Bone marrow biopsyneedle/trocar 38221 at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$775.50
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.
$2,350.00
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.
$787.00 with United Healthcare vs $2,945.00 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 | $787.00 | ↑ +1% |
| EHN | Network Lease | $1,057.50 | ↑ +36% |
| United Healthcare | All Other Plans | $1,066.00 | ↑ +37% |
| BCBS TN | Blue Care | $1,155.00 | ↑ +49% |
| Cigna | IFP | $1,250.00 | ↑ +61% |
| United Healthcare | Heritage Select | $1,254.00 | ↑ +62% |
| Wellpoint | Medicaid Tenncare | $1,259.81 | ↑ +62% |
| Ambetter | Exchange | $1,308.00 | ↑ +69% |
| Aetna | Commercial | $1,349.71 | ↑ +74% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,410.00 | ↑ +82% |
| Optum | VA CCN | $1,498.45 | ↑ +93% |
| Tricare | Humana Military | $1,498.45 | ↑ +93% |
| United Healthcare | Options PPO | $1,526.00 | ↑ +97% |
| Community Services Network | NonProfit Public Benefit | $1,527.50 | ↑ +97% |
| Cigna | Local Plus | $1,532.00 | ↑ +98% |
| Humana | DSNP | $1,543.40 | ↑ +99% |
| Humana | Medicare Advantage PPO | $1,543.40 | ↑ +99% |
| United Healthcare | Community Plan DSNP | $1,543.40 | ↑ +99% |
| United Healthcare | Medicare Advantage | $1,543.40 | ↑ +99% |
| Humana | Medicare Advantage HMO | $1,543.40 | ↑ +99% |
| Farm Bureau | Medicare Advantage PPO | $1,558.39 | ↑ +101% |
| Farm Bureau | Medicare Advantage HMO | $1,558.39 | ↑ +101% |
| Blue Cross of TN | BlueEssential HMO | $1,573.37 | ↑ +103% |
| Devoted Health | HMO | $1,573.37 | ↑ +103% |
| Wellcare | Medicare Advantage | $1,573.37 | ↑ +103% |
| United Healthcare | DSNP | $1,573.37 | ↑ +103% |
| Devoted Health | PPO | $1,573.37 | ↑ +103% |
| HealthSpring | Medicare PPO | $1,573.37 | ↑ +103% |
| HealthSpring | Medicare HMO POS | $1,573.37 | ↑ +103% |
| Aetna | Medicare Advantage | $1,573.37 | ↑ +103% |
| Cigna | Medicare PPO | $1,573.37 | ↑ +103% |
| Cigna | Medicare HMO | $1,573.37 | ↑ +103% |
| Cigna | Medicare HMO-POS | $1,573.37 | ↑ +103% |
| Wellpoint | DSNP | $1,573.37 | ↑ +103% |
| Wellpoint | Medicare Advantage | $1,573.37 | ↑ +103% |
| Blue Cross of TN | Med Adv Sapphire | $1,573.37 | ↑ +103% |
| Blue Cross of TN | Med Adv Ruby | $1,573.37 | ↑ +103% |
| Blue Cross of TN | Med Adv PPO | $1,573.37 | ↑ +103% |
| Blue Cross of TN | BlueEssential DSNP | $1,573.37 | ↑ +103% |
| Blue Cross of TN | Med Adv Diamond | $1,573.37 | ↑ +103% |
| USA Managed Care Organization | PPO | $1,645.00 | ↑ +112% |
| NovaNet | Network Lease | $1,762.50 | ↑ +127% |
| Cigna | HMO | $1,802.00 | ↑ +132% |
| Cigna | OAP | $1,802.00 | ↑ +132% |
| Cigna | POS | $1,802.00 | ↑ +132% |
| National Provider Network | PPO | $1,880.00 | ↑ +142% |
| Direct Care America | PPO | $1,880.00 | ↑ +142% |
| MedSave USA | Commercial | $1,880.00 | ↑ +142% |
| Beech Street | PPO | $1,997.50 | ↑ +158% |
| CCN Managed Care | PPO | $1,997.50 | ↑ +158% |
| Initial Group | PPO | $2,068.00 | ↑ +167% |
| Galaxy Health Network | PPO | $2,115.00 | ↑ +173% |
| BCBS TN | Commercial Network P | $2,945.00 | ↑ +280% |
| BCBS TN | Commercial Network S | $2,945.00 | ↑ +280% |
Visitor-reported prices
Comments
Bone marrow biopsyneedle/trocar 38221 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,288.76 | $733.50 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $1,825.44 | $1,233.40 – $4,316.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $438.15 | $1,287.14 – $2,958.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,608.65 | $1,295.07 – $4,316.90 |
| Johnson City Medical Center | JOHNSON CITY | $554.70 | $1,280.49 – $3,359.76 |
| Ascension Saint Thomas DeKalb | Smithville | $1,288.76 | $413.29 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | $1,288.76 | $413.29 – $1,004.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,288.76 | $954.50 – $1,217.22 |