Antibody bacterium, not elsewhere specified at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$14.85
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.
$45.00
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.
$5.80 with Wellpoint vs $40.50 with Galaxy Health Network — 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $5.80 | ↓ -61% |
| United Healthcare | Tenncare | $8.24 | ↓ -45% |
| United Healthcare | Heritage Select | $12.88 | ↓ -13% |
| Tricare | Humana Military | $12.88 | ↓ -13% |
| Optum | VA CCN | $12.88 | ↓ -13% |
| United Healthcare | Options PPO | $12.88 | ↓ -13% |
| United Healthcare | All Other Plans | $12.88 | ↓ -13% |
| United Healthcare | Medicare Advantage | $13.27 | ↓ -11% |
| United Healthcare | Community Plan DSNP | $13.27 | ↓ -11% |
| Humana | Medicare Advantage HMO | $13.27 | ↓ -11% |
| Humana | DSNP | $13.27 | ↓ -11% |
| Humana | Medicare Advantage PPO | $13.27 | ↓ -11% |
| Farm Bureau | Medicare Advantage PPO | $13.40 | ↓ -10% |
| Farm Bureau | Medicare Advantage HMO | $13.40 | ↓ -10% |
| Devoted Health | PPO | $13.52 | ↓ -9% |
| HealthSpring | Medicare PPO | $13.52 | ↓ -9% |
| HealthSpring | Medicare HMO POS | $13.52 | ↓ -9% |
| Blue Cross of TN | Med Adv Sapphire | $13.52 | ↓ -9% |
| Aetna | Medicare Advantage | $13.52 | ↓ -9% |
| Wellcare | Medicare Advantage | $13.52 | ↓ -9% |
| Blue Cross of TN | Med Adv Ruby | $13.52 | ↓ -9% |
| Devoted Health | HMO | $13.52 | ↓ -9% |
| Cigna | Medicare PPO | $13.52 | ↓ -9% |
| Cigna | Medicare HMO | $13.52 | ↓ -9% |
| Blue Cross of TN | Med Adv PPO | $13.52 | ↓ -9% |
| Blue Cross of TN | Med Adv Diamond | $13.52 | ↓ -9% |
| Blue Cross of TN | BlueEssential HMO | $13.52 | ↓ -9% |
| Blue Cross of TN | BlueEssential DSNP | $13.52 | ↓ -9% |
| United Healthcare | DSNP | $13.52 | ↓ -9% |
| Cigna | Medicare HMO-POS | $13.52 | ↓ -9% |
| Wellpoint | DSNP | $13.52 | ↓ -9% |
| Wellpoint | Medicare Advantage | $13.52 | ↓ -9% |
| BCBS TN | Blue Care | $17.89 | ↑ +20% |
| Aetna | Commercial | $19.52 | ↑ +31% |
| EHN | Network Lease | $20.25 | ↑ +36% |
| Ambetter | Exchange | $23.31 | ↑ +57% |
| Cigna | IFP | $26.36 | ↑ +78% |
| Cigna | Local Plus | $26.47 | ↑ +78% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $27.00 | ↑ +82% |
| BCBS TN | Commercial Network S | $27.19 | ↑ +83% |
| BCBS TN | Commercial Network P | $27.19 | ↑ +83% |
| Cigna | POS | $28.78 | ↑ +94% |
| Cigna | OAP | $28.78 | ↑ +94% |
| Cigna | HMO | $28.78 | ↑ +94% |
| Community Services Network | NonProfit Public Benefit | $29.25 | ↑ +97% |
| USA Managed Care Organization | PPO | $31.50 | ↑ +112% |
| NovaNet | Network Lease | $33.75 | ↑ +127% |
| Direct Care America | PPO | $36.00 | ↑ +142% |
| MedSave USA | Commercial | $36.00 | ↑ +142% |
| National Provider Network | PPO | $36.00 | ↑ +142% |
| Beech Street | PPO | $38.25 | ↑ +158% |
| CCN Managed Care | PPO | $38.25 | ↑ +158% |
| Initial Group | PPO | $39.60 | ↑ +167% |
| Galaxy Health Network | PPO | $40.50 | ↑ +173% |
Visitor-reported prices
Comments
Antibody bacterium, not elsewhere specified at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $10.86 | $4.64 – $49.66 |
| CHI Memorial Hospital Hixson | Hixson | $22.80 | $11.45 – $53.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $32.58 | $11.45 – $53.90 |
| Johnson City Medical Center | JOHNSON CITY | $22.50 | $6.44 – $28.08 |
| Ascension Saint Thomas DeKalb | Smithville | $10.86 | $9.04 – $49.66 |
| Ascension Saint Thomas Highlands | Sparta | $10.86 | $9.04 – $49.66 |
| Ascension Saint Thomas River Park | McMinnville | $10.86 | $9.04 – $49.66 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $10.86 | $11.59 – $49.66 |