Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$1,058.31
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.
?
What you pay up front if you don't use insurance.
$3,207.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$989.00 with United Healthcare vs $4,238.00 with BCBS TN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $989.00 | ↓ -7% |
| BCBS TN | Blue Care | $1,155.00 | ↑ +9% |
| Cigna | IFP | $1,250.00 | ↑ +18% |
| Aetna | Commercial | $1,349.71 | ↑ +28% |
| Wellpoint | Medicaid Tenncare | $1,391.00 | ↑ +31% |
| EHN | Network Lease | $1,443.15 | ↑ +36% |
| Cigna | Local Plus | $1,532.00 | ↑ +45% |
| Cigna | HMO | $1,802.00 | ↑ +70% |
| Cigna | POS | $1,802.00 | ↑ +70% |
| Cigna | OAP | $1,802.00 | ↑ +70% |
| United Healthcare | All Other Plans | $1,894.00 | ↑ +79% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,924.20 | ↑ +82% |
| Ambetter | Exchange | $2,009.00 | ↑ +90% |
| Community Services Network | NonProfit Public Benefit | $2,084.55 | ↑ +97% |
| United Healthcare | Heritage Select | $2,227.00 | ↑ +110% |
| USA Managed Care Organization | PPO | $2,244.90 | ↑ +112% |
| NovaNet | Network Lease | $2,405.25 | ↑ +127% |
| Direct Care America | PPO | $2,565.60 | ↑ +142% |
| National Provider Network | PPO | $2,565.60 | ↑ +142% |
| MedSave USA | Commercial | $2,565.60 | ↑ +142% |
| Tricare | Humana Military | $2,635.37 | ↑ +149% |
| Optum | VA CCN | $2,635.37 | ↑ +149% |
| United Healthcare | Medicare Advantage | $2,714.43 | ↑ +156% |
| Humana | DSNP | $2,714.43 | ↑ +156% |
| United Healthcare | Community Plan DSNP | $2,714.43 | ↑ +156% |
| Humana | Medicare Advantage HMO | $2,714.43 | ↑ +156% |
| Humana | Medicare Advantage PPO | $2,714.43 | ↑ +156% |
| United Healthcare | Options PPO | $2,717.00 | ↑ +157% |
| CCN Managed Care | PPO | $2,725.95 | ↑ +158% |
| Beech Street | PPO | $2,725.95 | ↑ +158% |
| Farm Bureau | Medicare Advantage HMO | $2,740.78 | ↑ +159% |
| Farm Bureau | Medicare Advantage PPO | $2,740.78 | ↑ +159% |
| Blue Cross of TN | Med Adv PPO | $2,767.14 | ↑ +161% |
| Blue Cross of TN | Med Adv Ruby | $2,767.14 | ↑ +161% |
| Blue Cross of TN | Med Adv Sapphire | $2,767.14 | ↑ +161% |
| Devoted Health | PPO | $2,767.14 | ↑ +161% |
| Wellcare | Medicare Advantage | $2,767.14 | ↑ +161% |
| Aetna | Medicare Advantage | $2,767.14 | ↑ +161% |
| Cigna | Medicare PPO | $2,767.14 | ↑ +161% |
| Cigna | Medicare HMO | $2,767.14 | ↑ +161% |
| HealthSpring | Medicare HMO POS | $2,767.14 | ↑ +161% |
| HealthSpring | Medicare PPO | $2,767.14 | ↑ +161% |
| Cigna | Medicare HMO-POS | $2,767.14 | ↑ +161% |
| Wellpoint | DSNP | $2,767.14 | ↑ +161% |
| Wellpoint | Medicare Advantage | $2,767.14 | ↑ +161% |
| United Healthcare | DSNP | $2,767.14 | ↑ +161% |
| Blue Cross of TN | BlueEssential DSNP | $2,767.14 | ↑ +161% |
| Blue Cross of TN | BlueEssential HMO | $2,767.14 | ↑ +161% |
| Blue Cross of TN | Med Adv Diamond | $2,767.14 | ↑ +161% |
| Devoted Health | HMO | $2,767.14 | ↑ +161% |
| Initial Group | PPO | $2,822.16 | ↑ +167% |
| Galaxy Health Network | PPO | $2,886.30 | ↑ +173% |
| BCBS TN | Commercial Network P | $4,238.00 | ↑ +300% |
| BCBS TN | Commercial Network S | $4,238.00 | ↑ +300% |
Visitor-reported prices
Comments
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,393.70 | $733.50 – $998.50 |
| CHI Memorial Hospital Hixson | Hixson | $2,957.04 | $1,208.80 – $4,230.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $595.93 | $2,273.66 – $5,226.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,225.77 | $1,269.24 – $4,230.80 |
| Johnson City Medical Center | JOHNSON CITY | $767.70 | $2,208.38 – $5,908.92 |
| Ascension Saint Thomas River Park | McMinnville | $1,393.70 | $954.50 – $1,004.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,393.70 | $954.50 – $1,004.50 |
| Greeneville Community Hospital | GREENEVILLE | $767.70 | $1,974.80 – $5,908.92 |