Abd/low ext cath 2nd at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$161.70
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$490.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$154.00 with BCBS TN vs $3,885.00 with BCBS TN — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BCBS TN | Commercial Network S | $154.00 | ↓ -5% |
| BCBS TN | Commercial Network P | $154.00 | ↓ -5% |
| United Healthcare | Tenncare | $205.00 | ↑ +27% |
| EHN | Network Lease | $220.50 | ↑ +36% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $294.00 | ↑ +82% |
| Wellpoint | Medicaid Tenncare | $307.90 | ↑ +90% |
| Community Services Network | NonProfit Public Benefit | $318.50 | ↑ +97% |
| USA Managed Care Organization | PPO | $343.00 | ↑ +112% |
| NovaNet | Network Lease | $367.50 | ↑ +127% |
| MedSave USA | Commercial | $392.00 | ↑ +142% |
| National Provider Network | PPO | $392.00 | ↑ +142% |
| Direct Care America | PPO | $392.00 | ↑ +142% |
| CCN Managed Care | PPO | $416.50 | ↑ +158% |
| Beech Street | PPO | $416.50 | ↑ +158% |
| Initial Group | PPO | $431.20 | ↑ +167% |
| United Healthcare | All Other Plans | $433.00 | ↑ +168% |
| Galaxy Health Network | PPO | $441.00 | ↑ +173% |
| United Healthcare | Heritage Select | $509.00 | ↑ +215% |
| United Healthcare | Options PPO | $624.00 | ↑ +286% |
| Aetna | Commercial | $1,808.27 | ↑ +1018% |
| Ambetter | Exchange | $2,009.00 | ↑ +1142% |
| Cigna | IFP | $2,372.00 | ↑ +1367% |
| Cigna | Local Plus | $2,857.00 | ↑ +1667% |
| Cigna | HMO | $3,419.00 | ↑ +2014% |
| Cigna | POS | $3,419.00 | ↑ +2014% |
| Cigna | OAP | $3,419.00 | ↑ +2014% |
| BCBS TN | Blue Care | $3,885.00 | ↑ +2303% |
Visitor-reported prices
Comments
Abd/low ext cath 2nd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $4,550.93 | $2,118.00 – $3,422.09 |
| CHI Memorial Hospital Hixson | Hixson | $1,183.12 | $799.40 – $5,206.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $517.04 | $98.00 – $257.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,690.74 | $839.37 – $5,206.00 |
| Johnson City Medical Center | JOHNSON CITY | $894.75 | $390.01 – $886.80 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $4,550.93 | $2,118.00 – $3,648.60 |
| Greeneville Community Hospital | GREENEVILLE | $894.75 | $390.01 – $925.28 |
| Bristol Regional Medical Center | BRISTOL | $894.75 | $390.01 – $883.70 |