Antithrombin iii injection at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$10.62
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.
$32.18
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.
$1.67 with United Healthcare vs $28.96 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $1.67 | ↓ -84% |
| Wellpoint | Medicaid Tenncare | $3.27 | ↓ -69% |
| Optum | VA CCN | $3.64 | ↓ -66% |
| Tricare | Humana Military | $3.64 | ↓ -66% |
| Humana | Medicare Advantage HMO | $3.75 | ↓ -65% |
| Humana | DSNP | $3.75 | ↓ -65% |
| United Healthcare | Community Plan DSNP | $3.75 | ↓ -65% |
| Humana | Medicare Advantage PPO | $3.75 | ↓ -65% |
| United Healthcare | Medicare Advantage | $3.75 | ↓ -65% |
| Farm Bureau | Medicare Advantage PPO | $3.79 | ↓ -64% |
| Farm Bureau | Medicare Advantage HMO | $3.79 | ↓ -64% |
| Blue Cross of TN | Med Adv Diamond | $3.82 | ↓ -64% |
| Blue Cross of TN | BlueEssential DSNP | $3.82 | ↓ -64% |
| Blue Cross of TN | BlueEssential HMO | $3.82 | ↓ -64% |
| United Healthcare | DSNP | $3.82 | ↓ -64% |
| Devoted Health | PPO | $3.82 | ↓ -64% |
| HealthSpring | Medicare PPO | $3.82 | ↓ -64% |
| HealthSpring | Medicare HMO POS | $3.82 | ↓ -64% |
| Blue Cross of TN | Med Adv Sapphire | $3.82 | ↓ -64% |
| Aetna | Medicare Advantage | $3.82 | ↓ -64% |
| Blue Cross of TN | Med Adv Ruby | $3.82 | ↓ -64% |
| Devoted Health | HMO | $3.82 | ↓ -64% |
| Wellcare | Medicare Advantage | $3.82 | ↓ -64% |
| Blue Cross of TN | Med Adv PPO | $3.82 | ↓ -64% |
| Cigna | Medicare HMO-POS | $3.82 | ↓ -64% |
| Wellpoint | DSNP | $3.82 | ↓ -64% |
| Wellpoint | Medicare Advantage | $3.82 | ↓ -64% |
| Cigna | Medicare PPO | $3.82 | ↓ -64% |
| Cigna | Medicare HMO | $3.82 | ↓ -64% |
| United Healthcare | Heritage Select | $4.29 | ↓ -60% |
| United Healthcare | Options PPO | $4.29 | ↓ -60% |
| United Healthcare | All Other Plans | $4.29 | ↓ -60% |
| BCBS TN | Commercial Network S | $4.41 | ↓ -58% |
| BCBS TN | Commercial Network P | $4.41 | ↓ -58% |
| BCBS TN | Blue Care | $4.47 | ↓ -58% |
| Cigna | Local Plus | $4.63 | ↓ -56% |
| Cigna | HMO | $4.63 | ↓ -56% |
| Cigna | OAP | $4.63 | ↓ -56% |
| Cigna | POS | $4.63 | ↓ -56% |
| Cigna | IFP | $4.63 | ↓ -56% |
| Aetna | Commercial | $12.46 | ↑ +17% |
| EHN | Network Lease | $14.48 | ↑ +36% |
| Ambetter | Exchange | $16.09 | ↑ +52% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $19.30 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $20.91 | ↑ +97% |
| USA Managed Care Organization | PPO | $22.52 | ↑ +112% |
| NovaNet | Network Lease | $24.13 | ↑ +127% |
| Direct Care America | PPO | $25.74 | ↑ +142% |
| MedSave USA | Commercial | $25.74 | ↑ +142% |
| National Provider Network | PPO | $25.74 | ↑ +142% |
| Beech Street | PPO | $27.35 | ↑ +158% |
| CCN Managed Care | PPO | $27.35 | ↑ +158% |
| Initial Group | PPO | $28.31 | ↑ +167% |
| Galaxy Health Network | PPO | $28.96 | ↑ +173% |
Visitor-reported prices
Comments
Antithrombin iii injection at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $9.32 | $0.93 – $8.48 |
| CHI Memorial Hospital Hixson | Hixson | $111.85 | $1.38 – $262.95 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $159.84 | $1.38 – $262.95 |
| Johnson City Medical Center | JOHNSON CITY | $9.78 | $0.92 – $6,080.25 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $9.32 | $0.93 – $8.27 |
| Bristol Regional Medical Center | BRISTOL | $9.78 | $0.92 – $6,187.35 |
| Holston Valley Medical Center | KINGSPORT | $9.78 | $0.92 – $6,187.35 |
| Parkwest Medical Center | Knoxville | $9.65 | $1.67 – $28.96 |