Brace back pinnacle tlso 464 at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$4,412.10
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.
$13,370.00
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.
$386.52 with BCBS TN vs $1,928.47 with Blue Cross of 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 | Blue Care | $386.52 | ↓ -91% |
| Aetna | Commercial | $404.92 | ↓ -91% |
| United Healthcare | All Other Plans | $515.36 | ↓ -88% |
| United Healthcare | Heritage Select | $515.36 | ↓ -88% |
| United Healthcare | Options PPO | $552.17 | ↓ -87% |
| Cigna | IFP | $782.24 | ↓ -82% |
| EHN | Network Lease | $828.26 | ↓ -81% |
| Cigna | HMO | $920.29 | ↓ -79% |
| Cigna | Local Plus | $920.29 | ↓ -79% |
| Cigna | POS | $920.29 | ↓ -79% |
| Ambetter | Exchange | $920.29 | ↓ -79% |
| Cigna | OAP | $920.29 | ↓ -79% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,104.34 | ↓ -75% |
| BCBS TN | Commercial Network S | $1,141.15 | ↓ -74% |
| BCBS TN | Commercial Network P | $1,141.15 | ↓ -74% |
| Community Services Network | NonProfit Public Benefit | $1,196.37 | ↓ -73% |
| USA Managed Care Organization | PPO | $1,288.40 | ↓ -71% |
| NovaNet | Network Lease | $1,380.43 | ↓ -69% |
| National Provider Network | PPO | $1,472.46 | ↓ -67% |
| MedSave USA | Commercial | $1,472.46 | ↓ -67% |
| Direct Care America | PPO | $1,472.46 | ↓ -67% |
| Beech Street | PPO | $1,564.49 | ↓ -65% |
| CCN Managed Care | PPO | $1,564.49 | ↓ -65% |
| Initial Group | PPO | $1,619.71 | ↓ -63% |
| Galaxy Health Network | PPO | $1,656.52 | ↓ -62% |
| Optum | VA CCN | $1,836.64 | ↓ -58% |
| Tricare | Humana Military | $1,836.64 | ↓ -58% |
| United Healthcare | Medicare Advantage | $1,891.74 | ↓ -57% |
| Humana | DSNP | $1,891.74 | ↓ -57% |
| Humana | Medicare Advantage HMO | $1,891.74 | ↓ -57% |
| Humana | Medicare Advantage PPO | $1,891.74 | ↓ -57% |
| United Healthcare | Community Plan DSNP | $1,891.74 | ↓ -57% |
| Farm Bureau | Medicare Advantage PPO | $1,910.11 | ↓ -57% |
| Farm Bureau | Medicare Advantage HMO | $1,910.11 | ↓ -57% |
| Blue Cross of TN | Med Adv PPO | $1,928.47 | ↓ -56% |
| Blue Cross of TN | Med Adv Ruby | $1,928.47 | ↓ -56% |
| Blue Cross of TN | Med Adv Sapphire | $1,928.47 | ↓ -56% |
| Devoted Health | HMO | $1,928.47 | ↓ -56% |
| United Healthcare | DSNP | $1,928.47 | ↓ -56% |
| Wellcare | Medicare Advantage | $1,928.47 | ↓ -56% |
| Cigna | Medicare PPO | $1,928.47 | ↓ -56% |
| Cigna | Medicare HMO | $1,928.47 | ↓ -56% |
| Devoted Health | PPO | $1,928.47 | ↓ -56% |
| Aetna | Medicare Advantage | $1,928.47 | ↓ -56% |
| HealthSpring | Medicare HMO POS | $1,928.47 | ↓ -56% |
| Cigna | Medicare HMO-POS | $1,928.47 | ↓ -56% |
| Wellpoint | DSNP | $1,928.47 | ↓ -56% |
| Wellpoint | Medicare Advantage | $1,928.47 | ↓ -56% |
| HealthSpring | Medicare PPO | $1,928.47 | ↓ -56% |
| Blue Cross of TN | BlueEssential DSNP | $1,928.47 | ↓ -56% |
| Blue Cross of TN | BlueEssential HMO | $1,928.47 | ↓ -56% |
| Blue Cross of TN | Med Adv Diamond | $1,928.47 | ↓ -56% |
Visitor-reported prices
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Brace back pinnacle tlso 464 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| STONECREST MEDICAL CENTER | Smyrna | $4,615.00 | $1,652.98 – $2,699.86 |
| Parkwest Medical Center | Knoxville | $4,011.00 | $386.52 – $1,928.47 |
| LeConte Medical Center | Sevierville | $3,556.85 | $386.52 – $1,656.52 |
| Fort Loudoun Medical Center | Lenoir City | $3,761.31 | $386.52 – $1,928.47 |
| Fort Sanders Regional Medical Center | Knoxville | $4,412.10 | $386.52 – $1,928.47 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $4,412.10 | $1,836.64 – $12,033.00 |
| Cumberland Medical Center, Inc. | Crossville | $588.99 | $386.52 – $1,656.52 |
| Morristown-Hamblen Hospital Association | Morristown | $1,800.23 | $386.52 – $1,928.47 |