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Erlanger Medical Center

ERLANGER MEDICAL CENTER in Chattanooga, TN charges 4.5x the Medicare reimbursement rate across 127 analyzed procedures, reflecting typical pricing patterns for government-owned hospitals.

Chattanooga, TN 37403 · Acute Care Hospitals · CMS Rating: 3/5

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

127 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.1x1.8x15.0x
4.5x
Medicare markup ratio
TN lowestErlanger Medical CenterTN highest
4.5x
Avg markup ratio
4.3x
Median markup
127
Procedures
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Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

C

Average

Avg markup vs Medicare

4.46x

Charge / Medicare rate

Max markup

7.15x

Worst procedure

Procedures analyzed

127

With pricing data

Outlier procedures

0%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$242,067$121,0337.2x
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC964$70,190$35,0957x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$71,166$35,5836.7x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$53,544$26,7726.7x
PNEUMOTHORAX WITH CC200$48,022$24,0116.5x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC082$106,862$53,4316.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$85,826$42,9136.4x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$117,487$58,7436.2x
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC657$70,681$35,3406x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$36,283$18,1416x
MAJOR CHEST TRAUMA WITH CC184$41,494$20,7475.9x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$85,135$42,5685.8x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC085$89,611$44,8055.8x
LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA956$153,074$76,5375.8x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$51,712$25,8565.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$46,528$23,2645.8x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC083$55,386$27,6935.6x
MAJOR BLADDER PROCEDURES WITH CC654$102,644$51,3225.5x
HYPERTENSION WITHOUT MCC305$30,692$15,3465.5x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$119,565$59,7825.5x
SYNCOPE AND COLLAPSE312$35,474$17,7375.4x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$246,896$123,4485.3x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$164,951$82,4755.3x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$182,788$91,3945.3x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC659$111,725$55,8635.3x
DIABETES WITH MCC637$54,657$27,3295.3x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$173,222$86,6115.2x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$130,856$65,4285.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$65,250$32,6255.1x
GASTROINTESTINAL HEMORRHAGE WITH CC378$37,941$18,9715x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$207,240$103,6205x
PSYCHOSES885$46,239$23,1195x
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$71,287$35,6445x
RED BLOOD CELL DISORDERS WITHOUT MCC812$35,777$17,8885x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$62,830$31,4155x
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC957$277,104$138,5525x
MEDICAL BACK PROBLEMS WITHOUT MCC552$33,489$16,7454.9x
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC658$47,058$23,5294.9x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$55,553$27,7774.9x
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC003$771,221$385,6104.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$36,412$18,2064.9x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$215,668$107,8344.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$69,558$34,7794.8x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$51,305$25,6524.8x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$42,806$21,4034.8x
SEIZURES WITHOUT MCC101$33,441$16,7204.8x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC982$86,750$43,3754.8x
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$61,045$30,5234.7x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$34,555$17,2784.7x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$64,920$32,4604.7x

Showing 50 of 127 procedures

How ERLANGER MEDICAL CENTER compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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