Pelvis W Cont $4,577 $2,416.66 $957.05 – $3,890.45
CT scan of the abdomen and pelvis, with contrast: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $337.43
  • AETNA — EPO: $1,418.87
  • AETNA — HMO: $1,418.87
  • AETNA — PPO: $1,418.87
  • ALEXIAN — Medicaid: $335.56
  • ALEXIAN — Medicare: $403.46
  • ALLIANT — PPO: $3,432.75
  • AMBETTER — AMBETTER TN: $409.50
  • AMERICAN HEALTH — ERLANGER ACUTE: $337.43
  • AMERIGROUP — AMERIGROUP GA: $957.05
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT Abd Pelvis W Cont $4,577 $2,416.66 $957.05 – $3,890.45
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • AETNA — EPO: $2,242.73
  • AETNA — HMO: $2,242.73
  • AETNA — PPO: $2,242.73
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $256 $135.17 $141.89 – $398.79
Ultrasound of the abdomen, complete: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $142.97
  • AETNA — HMO: $132.76
  • AETNA — Medicare Advantage: $158.41
  • ALEXIAN — All Products: $157.65
  • ALLIANT — Alliant Solo Care- All Other Specialists: $252.24
  • AMBETTER — AMBETTER GA: $197.06
  • AMBETTER — AMBETTER TN: $197.06
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $162.38
  • AMERIGROUP — AMERIGROUP GA: $103.14
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $157.65
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Abdomen,US,Complete $1,632 $861.70 $341.25 – $1,387.20
Ultrasound of the abdomen, complete: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.47
  • AETNA — EPO: $505.92
  • AETNA — HMO: $505.92
  • AETNA — PPO: $505.92
  • ALEXIAN — Medicaid: $97.34
  • ALEXIAN — Medicare: $150.13
  • ALLIANT — PPO: $1,224
  • AMBETTER — AMBETTER TN: $121.93
  • AMERICAN HEALTH — ERLANGER ACUTE: $100.47
  • AMERIGROUP — AMERIGROUP GA: $341.25
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Abdomen,US,Complete $1,632 $861.70 $341.25 – $1,387.20
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • AETNA — EPO: $799.68
  • AETNA — HMO: $799.68
  • AETNA — PPO: $799.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $298 $157.34 $164.42 – $464.52
Pregnancy ultrasound (after the first trimester): 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $164.61
  • AETNA — HMO: $152.85
  • AETNA — Medicare Advantage: $183.58
  • ALEXIAN — All Products: $182.69
  • ALLIANT — Alliant Solo Care- All Other Specialists: $292.30
  • AMBETTER — AMBETTER GA: $228.36
  • AMBETTER — AMBETTER TN: $228.36
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $188.17
  • AMERIGROUP — AMERIGROUP GA: $116.39
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $182.69
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Preg Uter >1st Tri>/=14 Wks Sn $791 $417.65 $165.40 – $672.35
Pregnancy ultrasound (after the first trimester): 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.47
  • AETNA — EPO: $245.21
  • AETNA — HMO: $245.21
  • AETNA — PPO: $245.21
  • ALEXIAN — Medicaid: $97.34
  • ALEXIAN — Medicare: $174.17
  • ALLIANT — PPO: $593.25
  • AMBETTER — AMBETTER TN: $121.93
  • AMERICAN HEALTH — ERLANGER ACUTE: $100.47
  • AMERIGROUP — AMERIGROUP GA: $165.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Preg Uter >1st Tri>/=14 Wks Sn $791 $417.65 $165.40 – $672.35
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • AETNA — EPO: $387.59
  • AETNA — HMO: $387.59
  • AETNA — PPO: $387.59
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG US TRANSVAGINAL $255 $134.64 $147.32 – $413.97
Transvaginal ultrasound: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $145.15
  • AETNA — HMO: $134.78
  • AETNA — Medicare Advantage: $164.49
  • ALEXIAN — All Products: $163.69
  • ALLIANT — Alliant Solo Care- All Other Specialists: $261.90
  • AMBETTER — AMBETTER GA: $204.61
  • AMBETTER — AMBETTER TN: $204.61
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $168.60
  • AMERIGROUP — AMERIGROUP GA: $83.09
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $163.69
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Transvaginal,US $1,030 $543.84 $215.37 – $875.50
Transvaginal ultrasound: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.47
  • AETNA — EPO: $319.30
  • AETNA — HMO: $319.30
  • AETNA — PPO: $319.30
  • ALEXIAN — Medicaid: $97.34
  • ALEXIAN — Medicare: $154.96
  • ALLIANT — PPO: $772.50
  • AMBETTER — AMBETTER TN: $121.93
  • AMERICAN HEALTH — ERLANGER ACUTE: $100.47
  • AMERIGROUP — AMERIGROUP GA: $215.37
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Transvaginal,US $1,030 $543.84 $215.37 – $875.50
Transvaginal ultrasound: rates for 3 insurance plans
  • AETNA — EPO: $504.70
  • AETNA — HMO: $504.70
  • AETNA — PPO: $504.70
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Dx Unilateral $450 $237.60 $94.10 – $382.50
Diagnostic mammogram, one breast: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $169.46
  • AETNA — EPO: $139.50
  • AETNA — HMO: $139.50
  • AETNA — PPO: $139.50
  • ALEXIAN — Medicaid: $169.59
  • ALEXIAN — Medicare: $164.52
  • ALLIANT — PPO: $337.50
  • AMBETTER — AMBETTER TN: $205.65
  • AMERICAN HEALTH — ERLANGER ACUTE: $169.46
  • AMERIGROUP — AMERIGROUP GA: $94.10
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Mammo Dx Unilateral $450 $237.60 $94.10 – $382.50
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • AETNA — EPO: $220.50
  • AETNA — HMO: $220.50
  • AETNA — PPO: $220.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Dx Bilateral $480 $253.44 $100.37 – $408
Diagnostic mammogram, both breasts: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $214.19
  • AETNA — EPO: $148.80
  • AETNA — HMO: $148.80
  • AETNA — PPO: $148.80
  • ALEXIAN — Medicaid: $214.38
  • ALEXIAN — Medicare: $207.95
  • ALLIANT — PPO: $360
  • AMBETTER — AMBETTER TN: $259.94
  • AMERICAN HEALTH — ERLANGER ACUTE: $214.19
  • AMERIGROUP — AMERIGROUP GA: $100.37
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Mammo Dx Bilateral $480 $253.44 $100.37 – $408
Diagnostic mammogram, both breasts: rates for 3 insurance plans
  • AETNA — EPO: $235.20
  • AETNA — HMO: $235.20
  • AETNA — PPO: $235.20
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Screen Bilateral $445 $234.96 $93.05 – $378.25
Screening mammogram, both breasts: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $174.13
  • AETNA — EPO: $137.95
  • AETNA — HMO: $137.95
  • AETNA — PPO: $137.95
  • ALEXIAN — Medicaid: $174.41
  • ALEXIAN — Medicare: $169.06
  • ALLIANT — PPO: $333.75
  • AMBETTER — AMBETTER TN: $211.33
  • AMERICAN HEALTH — ERLANGER ACUTE: $174.13
  • AMERIGROUP — AMERIGROUP GA: $93.05
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Mammo Screen Bilateral $445 $234.96 $93.05 – $378.25
Screening mammogram, both breasts: rates for 3 insurance plans
  • AETNA — EPO: $218.05
  • AETNA — HMO: $218.05
  • AETNA — PPO: $218.05

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $36 $19.01 $16.36 – $46.20
Electrocardiogram (ECG/EKG) with reading: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $18.51
  • AETNA — HMO: $17.19
  • AETNA — Medicare Advantage: $18.26
  • ALEXIAN — All Products: $18.18
  • ALLIANT — Alliant Solo Care- All Other Specialists: $29.09
  • AMBETTER — AMBETTER GA: $22.73
  • AMBETTER — AMBETTER TN: $22.73
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $18.73
  • AMERIGROUP — AMERIGROUP GA: $25.09
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $18.18
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $23.36 – $68.12
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans
  • BCBST — NETWORK E: $23.36
  • BCBST — NETWORK E-CHILDREN: $23.36
  • BCBST — NETWORK P: $36.20
  • BCBST — NETWORK S: $33.26
  • BLUECARE — TENNCARE SELECT-ADULT: $29.95
  • BLUECARE — TENNCARE SELECT-CHILDREN: $68.12
  • HUMANA — HUMANACHOICE: $26.71
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $1,829 $965.71 $1,096.31 – $3,044.52
Left heart catheterization (diagnostic): 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $1,186.64
  • AETNA — HMO: $1,101.88
  • AETNA — Medicare Advantage: $1,224.06
  • ALEXIAN — All Products: $1,218.12
  • ALLIANT — Alliant Solo Care- All Other Specialists: $1,948.99
  • AMBETTER — AMBETTER GA: $1,522.65
  • AMBETTER — AMBETTER TN: $1,522.65
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $1,254.66
  • AMERIGROUP — AMERIGROUP GA: $718.21
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $1,218.12
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lhc W/WO Lv Inc S& I $12,651 $6,679.73 $2,645.32 – $10,753.35
Left heart catheterization (diagnostic): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $3,038.99
  • AETNA — EPO: $3,921.81
  • AETNA — HMO: $3,921.81
  • AETNA — PPO: $3,921.81
  • ALEXIAN — Medicare: $1,117.68
  • ALLIANT — PPO: $9,488.25
  • AMBETTER — AMBETTER TN: $3,688.10
  • AMERICAN HEALTH — ERLANGER ACUTE: $3,038.99
  • AMERIGROUP — AMERIGROUP GA: $2,645.32
  • ATRIO HEALTH — Medicare Advantage: $3,245.52
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Lhc W/WO Lv Inc S& I $12,651 $6,679.73 $2,645.32 – $10,753.35
Left heart catheterization (diagnostic): rates for 3 insurance plans
  • AETNA — EPO: $6,198.99
  • AETNA — HMO: $6,198.99
  • AETNA — PPO: $6,198.99
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Eps Comp W/O Arrhythmia $5,188 $2,739.26 $1,084.81 – $4,409.80
Heart rhythm study (electrophysiology evaluation): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $7,169.54
  • AETNA — EPO: $1,608.28
  • AETNA — HMO: $1,608.28
  • AETNA — PPO: $1,608.28
  • ALEXIAN — Medicare: $6,960.72
  • ALLIANT — PPO: $3,891
  • AMBETTER — AMBETTER TN: $8,700.89
  • AMERICAN HEALTH — ERLANGER ACUTE: $5,188
  • AMERIGROUP — AMERIGROUP GA: $1,084.81
  • ATRIO HEALTH — Medicare Advantage: $7,656.79
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Eps Comp W/O Arrhythmia $5,188 $2,739.26 $1,084.81 – $4,409.80
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans
  • AETNA — EPO: $2,542.12
  • AETNA — HMO: $2,542.12
  • AETNA — PPO: $2,542.12
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $872 $460.42 $305.20 – $872
Heart rhythm study (electrophysiology evaluation): 10 of 51 insurance plan rates
  • AETNA — ERLANGER: $489.78
  • AETNA — HMO: $454.79
  • ALEXIAN — All Products: $566.80
  • AMERIGROUP — AMERIGROUP GA: $424.41
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $348.80
  • AMERIGROUP — TNCARE SELECT-ADULT: $348.80
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $348.80
  • ATRIO HEALTH — Medicare Advantage: $523.20
  • BLUECARE — BlueCare - Specialty Primary Care - 0-20: $405.82
  • CARESOURCE — CARESOURCE GA MEDICAID: $424.41
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $2,407 $1,270.90 $1,089.78 – $2,993.64
Heart rhythm study with ablation for atrial fibrillation: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $1,393.03
  • AETNA — HMO: $1,293.53
  • AETNA — Medicare Advantage: $1,216.78
  • ALEXIAN — All Products: $1,210.87
  • ALLIANT — Alliant Solo Care- All Other Specialists: $1,937.39
  • AMBETTER — AMBETTER GA: $1,513.59
  • AMBETTER — AMBETTER TN: $1,513.59
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $1,247.20
  • AMERIGROUP — AMERIGROUP GA: $927.79
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $1,210.87
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Eps W Afib Pv Ablation $25,705 $13,572.24 $5,374.92 – $21,849.25
Heart rhythm study with ablation for atrial fibrillation: 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $23,179.09
  • AETNA — EPO: $7,968.55
  • AETNA — HMO: $7,968.55
  • AETNA — PPO: $7,968.55
  • ALEXIAN — Medicare: $1,139.41
  • ALLIANT — PPO: $19,278.75
  • AMBETTER — AMBETTER TN: $28,129.96
  • AMERICAN HEALTH — ERLANGER ACUTE: $23,179.09
  • AMERIGROUP — AMERIGROUP GA: $5,374.92
  • ATRIO HEALTH — Medicare Advantage: $24,754.37
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Eps W Afib Pv Ablation $25,705 $13,572.24 $5,374.92 – $21,849.25
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans
  • AETNA — EPO: $12,595.45
  • AETNA — HMO: $12,595.45
  • AETNA — PPO: $12,595.45
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $1,283 $677.42 $750.16 – $2,197.81
Sleep study (overnight, in a sleep lab): 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $763.92
  • AETNA — HMO: $709.36
  • AETNA — Medicare Advantage: $837.58
  • ALEXIAN — All Products: $833.51
  • ALLIANT — Alliant Solo Care- All Other Specialists: $1,333.62
  • AMBETTER — AMBETTER GA: $1,041.89
  • AMBETTER — AMBETTER TN: $1,041.89
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $858.52
  • AMERIGROUP — AMERIGROUP GA: $531.20
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $833.51
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Polysmnogrm >/= 6yrs 4+ Paramtr $7,235 $3,820.08 $134 – $2,219
Sleep study (overnight, in a sleep lab): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $961.27
  • AETNA — EPO: $2,242.85
  • AETNA — HMO: $2,242.85
  • AETNA — PPO: $2,242.85
  • ALEXIAN — Medicare: $839.23
  • ALLIANT — PPO: $5,426.25
  • AMBETTER — AMBETTER TN: $1,166.59
  • AMERICAN HEALTH — ERLANGER ACUTE: $961.27
  • AMERIGROUP — AMERIGROUP GA: $1,512.84
  • ATRIO HEALTH — Medicare Advantage: $1,026.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Polysmnogrm >/=? 6yrs 4+ Paramtr < 6 Hours $6,675 $3,524.40 $134 – $2,219
Sleep study (overnight, in a sleep lab): 10 of 54 insurance plan rates
  • AETNA — AETNA MEDICARE: $961.27
  • AETNA — EPO: $2,069.25
  • AETNA — HMO: $2,069.25
  • AETNA — PPO: $2,069.25
  • ALEXIAN — Medicare: $839.23
  • ALLIANT — PPO: $5,006.25
  • AMBETTER — AMBETTER TN: $1,166.59
  • AMERICAN HEALTH — ERLANGER ACUTE: $961.27
  • AMERIGROUP — AMERIGROUP GA: $1,395.74
  • ATRIO HEALTH — Medicare Advantage: $1,026.60

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $69 $36.43 $34.86 – $96.62
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 99 insurance plan rates
  • AETNA — ERLANGER: $26.73
  • AETNA — HMO: $24.82
  • AETNA — Medicare Advantage: $38.92
  • ALEXIAN — All Products: $38.73
  • ALLIANT — Alliant Solo Care- All Other Specialists: $61.97
  • AMBETTER — AMBETTER GA: $48.41
  • AMBETTER — AMBETTER TN: $48.41
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $39.89
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $38.73
  • AMERIGROUP — TNCARE SELECT-ADULT: $36.98
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Therapeutic Procd 15min $368 $194.30 $76.95 – $312.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 53 insurance plan rates
  • AETNA — AETNA MEDICARE: $38.17
  • AETNA — EPO: $114.08
  • AETNA — HMO: $114.08
  • AETNA — PPO: $114.08
  • ALEXIAN — Medicare: $37.06
  • ALLIANT — PPO: $276
  • AMBETTER — AMBETTER TN: $46.33
  • AMERICAN HEALTH — ERLANGER ACUTE: $38.17
  • AMERIGROUP — AMERIGROUP GA: $76.95
  • ATRIO HEALTH — Medicare Advantage: $40.77
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Therapeutic Procd 15min $368 $194.30 $76.95 – $312.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • AETNA — EPO: $180.32
  • AETNA — HMO: $180.32
  • AETNA — PPO: $180.32
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $173 $91.34 $118.83 – $330.28
Physical therapy evaluation (low complexity): 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $90.03
  • AETNA — HMO: $83.60
  • AETNA — Medicare Advantage: $132.67
  • ALEXIAN — All Products: $132.03
  • ALLIANT — Alliant Solo Care- All Other Specialists: $211.25
  • AMBETTER — AMBETTER GA: $165.04
  • AMBETTER — AMBETTER TN: $165.04
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $135.99
  • AMERIGROUP — AMERIGROUP GA: $69.34
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $132.03
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Eval Level 1-Low Comp $887 $468.34 $185.47 – $753.95
Physical therapy evaluation (low complexity): 10 of 53 insurance plan rates
  • AETNA — AETNA MEDICARE: $129.98
  • AETNA — EPO: $274.97
  • AETNA — HMO: $274.97
  • AETNA — PPO: $274.97
  • ALEXIAN — Medicare: $126.19
  • ALLIANT — PPO: $665.25
  • AMBETTER — AMBETTER TN: $157.74
  • AMERICAN HEALTH — ERLANGER ACUTE: $129.98
  • AMERIGROUP — AMERIGROUP GA: $185.47
  • ATRIO HEALTH — Medicare Advantage: $138.81
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pbb HC Pt Eval Level 1-Low Comp $173 $91.34 $36.17 – $147.05
Physical therapy evaluation (low complexity): 10 of 53 insurance plan rates
  • AETNA — AETNA MEDICARE: $129.98
  • AETNA — EPO: $53.63
  • AETNA — HMO: $53.63
  • AETNA — PPO: $53.63
  • ALEXIAN — Medicare: $126.19
  • ALLIANT — PPO: $129.75
  • AMBETTER — AMBETTER TN: $157.74
  • AMERICAN HEALTH — ERLANGER ACUTE: $129.98
  • AMERIGROUP — AMERIGROUP GA: $36.17
  • ATRIO HEALTH — Medicare Advantage: $138.81
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $173 $91.34 $118.83 – $330.28
Physical therapy evaluation (moderate complexity): 10 of 99 insurance plan rates
  • AETNA — ERLANGER: $90.03
  • AETNA — HMO: $83.60
  • AETNA — Medicare Advantage: $132.67
  • ALEXIAN — All Products: $132.03
  • ALLIANT — Alliant Solo Care- All Other Specialists: $211.25
  • AMBETTER — AMBETTER GA: $165.04
  • AMBETTER — AMBETTER TN: $165.04
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $135.99
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $132.03
  • AMERIGROUP — TNCARE SELECT-ADULT: $103.12
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Eval Level 2-Mod Comp $976 $515.33 $204.08 – $829.60
Physical therapy evaluation (moderate complexity): 10 of 53 insurance plan rates
  • AETNA — AETNA MEDICARE: $129.98
  • AETNA — EPO: $302.56
  • AETNA — HMO: $302.56
  • AETNA — PPO: $302.56
  • ALEXIAN — Medicare: $126.19
  • ALLIANT — PPO: $732
  • AMBETTER — AMBETTER TN: $157.74
  • AMERICAN HEALTH — ERLANGER ACUTE: $129.98
  • AMERIGROUP — AMERIGROUP GA: $204.08
  • ATRIO HEALTH — Medicare Advantage: $138.81
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pbb HC Pt Eval Level 2-Mod Comp $173 $91.34 $36.17 – $147.05
Physical therapy evaluation (moderate complexity): 10 of 53 insurance plan rates
  • AETNA — AETNA MEDICARE: $129.98
  • AETNA — EPO: $53.63
  • AETNA — HMO: $53.63
  • AETNA — PPO: $53.63
  • ALEXIAN — Medicare: $126.19
  • ALLIANT — PPO: $129.75
  • AMBETTER — AMBETTER TN: $157.74
  • AMERICAN HEALTH — ERLANGER ACUTE: $129.98
  • AMERIGROUP — AMERIGROUP GA: $36.17
  • ATRIO HEALTH — Medicare Advantage: $138.81
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $173 $91.34 $118.83 – $330.28
Physical therapy evaluation (high complexity): 10 of 99 insurance plan rates
  • AETNA — ERLANGER: $90.03
  • AETNA — HMO: $83.60
  • AETNA — Medicare Advantage: $132.67
  • ALEXIAN — All Products: $132.03
  • ALLIANT — Alliant Solo Care- All Other Specialists: $211.25
  • AMBETTER — AMBETTER GA: $165.04
  • AMBETTER — AMBETTER TN: $165.04
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $135.99
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $132.03
  • AMERIGROUP — TNCARE SELECT-ADULT: $103.12
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Eval Level 3-High Comp $1,077 $568.66 $225.20 – $915.45
Physical therapy evaluation (high complexity): 10 of 53 insurance plan rates
  • AETNA — AETNA MEDICARE: $129.98
  • AETNA — EPO: $333.87
  • AETNA — HMO: $333.87
  • AETNA — PPO: $333.87
  • ALEXIAN — Medicare: $126.19
  • ALLIANT — PPO: $807.75
  • AMBETTER — AMBETTER TN: $157.74
  • AMERICAN HEALTH — ERLANGER ACUTE: $129.98
  • AMERIGROUP — AMERIGROUP GA: $225.20
  • ATRIO HEALTH — Medicare Advantage: $138.81
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pbb HC Pt Eval Level 3-High Comp $173 $91.34 $36.17 – $147.05
Physical therapy evaluation (high complexity): 10 of 53 insurance plan rates
  • AETNA — AETNA MEDICARE: $129.98
  • AETNA — EPO: $53.63
  • AETNA — HMO: $53.63
  • AETNA — PPO: $53.63
  • ALEXIAN — Medicare: $126.19
  • ALLIANT — PPO: $129.75
  • AMBETTER — AMBETTER TN: $157.74
  • AMERICAN HEALTH — ERLANGER ACUTE: $129.98
  • AMERIGROUP — AMERIGROUP GA: $36.17
  • ATRIO HEALTH — Medicare Advantage: $138.81
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES $240 $126.72 $85.89 – $250.07
Psychotherapy, 30 minutes: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $92.79
  • AETNA — HMO: $86.16
  • AETNA — Medicare Advantage: $95.89
  • ALEXIAN — All Products: $95.43
  • ALLIANT — Alliant Solo Care- All Other Specialists: $152.69
  • AMBETTER — AMBETTER GA: $119.29
  • AMBETTER — AMBETTER TN: $119.29
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $98.29
  • AMERIGROUP — AMERIGROUP GA: $53.22
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $95.43
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $140.02 – $368.46
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates
  • AETNA — AETNA MEDICARE: $151.81
  • ALEXIAN — Medicare: $147.39
  • AMBETTER — AMBETTER TN: $184.23
  • AMERICAN HEALTH — ERLANGER ACUTE: $151.81
  • ATRIO HEALTH — Medicare Advantage: $162.12
  • BCBST — BLUE ADVANTAGE: $147.39
  • BLUECARE — DSNP: $153.28
  • CARESOURCE — CARESOURCE MARKETPLACE PLANS: $147.39
  • CIGNA — CIGNA MEDICARE: $147.39
  • CLOVER — Medicare Advantage: $147.39
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES $561 $296.21 $113.64 – $330.75
Psychotherapy, 45 minutes: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $144.20
  • AETNA — HMO: $133.90
  • AETNA — Medicare Advantage: $126.89
  • ALEXIAN — All Products: $126.27
  • ALLIANT — Alliant Solo Care- All Other Specialists: $202.03
  • AMBETTER — AMBETTER GA: $157.84
  • AMBETTER — AMBETTER TN: $157.84
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $130.06
  • AMERIGROUP — AMERIGROUP GA: $68.44
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $126.27
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $140.02 – $368.46
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates
  • AETNA — AETNA MEDICARE: $151.81
  • ALEXIAN — Medicare: $147.39
  • AMBETTER — AMBETTER TN: $184.23
  • AMERICAN HEALTH — ERLANGER ACUTE: $151.81
  • ATRIO HEALTH — Medicare Advantage: $162.12
  • BCBST — BLUE ADVANTAGE: $147.39
  • BLUECARE — DSNP: $153.28
  • CARESOURCE — CARESOURCE MARKETPLACE PLANS: $147.39
  • CIGNA — CIGNA MEDICARE: $147.39
  • CLOVER — Medicare Advantage: $147.39
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES $466 $246.05 $167.32 – $488.15
Psychotherapy, 60 minutes: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $185.86
  • AETNA — HMO: $172.59
  • AETNA — Medicare Advantage: $186.82
  • ALEXIAN — All Products: $185.91
  • ALLIANT — Alliant Solo Care- All Other Specialists: $297.46
  • AMBETTER — AMBETTER GA: $232.39
  • AMBETTER — AMBETTER TN: $232.39
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $191.49
  • AMERIGROUP — AMERIGROUP GA: $111.16
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $185.91
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $140.02 – $368.46
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates
  • AETNA — AETNA MEDICARE: $151.81
  • ALEXIAN — Medicare: $147.39
  • AMBETTER — AMBETTER TN: $184.23
  • AMERICAN HEALTH — ERLANGER ACUTE: $151.81
  • ATRIO HEALTH — Medicare Advantage: $162.12
  • BCBST — BLUE ADVANTAGE: $147.39
  • BLUECARE — DSNP: $153.28
  • CARESOURCE — CARESOURCE MARKETPLACE PLANS: $147.39
  • CIGNA — CIGNA MEDICARE: $147.39
  • CLOVER — Medicare Advantage: $147.39
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $226 $119.33 $122.49 – $355.34
Family psychotherapy, without the patient: 10 of 106 insurance plan rates
  • AETNA — ERLANGER: $149.49
  • AETNA — HMO: $138.81
  • AETNA — Medicare Advantage: $136.76
  • ALEXIAN — All Products: $136.10
  • ALLIANT — Alliant Solo Care- All Other Specialists: $217.76
  • AMBETTER — AMBETTER GA: $170.13
  • AMBETTER — AMBETTER TN: $170.13
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $140.18
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $136.10
  • AMERIGROUP — TNCARE SELECT-ADULT: $125
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $140.02 – $368.46
Family psychotherapy, without the patient: 10 of 27 insurance plan rates
  • AETNA — AETNA MEDICARE: $151.81
  • ALEXIAN — Medicare: $147.39
  • AMBETTER — AMBETTER TN: $184.23
  • AMERICAN HEALTH — ERLANGER ACUTE: $151.81
  • ATRIO HEALTH — Medicare Advantage: $162.12
  • BCBST — BLUE ADVANTAGE: $147.39
  • BLUECARE — DSNP: $153.28
  • BLUECARE — TENNCARE SELECT-ADULT: $101.69
  • BLUECARE — TENNCARE SELECT-CHILDREN: $231.29
  • CARESOURCE — CARESOURCE MARKETPLACE PLANS: $147.39
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $234 $123.55 $127.74 – $371.23
Family psychotherapy, with the patient: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $155.62
  • AETNA — HMO: $144.51
  • AETNA — Medicare Advantage: $142.62
  • ALEXIAN — All Products: $141.93
  • ALLIANT — Alliant Solo Care- All Other Specialists: $227.09
  • AMBETTER — AMBETTER GA: $177.41
  • AMBETTER — AMBETTER TN: $177.41
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $146.19
  • AMERIGROUP — AMERIGROUP GA: $94.38
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $141.93
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $140.02 – $368.46
Family psychotherapy, with the patient: 10 of 27 insurance plan rates
  • AETNA — AETNA MEDICARE: $151.81
  • ALEXIAN — Medicare: $147.39
  • AMBETTER — AMBETTER TN: $184.23
  • AMERICAN HEALTH — ERLANGER ACUTE: $151.81
  • ATRIO HEALTH — Medicare Advantage: $162.12
  • BCBST — BLUE ADVANTAGE: $147.39
  • BLUECARE — DSNP: $153.28
  • BLUECARE — TENNCARE SELECT-ADULT: $115.74
  • BLUECARE — TENNCARE SELECT-CHILDREN: $263.25
  • CARESOURCE — CARESOURCE MARKETPLACE PLANS: $147.39
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY $57 $30.10 $30.04 – $87.54
Group psychotherapy: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $82.19
  • AETNA — HMO: $76.32
  • AETNA — Medicare Advantage: $33.55
  • ALEXIAN — All Products: $33.38
  • ALLIANT — Alliant Solo Care- All Other Specialists: $53.41
  • AMBETTER — AMBETTER GA: $41.73
  • AMBETTER — AMBETTER TN: $41.73
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $34.38
  • AMERIGROUP — AMERIGROUP GA: $30.74
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $33.38
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $80.61 – $212.13
Group psychotherapy: 10 of 27 insurance plan rates
  • AETNA — AETNA MEDICARE: $87.40
  • ALEXIAN — Medicare: $84.85
  • AMBETTER — AMBETTER TN: $106.07
  • AMERICAN HEALTH — ERLANGER ACUTE: $87.40
  • ATRIO HEALTH — Medicare Advantage: $93.34
  • BCBST — BLUE ADVANTAGE: $84.85
  • BLUECARE — DSNP: $88.25
  • BLUECARE — TENNCARE SELECT-ADULT: $28.36
  • BLUECARE — TENNCARE SELECT-CHILDREN: $64.50
  • CARESOURCE — CARESOURCE MARKETPLACE PLANS: $84.85

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $865 $456.72 $483.45 – $1,315.08
Removal of breast growth (open surgery): 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $758.51
  • AETNA — HMO: $704.33
  • AETNA — Medicare Advantage: $539.79
  • ALEXIAN — All Products: $537.17
  • ALLIANT — Alliant Solo Care- All Other Specialists: $859.47
  • AMBETTER — AMBETTER GA: $671.46
  • AMBETTER — AMBETTER TN: $671.46
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $553.29
  • AMERIGROUP — AMERIGROUP GA: $306.21
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $537.17
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $581.36 – $8,781.69
Removal of breast growth (open surgery): 10 of 30 insurance plan rates
  • AETNA — AETNA MEDICARE: $3,618.06
  • ALEXIAN — Medicaid: $3,131.08
  • ALEXIAN — Medicare: $3,512.68
  • AMBETTER — AMBETTER TN: $4,390.84
  • AMERICAN HEALTH — ERLANGER ACUTE: $3,618.06
  • ATRIO HEALTH — Medicare Advantage: $3,863.94
  • BCBST — BLUE ADVANTAGE: $3,512.68
  • BCBST — NETWORK P: $3,446
  • BCBST — NETWORK S: $3,171
  • BLUECARE — DSNP: $3,653.18
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $2,886 $1,523.81 $1,467.31 – $4,086.55
Total hip replacement: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $2,249.42
  • AETNA — HMO: $2,088.75
  • AETNA — Medicare Advantage: $1,638.30
  • ALEXIAN — All Products: $1,630.34
  • ALLIANT — Alliant Solo Care- All Other Specialists: $2,608.54
  • AMBETTER — AMBETTER GA: $2,037.93
  • AMBETTER — AMBETTER TN: $2,037.93
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $1,679.25
  • AMERIGROUP — AMERIGROUP GA: $1,326.70
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $1,630.34
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $7,309 – $29,507.48
Total hip replacement: 10 of 31 insurance plan rates
  • AETNA — AETNA MEDICARE: $12,157.08
  • ALEXIAN — Medicaid: $11,883.93
  • ALEXIAN — Medicare: $11,802.99
  • AMBETTER — AMBETTER TN: $14,753.74
  • AMERICAN HEALTH — ERLANGER ACUTE: $12,157.08
  • ATRIO HEALTH — Medicare Advantage: $12,983.29
  • BCBST — BLUE ADVANTAGE: $11,802.99
  • BCBST — NETWORK P: $7,945
  • BCBST — NETWORK S: $7,309
  • BLUECARE — DSNP: $12,275.11
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $2,886 $1,523.81 $1,466.12 – $4,081.84
Total knee replacement: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $2,247.03
  • AETNA — HMO: $2,086.53
  • AETNA — Medicare Advantage: $1,636.97
  • ALEXIAN — All Products: $1,629.02
  • ALLIANT — Alliant Solo Care- All Other Specialists: $2,606.43
  • AMBETTER — AMBETTER GA: $2,036.28
  • AMBETTER — AMBETTER TN: $2,036.28
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $1,677.89
  • AMERIGROUP — AMERIGROUP GA: $1,403.35
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $1,629.02
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $7,309 – $29,507.48
Total knee replacement: 10 of 31 insurance plan rates
  • AETNA — AETNA MEDICARE: $12,157.08
  • ALEXIAN — Medicaid: $11,883.93
  • ALEXIAN — Medicare: $11,802.99
  • AMBETTER — AMBETTER TN: $14,753.74
  • AMERICAN HEALTH — ERLANGER ACUTE: $12,157.08
  • ATRIO HEALTH — Medicare Advantage: $12,983.29
  • BCBST — BLUE ADVANTAGE: $11,802.99
  • BCBST — NETWORK P: $7,945
  • BCBST — NETWORK S: $7,309
  • BLUECARE — DSNP: $12,275.11
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $377 $199.06 $199.24 – $552.21
Shoulder arthroscopy: shaving of shoulder bone: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $304.14
  • AETNA — HMO: $282.41
  • AETNA — Medicare Advantage: $222.46
  • ALEXIAN — All Products: $221.38
  • ALLIANT — Alliant Solo Care- All Other Specialists: $354.21
  • AMBETTER — AMBETTER GA: $276.73
  • AMBETTER — AMBETTER TN: $276.73
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $228.02
  • AMERIGROUP — AMERIGROUP GA: $632.32
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $221.38
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $282.17
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans
  • ALLIANT — PPO: $928
  • BCBST — NETWORK P: $595
  • BCBST — NETWORK S: $547
  • HUMANA — HUMANACHOICE: $282.17
  • UHC — UHC All Payer: $1,484
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $1,147 $605.62 $615.60 – $1,711.01
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $949.87
  • AETNA — HMO: $882.02
  • AETNA — Medicare Advantage: $687.33
  • ALEXIAN — All Products: $684
  • ALLIANT — Alliant Solo Care- All Other Specialists: $1,094.40
  • AMBETTER — AMBETTER GA: $855
  • AMBETTER — AMBETTER TN: $855
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $704.52
  • AMERIGROUP — AMERIGROUP GA: $532.13
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $684
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $1,146 – $7,440.86
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 30 insurance plan rates
  • AETNA — AETNA MEDICARE: $3,065.64
  • ALEXIAN — Medicaid: $2,711.08
  • ALEXIAN — Medicare: $2,976.35
  • ALLIANT — PPO: $1,146
  • AMBETTER — AMBETTER TN: $3,720.43
  • AMERICAN HEALTH — ERLANGER ACUTE: $3,065.64
  • ATRIO HEALTH — Medicare Advantage: $3,273.98
  • BCBST — BLUE ADVANTAGE: $2,976.35
  • BCBST — NETWORK P: $3,446
  • BCBST — NETWORK S: $3,171
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $625 $330 $229.08 – $848.19
Removal of tonsils and adenoids (under age 12): 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $531.80
  • AETNA — HMO: $493.82
  • AETNA — Medicare Advantage: $375.62
  • ALEXIAN — All Products: $373.80
  • ALLIANT — Alliant Solo Care- All Other Specialists: $598.08
  • AMBETTER — AMBETTER GA: $467.25
  • AMBETTER — AMBETTER TN: $467.25
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $385.01
  • AMERIGROUP — AMERIGROUP GA: $240.77
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $373.80
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $817.45 – $13,566.38
Removal of tonsils and adenoids (under age 12): 10 of 32 insurance plan rates
  • AETNA — AETNA MEDICARE: $5,589.35
  • ALEXIAN — Medicaid: $4,863.26
  • ALEXIAN — Medicare: $5,426.55
  • ALLIANT — PPO: $928
  • AMBETTER — AMBETTER TN: $6,783.19
  • AMERICAN HEALTH — ERLANGER ACUTE: $5,589.35
  • ATRIO HEALTH — Medicare Advantage: $5,969.21
  • BCBST — BLUE ADVANTAGE: $5,426.55
  • BCBST — NETWORK P: $7,220
  • BCBST — NETWORK S: $6,643
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $285 $150.48 $113.18 – $734.89
Upper GI endoscopy (diagnostic): 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $555.34
  • AETNA — HMO: $515.67
  • AETNA — Medicare Advantage: $158.92
  • ALEXIAN — All Products: $158.14
  • ALLIANT — Alliant Solo Care- All Other Specialists: $253.02
  • AMBETTER — AMBETTER GA: $197.68
  • AMBETTER — AMBETTER TN: $197.68
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $162.88
  • AMERIGROUP — AMERIGROUP GA: $203.91
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $158.14
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $477 – $2,871
Upper GI endoscopy (diagnostic): 10 of 30 insurance plan rates
  • AETNA — AETNA MEDICARE: $885.84
  • ALEXIAN — Medicaid: $751.86
  • ALEXIAN — Medicare: $860.04
  • ALLIANT — PPO: $622
  • AMBETTER — AMBETTER TN: $1,075.05
  • AMERICAN HEALTH — ERLANGER ACUTE: $885.84
  • ATRIO HEALTH — Medicare Advantage: $946.05
  • BCBST — BLUE ADVANTAGE: $860.04
  • BCBST — NETWORK P: $793
  • BCBST — NETWORK S: $729
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $320 $168.96 $127.07 – $977.42
Upper GI endoscopy with biopsy: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $714.01
  • AETNA — HMO: $663.01
  • AETNA — Medicare Advantage: $179.72
  • ALEXIAN — All Products: $178.85
  • ALLIANT — Alliant Solo Care- All Other Specialists: $286.16
  • AMBETTER — AMBETTER GA: $223.56
  • AMBETTER — AMBETTER TN: $223.56
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $184.22
  • AMERIGROUP — AMERIGROUP GA: $210.98
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $178.85
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $477 – $2,871
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: $885.84
  • ALEXIAN — Medicaid: $751.86
  • ALEXIAN — Medicare: $860.04
  • ALLIANT — PPO: $813
  • AMBETTER — AMBETTER TN: $1,075.05
  • AMERICAN HEALTH — ERLANGER ACUTE: $885.84
  • ATRIO HEALTH — Medicare Advantage: $946.05
  • BCBST — BLUE ADVANTAGE: $860.04
  • BCBST — NETWORK P: $793
  • BCBST — NETWORK S: $729
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $462 $243.94 $170.56 – $871.70
Colonoscopy (diagnostic): 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $639.21
  • AETNA — HMO: $593.55
  • AETNA — Medicare Advantage: $240.32
  • ALEXIAN — All Products: $239.15
  • ALLIANT — Alliant Solo Care- All Other Specialists: $382.64
  • AMBETTER — AMBETTER GA: $298.94
  • AMBETTER — AMBETTER TN: $298.94
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $246.32
  • AMERIGROUP — AMERIGROUP GA: $290.95
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $239.15
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $477 – $2,871
Colonoscopy (diagnostic): 10 of 31 insurance plan rates
  • AETNA — AETNA MEDICARE: $861.42
  • ALEXIAN — Medicaid: $756.89
  • ALEXIAN — Medicare: $836.33
  • ALLIANT — PPO: $813
  • AMBETTER — AMBETTER TN: $1,045.41
  • AMERICAN HEALTH — ERLANGER ACUTE: $861.42
  • ATRIO HEALTH — Medicare Advantage: $919.96
  • BCBST — BLUE ADVANTAGE: $836.33
  • BCBST — NETWORK P: $793
  • BCBST — NETWORK S: $729
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 53 In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $364 $192.19 $296.62 – $319.44
Colonoscopy (diagnostic): 10 of 39 insurance plan rates
  • AETNA — ERLANGER: $319.44
  • AETNA — HMO: $296.62
  • ALEXIAN — All Products: $89.05
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $54.80
  • AMERIGROUP — TNCARE SELECT-ADULT: $54.80
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $54.80
  • ATRIO HEALTH — Medicare Advantage: $82.20
  • CIGNA — Cigna IFP Mid-level: $68.50
  • CIGNA — Cigna IFP Physician: $68.50
  • CIGNA — Cigna Local Plus Mid-level: $68.50
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $553 $291.98 $185.62 – $1,120.48
Colonoscopy with biopsy: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $824.82
  • AETNA — HMO: $765.91
  • AETNA — Medicare Advantage: $261.67
  • ALEXIAN — All Products: $260.40
  • ALLIANT — Alliant Solo Care- All Other Specialists: $416.64
  • AMBETTER — AMBETTER GA: $325.50
  • AMBETTER — AMBETTER TN: $325.50
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $268.21
  • AMERIGROUP — AMERIGROUP GA: $315.67
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $260.40
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $507.63 – $2,871
Colonoscopy with biopsy: 10 of 32 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,114.04
  • ALEXIAN — Medicaid: $986.29
  • ALEXIAN — Medicare: $1,081.59
  • ALLIANT — PPO: $813
  • AMBETTER — AMBETTER TN: $1,351.99
  • AMERICAN HEALTH — ERLANGER ACUTE: $1,114.04
  • ATRIO HEALTH — Medicare Advantage: $1,189.75
  • BCBST — BLUE ADVANTAGE: $1,081.59
  • BCBST — NETWORK P: $1,901
  • BCBST — NETWORK S: $1,751
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $656 $346.37 $235.11 – $1,175.61
Colonoscopy with removal of polyps (snare): 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $858.62
  • AETNA — HMO: $797.29
  • AETNA — Medicare Advantage: $332
  • ALEXIAN — All Products: $330.39
  • ALLIANT — Alliant Solo Care- All Other Specialists: $528.62
  • AMBETTER — AMBETTER GA: $412.99
  • AMBETTER — AMBETTER TN: $412.99
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $340.30
  • AMERIGROUP — AMERIGROUP GA: $403.07
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $330.39
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $813 – $2,871
Colonoscopy with removal of polyps (snare): 10 of 30 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,114.04
  • ALEXIAN — Medicaid: $986.29
  • ALEXIAN — Medicare: $1,081.59
  • ALLIANT — PPO: $813
  • AMBETTER — AMBETTER TN: $1,351.99
  • AMERICAN HEALTH — ERLANGER ACUTE: $1,114.04
  • ATRIO HEALTH — Medicare Advantage: $1,189.75
  • BCBST — BLUE ADVANTAGE: $1,081.59
  • BCBST — NETWORK P: $1,901
  • BCBST — NETWORK S: $1,751
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $631 $333.17 $216.27 – $773.61
Ultrasound of the lower bowel by endoscope: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $479.16
  • AETNA — HMO: $444.94
  • AETNA — Medicare Advantage: $337.24
  • ALEXIAN — All Products: $335.61
  • ALLIANT — Alliant Solo Care- All Other Specialists: $536.98
  • AMBETTER — AMBETTER GA: $419.51
  • AMBETTER — AMBETTER TN: $419.51
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $345.68
  • AMERIGROUP — AMERIGROUP GA: $245.47
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $335.61
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $986.29 – $2,703.98
Ultrasound of the lower bowel by endoscope: 10 of 27 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,114.04
  • ALEXIAN — Medicaid: $986.29
  • ALEXIAN — Medicare: $1,081.59
  • AMBETTER — AMBETTER TN: $1,351.99
  • AMERICAN HEALTH — ERLANGER ACUTE: $1,114.04
  • ATRIO HEALTH — Medicare Advantage: $1,189.75
  • BCBST — BLUE ADVANTAGE: $1,081.59
  • BCBST — NETWORK S: $1,751
  • BLUECARE — DSNP: $1,124.86
  • CARESOURCE — CARESOURCE MARKETPLACE PLANS: $2,163.19
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND $480 $253.44 $215.42 – $600.89
Screening colonoscopy (not high risk): 10 of 106 insurance plan rates
  • AETNA — ERLANGER: $496.16
  • AETNA — HMO: $460.72
  • AETNA — Medicare Advantage: $240.53
  • ALEXIAN — All Products: $239.36
  • ALLIANT — Alliant Solo Care- All Other Specialists: $382.98
  • AMBETTER — AMBETTER GA: $299.20
  • AMBETTER — AMBETTER TN: $299.20
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $246.54
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $239.36
  • AMERIGROUP — TNCARE SELECT-ADULT: $224.87
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $729 – $2,090.82
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates
  • AETNA — AETNA MEDICARE: $861.42
  • ALEXIAN — Medicare: $836.33
  • AMBETTER — AMBETTER TN: $1,045.41
  • AMERICAN HEALTH — ERLANGER ACUTE: $861.42
  • ATRIO HEALTH — Medicare Advantage: $919.96
  • BCBST — BLUE ADVANTAGE: $836.33
  • BCBST — NETWORK P: $793
  • BCBST — NETWORK S: $729
  • BLUECARE — DSNP: $869.78
  • CARESOURCE — CARESOURCE MARKETPLACE PLANS: $1,254.49
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 53 In the file: PR COLON CA SCRN NOT HI RSK IND $307 $162.10 $107.45 – $307
Screening colonoscopy (not high risk): 10 of 39 insurance plan rates
  • AETNA — ERLANGER: $248.08
  • AETNA — HMO: $230.36
  • ALEXIAN — All Products: $199.55
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $122.80
  • AMERIGROUP — TNCARE SELECT-ADULT: $122.80
  • AMERIGROUP — TNCARE SELECT-CHILDREN: $122.80
  • ATRIO HEALTH — Medicare Advantage: $184.20
  • CIGNA — Cigna IFP Mid-level: $153.50
  • CIGNA — Cigna IFP Physician: $153.50
  • CIGNA — Cigna Local Plus Mid-level: $153.50
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY $1,365 $720.72 $528.54 – $1,927.43
Gallbladder removal by laparoscope: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $1,204.43
  • AETNA — HMO: $1,118.40
  • AETNA — Medicare Advantage: $855.36
  • ALEXIAN — All Products: $851.21
  • ALLIANT — Alliant Solo Care- All Other Specialists: $1,361.94
  • AMBETTER — AMBETTER GA: $1,064.01
  • AMBETTER — AMBETTER TN: $1,064.01
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $876.75
  • AMERIGROUP — AMERIGROUP GA: $597.08
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $851.21
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $4,346 – $13,379.94
Gallbladder removal by laparoscope: 10 of 30 insurance plan rates
  • AETNA — AETNA MEDICARE: $5,512.53
  • ALEXIAN — Medicaid: $4,747.12
  • ALEXIAN — Medicare: $5,351.98
  • AMBETTER — AMBETTER TN: $6,689.97
  • AMERICAN HEALTH — ERLANGER ACUTE: $5,512.53
  • ATRIO HEALTH — Medicare Advantage: $5,887.17
  • BCBST — BLUE ADVANTAGE: $5,351.98
  • BCBST — NETWORK P: $7,220
  • BCBST — NETWORK S: $6,643
  • BLUECARE — DSNP: $5,566.05
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $1,097 $579.22 $345.86 – $1,523.75
Groin (inguinal) hernia repair, age 5 or older: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $954.02
  • AETNA — HMO: $885.87
  • AETNA — Medicare Advantage: $678.76
  • ALEXIAN — All Products: $676.25
  • ALLIANT — Alliant Solo Care- All Other Specialists: $1,082
  • AMBETTER — AMBETTER GA: $845.31
  • AMBETTER — AMBETTER TN: $845.31
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $696.54
  • AMERIGROUP — AMERIGROUP GA: $363.81
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $676.25
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $2,075 – $8,093.19
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates
  • AETNA — AETNA MEDICARE: $3,334.40
  • ALEXIAN — Medicaid: $3,225.92
  • ALEXIAN — Medicare: $3,237.28
  • AMBETTER — AMBETTER TN: $4,046.60
  • AMERICAN HEALTH — ERLANGER ACUTE: $3,334.40
  • ATRIO HEALTH — Medicare Advantage: $3,561.01
  • BCBST — BLUE ADVANTAGE: $3,237.28
  • BCBST — NETWORK P: $3,446
  • BCBST — NETWORK S: $3,171
  • BLUECARE — DSNP: $3,366.77
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH $461 $243.41 $120.41 – $657.69
Prostate biopsy: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $505.11
  • AETNA — HMO: $469.03
  • AETNA — Medicare Advantage: $171.69
  • ALEXIAN — All Products: $170.86
  • ALLIANT — Alliant Solo Care- All Other Specialists: $273.38
  • AMBETTER — AMBETTER GA: $213.58
  • AMBETTER — AMBETTER TN: $213.58
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $175.99
  • AMERIGROUP — AMERIGROUP GA: $132.04
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $170.86
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Biopsy Prostate $2,382 $1,257.70 $498.08 – $2,024.70
Prostate biopsy: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,935.51
  • AETNA — EPO: $738.42
  • AETNA — HMO: $738.42
  • AETNA — PPO: $738.42
  • ALEXIAN — Medicaid: $1,689.39
  • ALEXIAN — Medicare: $164.27
  • ALLIANT — PPO: $813
  • AMBETTER — AMBETTER TN: $2,348.92
  • AMERICAN HEALTH — ERLANGER ACUTE: $1,935.51
  • AMERIGROUP — AMERIGROUP GA: $498.08
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT Biopsy Prostate $2,382 $1,257.70 $498.08 – $2,024.70
Prostate biopsy: rates for 3 insurance plans
  • AETNA — EPO: $1,167.18
  • AETNA — HMO: $1,167.18
  • AETNA — PPO: $1,167.18
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT $3,764 $1,987.39 $1,112.31 – $4,334.86
Prostate removal by laparoscope (radical prostatectomy): 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $2,939.51
  • AETNA — HMO: $2,729.55
  • AETNA — Medicare Advantage: $1,578.33
  • ALEXIAN — All Products: $1,570.67
  • ALLIANT — Alliant Solo Care- All Other Specialists: $2,513.07
  • AMBETTER — AMBETTER GA: $1,963.34
  • AMBETTER — AMBETTER TN: $1,963.34
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $1,617.79
  • AMERIGROUP — AMERIGROUP GA: $1,391.55
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $1,570.67
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $4,782 – $23,876.05
Prostate removal by laparoscope (radical prostatectomy): 10 of 29 insurance plan rates
  • AETNA — AETNA MEDICARE: $9,836.93
  • ALEXIAN — Medicaid: $8,276.53
  • ALEXIAN — Medicare: $9,550.42
  • AMBETTER — AMBETTER TN: $11,938.03
  • AMERICAN HEALTH — ERLANGER ACUTE: $9,836.93
  • ATRIO HEALTH — Medicare Advantage: $10,505.46
  • BCBST — BLUE ADVANTAGE: $9,550.42
  • BCBST — NETWORK P: $7,945
  • BCBST — NETWORK S: $7,309
  • BLUECARE — DSNP: $9,932.44
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $571 $301.49 $214.92 – $3,608.67
Hysteroscopy with biopsy of the uterus lining: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $2,402.99
  • AETNA — HMO: $2,231.35
  • AETNA — Medicare Advantage: $303.20
  • ALEXIAN — All Products: $301.73
  • ALLIANT — Alliant Solo Care- All Other Specialists: $482.77
  • AMBETTER — AMBETTER GA: $377.16
  • AMBETTER — AMBETTER TN: $377.16
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $310.78
  • AMERIGROUP — AMERIGROUP GA: $242.66
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $301.73
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $928 – $7,291.62
Hysteroscopy with biopsy of the uterus lining: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: $3,004.15
  • ALEXIAN — Medicaid: $2,575.18
  • ALEXIAN — Medicare: $2,916.65
  • ALLIANT — PPO: $928
  • AMBETTER — AMBETTER TN: $3,645.81
  • AMERICAN HEALTH — ERLANGER ACUTE: $3,004.15
  • ATRIO HEALTH — Medicare Advantage: $3,208.31
  • BCBST — BLUE ADVANTAGE: $2,916.65
  • BCBST — NETWORK P: $3,446
  • BCBST — NETWORK S: $3,171
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $503 $265.58 $87.18 – $672.48
Spinal injection, lower back (epidural), with imaging guidance: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $484.05
  • AETNA — HMO: $449.48
  • AETNA — Medicare Advantage: $130.85
  • ALEXIAN — All Products: $130.21
  • ALLIANT — Alliant Solo Care- All Other Specialists: $208.34
  • AMBETTER — AMBETTER GA: $162.76
  • AMBETTER — AMBETTER TN: $162.76
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $134.12
  • AMERIGROUP — AMERIGROUP GA: $210.77
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $130.21
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Esi L-S Spine W Image $4,539 $2,396.59 $949.10 – $3,858.15
Spinal injection, lower back (epidural), with imaging guidance: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $654.32
  • AETNA — EPO: $1,407.09
  • AETNA — HMO: $1,407.09
  • AETNA — PPO: $1,407.09
  • ALEXIAN — Medicaid: $586.85
  • ALEXIAN — Medicare: $125.56
  • ALLIANT — PPO: $3,404.25
  • AMBETTER — AMBETTER TN: $794.08
  • AMERICAN HEALTH — ERLANGER ACUTE: $654.32
  • AMERIGROUP — AMERIGROUP GA: $949.10
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Esi L-S Spine W Image $4,539 $2,396.59 $949.10 – $3,858.15
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
  • AETNA — EPO: $2,224.11
  • AETNA — HMO: $2,224.11
  • AETNA — PPO: $2,224.11
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $462 $243.94 $98.53 – $622.75
Nerve root injection, lower back, with imaging guidance: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $453.28
  • AETNA — HMO: $420.90
  • AETNA — Medicare Advantage: $145.32
  • ALEXIAN — All Products: $144.61
  • ALLIANT — Alliant Solo Care- All Other Specialists: $231.38
  • AMBETTER — AMBETTER GA: $180.76
  • AMBETTER — AMBETTER TN: $180.76
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $148.95
  • AMERIGROUP — AMERIGROUP GA: $176.91
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $144.61
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Inj Epid L/Sac Init $4,416 $2,331.65 $923.39 – $3,753.60
Nerve root injection, lower back, with imaging guidance: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $841.18
  • AETNA — EPO: $1,368.96
  • AETNA — HMO: $1,368.96
  • AETNA — PPO: $1,368.96
  • ALEXIAN — Medicaid: $776.15
  • ALEXIAN — Medicare: $139.66
  • ALLIANT — PPO: $622
  • AMBETTER — AMBETTER TN: $1,020.85
  • AMERICAN HEALTH — ERLANGER ACUTE: $841.18
  • AMERIGROUP — AMERIGROUP GA: $923.39
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Inj Epid L/Sac Init $4,416 $2,331.65 $923.39 – $3,753.60
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans
  • AETNA — EPO: $2,163.84
  • AETNA — HMO: $2,163.84
  • AETNA — PPO: $2,163.84
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $904 $477.31 $295.55 – $1,250.18
Carpal tunnel release: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $800.79
  • AETNA — HMO: $743.59
  • AETNA — Medicare Advantage: $554.55
  • ALEXIAN — All Products: $551.86
  • ALLIANT — Alliant Solo Care- All Other Specialists: $882.98
  • AMBETTER — AMBETTER GA: $689.83
  • AMBETTER — AMBETTER TN: $689.83
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $568.42
  • AMERIGROUP — AMERIGROUP GA: $314.84
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $551.86
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,637.15 – $4,478.29
Carpal tunnel release: 10 of 31 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,845.05
  • ALEXIAN — Medicaid: $1,637.15
  • ALEXIAN — Medicare: $1,791.32
  • AMBETTER — AMBETTER TN: $2,239.14
  • AMERICAN HEALTH — ERLANGER ACUTE: $1,845.05
  • ATRIO HEALTH — Medicare Advantage: $1,970.45
  • BCBST — BLUE ADVANTAGE: $1,791.32
  • BCBST — NETWORK P: $2,554
  • BCBST — NETWORK S: $2,349
  • BLUECARE — DSNP: $1,862.97
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY $696 $367.49 $168.18 – $907.29
Laser treatment of clouding after cataract surgery: 10 of 109 insurance plan rates
  • AETNA — ERLANGER: $655.70
  • AETNA — HMO: $608.87
  • AETNA — Medicare Advantage: $397.65
  • ALEXIAN — All Products: $395.72
  • ALLIANT — Alliant Solo Care- All Other Specialists: $633.15
  • AMBETTER — AMBETTER GA: $494.65
  • AMBETTER — AMBETTER TN: $494.65
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $407.59
  • AMERIGROUP — AMERIGROUP GA: $168.18
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $395.72
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Post Capsulotomy $1,327 $700.66 $277.48 – $1,127.95
Laser treatment of clouding after cataract surgery: 10 of 55 insurance plan rates
  • AETNA — AETNA MEDICARE: $518.34
  • AETNA — EPO: $411.37
  • AETNA — HMO: $411.37
  • AETNA — PPO: $411.37
  • ALEXIAN — Medicaid: $483.41
  • ALEXIAN — Medicare: $384.76
  • ALLIANT — PPO: $813
  • AMBETTER — AMBETTER TN: $629.05
  • AMERICAN HEALTH — ERLANGER ACUTE: $518.34
  • AMERIGROUP — AMERIGROUP GA: $277.48
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Post Capsulotomy $1,327 $700.66 $277.48 – $1,127.95
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans
  • AETNA — EPO: $650.23
  • AETNA — HMO: $650.23
  • AETNA — PPO: $650.23
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $1,364 $720.19 $503.81 – $1,603.42
Cataract removal with lens implant: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $1,069.46
  • AETNA — HMO: $993.07
  • AETNA — Medicare Advantage: $689.76
  • ALEXIAN — All Products: $686.41
  • ALLIANT — Alliant Solo Care- All Other Specialists: $1,098.26
  • AMBETTER — AMBETTER GA: $858.01
  • AMBETTER — AMBETTER TN: $858.01
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $707
  • AMERIGROUP — AMERIGROUP GA: $644.35
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $686.41
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,537 – $5,230.40
Cataract removal with lens implant: 10 of 27 insurance plan rates
  • AETNA — AETNA MEDICARE: $2,154.92
  • ALEXIAN — Medicaid: $1,966.77
  • ALEXIAN — Medicare: $2,092.16
  • AMBETTER — AMBETTER TN: $2,615.20
  • AMERICAN HEALTH — ERLANGER ACUTE: $2,154.92
  • ATRIO HEALTH — Medicare Advantage: $2,301.38
  • BCBST — BLUE ADVANTAGE: $2,092.16
  • BCBST — NETWORK P: $2,554
  • BLUECARE — DSNP: $2,175.85
  • CARESOURCE — CARESOURCE MARKETPLACE PLANS: $4,184.32

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $4,410 $2,328.48 $1,308.34 – $6,158.94
Vaginal delivery, with care before and after: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $2,689.05
  • AETNA — HMO: $2,496.98
  • AETNA — Medicare Advantage: $3,139.23
  • ALEXIAN — All Products: $3,123.21
  • ALLIANT — Alliant Solo Care- All Other Specialists: $4,997.14
  • AMBETTER — AMBETTER GA: $3,904.01
  • AMBETTER — AMBETTER TN: $3,904.01
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $3,216.91
  • AMERIGROUP — AMERIGROUP GA: $2,175.58
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $3,123.21
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $3,284.89
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • HUMANA — HUMANACHOICE: $3,284.89
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $4,867 $2,569.78 $1,308.34 – $6,799.04
Cesarean delivery (C-section), with care before and after: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $2,689.05
  • AETNA — HMO: $2,496.98
  • AETNA — Medicare Advantage: $3,514.51
  • ALEXIAN — All Products: $3,497.05
  • ALLIANT — Alliant Solo Care- All Other Specialists: $5,595.28
  • AMBETTER — AMBETTER GA: $4,371.31
  • AMBETTER — AMBETTER TN: $4,371.31
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $3,601.96
  • AMERIGROUP — AMERIGROUP GA: $2,405.21
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $3,497.05
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $3,631.03
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • HUMANA — HUMANACHOICE: $3,631.03
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $4,612 $2,435.14 $1,308.34 – $6,445.80
Vaginal delivery after a previous C-section, with care before and after: 10 of 102 insurance plan rates
  • AETNA — ERLANGER: $2,689.05
  • AETNA — HMO: $2,496.98
  • AETNA — Medicare Advantage: $3,329.76
  • ALEXIAN — All Products: $3,313.60
  • ALLIANT — Alliant Solo Care- All Other Specialists: $5,301.76
  • AMBETTER — AMBETTER GA: $4,142
  • AMBETTER — AMBETTER TN: $4,142
  • AMERICAN HEALTH — ERLANGER PHYSICIANS: $3,413.01
  • AMERIGROUP — AMERIGROUP GA: $2,280.40
  • AMERIGROUP — AMERIGROUP TN MEDICARE: $3,313.60
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $3,444.87
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • HUMANA — HUMANACHOICE: $3,444.87

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $35,749.89 – $158,581.70
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 50 insurance plan rates
  • AETNA — AETNA MEDICARE: $74,852.55
  • ALEXIAN — Medicare: $72,672.38
  • AMBETTER — AMBETTER TN: $69,824.84
  • AMERICAN HEALTH — ERLANGER ACUTE: $74,852.55
  • AMERIGROUP — AMERIGROUP GA: $36,073.98
  • ATRIO HEALTH — Medicare Advantage: $76,269.84
  • BCBST — BLUE ADVANTAGE: $75,579.28
  • BCBST — NETWORK E: $66,756.66
  • BCBST — NETWORK E-CHILDREN: $116,150.99
  • BCBST — NETWORK P: $110,910.44
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC Not listed in the file Not listed in the file $6,984.33 – $34,670
Hip or knee replacement (major joint of the leg), without major complications: 10 of 36 insurance plan rates
  • ALLIANT — PPO: $3,250
  • AMBETTER — AMBETTER TN: $13,641.42
  • AMERIGROUP — AMERIGROUP GA: $7,047.64
  • ATRIO HEALTH — Medicare Advantage: $14,900.56
  • BCBST — NETWORK E: $13,042
  • BCBST — NETWORK E-CHILDREN: $22,691.99
  • BCBST — NETWORK P: $21,668.17
  • BCBST — NETWORK S: $19,935.39
  • BLUECARE — TENNCARE SELECT-ADULT: $6,984.33
  • CARESOURCE — CARESOURCE GA MEDICAID: $10,013.87
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $6,984.33 – $34,670
Hip or knee replacement (major joint of the leg), without major complications: 10 of 14 insurance plan rates
  • AETNA — AETNA MEDICARE: $16,723.08
  • ALEXIAN — Medicare: $16,236
  • AMERICAN HEALTH — ERLANGER ACUTE: $16,723.08
  • BCBST — BLUE ADVANTAGE: $16,885.44
  • BLUECARE — DSNP: $16,885.44
  • CARESOURCE — CARESOURCE MARKETPLACE PLANS: $24,188.37
  • CLOVER — Medicare Advantage: $16,236
  • Devoted Health — Medicare Advantage-HMO: $16,770.60
  • Devoted Health — Medicare Advantage-PPO: $16,770.60
  • HUMANA — Medicare Advantage: $16,236
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $8,769.39 – $43,838.74
Neck (cervical) spinal fusion, without complications: 10 of 50 insurance plan rates
  • AETNA — AETNA MEDICARE: $20,330.35
  • ALEXIAN — Medicare: $19,738.20
  • ALLIANT — PPO: $3,250
  • AMBETTER — AMBETTER TN: $17,127.93
  • AMERICAN HEALTH — ERLANGER ACUTE: $20,330.35
  • AMERIGROUP — AMERIGROUP GA: $8,848.89
  • ATRIO HEALTH — Medicare Advantage: $18,708.88
  • BCBST — BLUE ADVANTAGE: $20,527.73
  • BCBST — NETWORK E: $16,375.31
  • BCBST — NETWORK E-CHILDREN: $28,491.66
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $4,440.26 – $23,271.26
Uterus and ovary surgery (not for cancer), without complications: 10 of 50 insurance plan rates
  • AETNA — AETNA MEDICARE: $11,582.03
  • ALEXIAN — Medicare: $11,244.69
  • ALLIANT — PPO: $3,250
  • AMBETTER — AMBETTER TN: $8,672.49
  • AMERICAN HEALTH — ERLANGER ACUTE: $11,582.03
  • AMERIGROUP — AMERIGROUP GA: $4,480.51
  • ATRIO HEALTH — Medicare Advantage: $9,472.98
  • BCBST — BLUE ADVANTAGE: $11,694.48
  • BCBST — NETWORK E: $8,291.41
  • BCBST — NETWORK E-CHILDREN: $14,426.35

Source: Erlanger Medical Center’s standard charges file (erlanger.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 25, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address975 E 3rd St, Chattanooga, TN 37403
CountyHamilton County
StateTennessee
Phone(423) 778‑7000
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number440104
Name in Medicare recordsERLANGER MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteErlanger Baroness Hospital
Official websiteerlanger.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Erlanger Baroness Hospital — erlanger.org
  2. Emergency Departments | Erlanger — erlanger.org
  3. 24/7 Emergency Room & Level I Trauma Center | ER Services | Erlanger — erlanger.org
  4. Maternity at Erlanger Baroness Hospital — erlanger.org
  5. Visitor Information — erlanger.org
  6. Parking — erlanger.org
  7. Interpreting Services — erlanger.org